Appointment

Thank you for choosing MediCann for your evaluation. We can NOT book appointments via the internet. However, we are happy to take your request for an appointment to be evaluated. As a reminder, you may also call the 866-632-6627 to make an appointment.

Please fill out the form below, being careful to verify your contact information. The request will be sent directly to our support agents who will contact you within 1-2 business days.

Prior to arriving to your appointment, you may also fill out the New Patient History Form if you have not been seen before, or our Patient Renewal History Form if you are an existing patient.  This will help expedite your visit.

First Name
Last Name
Email Address
Phone Number
Can we leave a message?	yes no
Clinic Location	Please select one Modesto Oakland Sacramento San Diego San Francisco San Rafael Santa Cruz Santa Rosa Sherman Oaks West Hollywood Ukiah
How soon would you like your appoinment?	Please select one First Available Within 2 Weeks Within 30 Days
Is there anything else we should know?
	(please press once only)