Appointment Request Form

This is not a request for an appointment. If you're ready to schedule, go to: https://www.texascannabisclinic.com/contents/request-appointment

Please send us your contact info if you would like someone from our team to text you with more information about how we can approve you for the Texas Compassionate Use Program.

*Texas does not issue MMJ cards- it's by prescription only. Prescriptions are $180/valid for 12 months.

All appointments are via video visit/telehealth appointments.

Texas Cannabis Clinic is available to see patients Monday- Friday 8am-5pm. (Some evenings we offer late appointments until 7pm).

You can text us directly at 512-892-7092 for a prompt response.

These messages are not automated.

Patient's Contact Information

First name *

Last name *

Date of birth *

Gender *

Male Female

Street address *

Zip code *

City *

State *

Email *

No Email

Phone number *

Phone Type *

Please select from the qualifying conditions below so we can help guide you

Reason for appointment *

Submit request

By pressing "Submit Request," I agree to receive recurring messages from Texas Cannabis Clinic to the provided mobile number and also agree to the Texas Cannabis Clinic terms and privacy policy at:

https://www.texascannabisclinic.com/terms_conditions,

https://www.texascannabisclinic.com/privacy-policy

Message & data rates may apply. Reply STOP to cancel. Reply HELP for info.

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