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Create Account

Instructions:

Please fill in the fields below to create an account for the Medical Use of Marijuana Online System. All fields marked with an asterisk (*) are required.

User Information
The password must meet the following requirements:
  • Must be at least 12 characters long.
  • Contain at least one upper case character.
  • Contain at least one lower case character.
  • Contain at least one number.
  • Contain at least one of the following characters: !, @, #, $, %, ^, &.