NEW PATIENT REGISTRATION

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 You are about to access a system within the Arizona Department of Health Services (ADHS) computer network. 

Use of this system constitutes users' consent to permit ADHS monitoring of users' activities. 

Evidence of unauthorized activities obtained during monitoring can and will be used by ADHS for criminal prosecution as permitted by law.

Please note that local jurisdictions may impose additional fees and/or requirements for home cultivation. 

Please check with your local jurisdiction for any additional information. 

Please note that if you choose to designate a caregiver to cultivate for you, you as a patient CANNOT also cultivate. 

Once you have designated a caregiver, the caregiver application process must also be completed. CLICK HERE to complete application for designated caregiver application. Please take special note of caregiver-specific application instructions.

• Before beginning the application process, be sure you have the following items in digital format ready for upload: 
  • Electronic copy of photo identification
  • Current digital photograph (See patient checklist for size requirements)
  • Electronic copy of completed and signed physician certification form
  • Electronic copy of completed and signed qualifying patient attestation
  • Visa or Mastercard for payment
  • Supplemental Nutrition Assistance Program(SNAP) documentation, if applicable
• Verify all data are correct before saving each page of the application
• Complete and submit the entire application without closing the browser. You will not be able to save and resume your application later.