By Fax

Download referral form, attach supporting medical documents and fax to the number on the form.


Have the referral form uploaded into your EMR and send to


Call us directly at 855-462-3646 to reach our intake coordinators


Interested in working with us? The Clinic Network will work with you to create defensible and proper medical cannabis authorizations. We will support you with qualified Cannabis Educators.

If you want to explore further opportunities connect with us as follows: