Medical Deployment Services, Logo - Altoona, PA

2032 East Pleasant Valley Blvd

Suite 2

Altoona, Pennsylvania

Phone Icon (814) 201-2336


APPLICATION PROCESS


Do You Qualify?

Not sure if you qualify for Medical Cannabis? To qualify you must have 1 or more of the following conditions:

  • Amyotrophic Lateral Sclerosis
  • Post-traumatic Stress Disorder
  • Epilepsy
  • Autism
  • Cancer
  • Crohn's Disease
  • Inflammatory Bowel Disease
  • Glaucoma
  • Huntington's Disease
  • Intractable Seizures
  • Multiple Sclerosis
  • Neuropathies
  • Parkinson's Disease
  • Sickle Cell Anemia
  • HIV / AIDS
  • Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity
  • Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain in which conventional therapeutic intervention and opiate therapy is contraindicated or ineffective

*Please note that "anxiety, sleep issues and stress" are not acceptable diagnoses at this time.

*This office will not certify opioid dependent individuals whose addiction has resulted from recreational drug use.




Next Steps...


1

Register With The Department of Health

The link below will take you directly to the Department of Health's web site. You need to register with them. They will then provide you with a 4-6 digit number. Write this number down. There is a space in my APPLICATION FORM (Step 2) that will ask for this number. After we meet, this number is necessary for me to finish your paperwork with the Department of Health and allow you to receive your certificate.

REGISTER HERE




2

Complete Our Application Form

Next, complete the Application Form. Once it is received, I will contact you by phone so we can chat a bit. Make sure you put the number assigned to you during Step 1 in the space provided. 

Application Form




3

Release of Information

To verify your request for certification, you will need to provide documentation from your physician(s) confirming your diagnosis. Download the following form and fax, email , mail or personally deliver it to the physician that will be able to send me this information. If your are unable to Print this Form, please feel to Contact Us.

RELEASE FORM



4

We'll CONTACT YOU

Once these steps are completed and your records have been received and reviewed, my office will call you for an appointment.