{"id":3732,"date":"2023-07-29T12:02:42","date_gmt":"2023-07-29T12:02:42","guid":{"rendered":"https:\/\/www.cannabisphysicians.com\/?page_id=3732"},"modified":"2023-08-01T07:25:37","modified_gmt":"2023-08-01T07:25:37","slug":"home","status":"publish","type":"page","link":"https:\/\/www.cannabisphysicians.com\/","title":{"rendered":"Home"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; module_class=&#8221;hero-section-wrap cannabis_card&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; 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\n\/* ]]> *\/\n<\/script>\n [\/et_pb_code][et_pb_text module_class=&#8221;banner_signup&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h6>Sign-up or call <a href=\"tel: 443 589 5555\"> 443 589 5555. <\/a> It\u2019s that easy.<\/h6>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; module_class=&#8221;hero_right_sec&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/06\/hero_sec_banner.jpg&#8221; alt=&#8221;Apply for your Maryland Medical Cannabis Card.&#8221; title_text=&#8221;hero_sec_banner&#8221; module_class=&#8221;hero_sec_img&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; hover_transition_duration=&#8221;0ms&#8221; 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Seeing firsthand the benefits of using medical cannabis at the most vulnerable time of their lives Marijane Consults was formed. Marijane Consults steadily grew into Cannabis Physicians. 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_builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;1265px&#8221; module_alignment=&#8221;center&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; hover_transition_duration=&#8221;0ms&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Free product consult telehealth with our on staff medical cannabis specialist, if needed ($30 value)&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/icons4.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;cannabis_phy&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;14px&#8221; header_line_height=&#8221;18px&#8221; background_color=&#8221;#edf4eb&#8221; 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global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Caregiver set-up assistance&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/icons6.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;cannabis_phy&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;14px&#8221; header_line_height=&#8221;18px&#8221; background_color=&#8221;#edf4eb&#8221; custom_margin=&#8221;14px|14px|14px|14px|true|true&#8221; custom_padding=&#8221;23px||24px||false|false&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; module_class=&#8221;physician-row&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;1265px&#8221; module_alignment=&#8221;center&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; hover_transition_duration=&#8221;0ms&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Free 3 and 6 month follow-up telehealth appointment with your personal provider if needed&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/icons7.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;cannabis_phy&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;14px&#8221; header_line_height=&#8221;18px&#8221; background_color=&#8221;#edf4eb&#8221; custom_margin=&#8221;14px|14px|14px|14px|true|true&#8221; custom_padding=&#8221;23px||24px||false|false&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Free allotment increase telehealth appointment with your personal provider if needed&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/icons8.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;cannabis_phy&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;14px&#8221; header_line_height=&#8221;18px&#8221; background_color=&#8221;#edf4eb&#8221; custom_margin=&#8221;14px|14px|14px|14px|true|true&#8221; custom_padding=&#8221;23px||24px||false|false&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Hospice set-up assistance&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/icons9.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;cannabis_phy&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;14px&#8221; header_line_height=&#8221;18px&#8221; background_color=&#8221;#edf4eb&#8221; custom_margin=&#8221;14px|14px|14px|14px|true|true&#8221; custom_padding=&#8221;23px||24px||false|false&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; module_class=&#8221;physician-row&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;1240px&#8221; module_alignment=&#8221;center&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; hover_transition_duration=&#8221;0ms&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;In office appointments&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/icons10.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;cannabis_phy&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font_size=&#8221;14px&#8221; header_line_height=&#8221;18px&#8221; background_color=&#8221;#edf4eb&#8221; custom_margin=&#8221;14px|14px|14px|14px|true|true&#8221; custom_padding=&#8221;23px||24px||false|false&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_class=&#8221;thrwaycontsect normal-sec&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/thwaycontsec.png&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;thrwaycottl&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Contact Us<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_5,3_5,1_5&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Email Us at:&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/email.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;physician_detail_sec email_sec&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|700|||||||&#8221; header_text_color=&#8221;#231f20&#8243; header_font_size=&#8221;20px&#8221; body_font=&#8221;Poppins|700|||||||&#8221; body_font_size=&#8221;20px&#8221; background_color=&#8221;#FFFFFF&#8221; width=&#8221;590px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;35px|35px|35px|35px|true|true&#8221; animation=&#8221;off&#8221; header_text_align_tablet=&#8221;&#8221; header_text_align_phone=&#8221;center&#8221; header_text_align_last_edited=&#8221;on|phone&#8221; body_text_align_tablet=&#8221;&#8221; body_text_align_phone=&#8221;center&#8221; body_text_align_last_edited=&#8221;on|phone&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;]<a href=\"mailto:contactus@cannabisphysicians.com\">contactus@cannabisphysicians.com<\/a>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_5,3_5,1_5&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; module_class=&#8221;conts_colsec&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Phone Call:&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/phone.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;physician_detail_sec phone_sec&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|700|||||||&#8221; header_text_color=&#8221;#231f20&#8243; header_font_size=&#8221;20px&#8221; body_font=&#8221;Poppins|700|||||||&#8221; body_font_size=&#8221;20px&#8221; background_color=&#8221;#FFFFFF&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||4%||false|false&#8221; custom_padding=&#8221;36px|45px|37px|45px|false|true&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"tel: 443 589 5555\">443 589 5555<\/a><\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=&#8221;Text:&#8221; image=&#8221;https:\/\/www.cannabisphysicians.com\/wp-content\/uploads\/2023\/04\/text.png&#8221; icon_placement=&#8221;left&#8221; module_class=&#8221;physician_detail_sec phone_sec&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;Poppins|700|||||||&#8221; header_text_color=&#8221;#231f20&#8243; header_font_size=&#8221;20px&#8221; body_font=&#8221;Poppins|700|||||||&#8221; body_font_size=&#8221;20px&#8221; background_color=&#8221;#FFFFFF&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||4%||false|false&#8221; custom_padding=&#8221;36px|35px|37px|35px|false|true&#8221; animation=&#8221;off&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"sms:+1443 589 5555\">443 589 5555<\/a><\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_5,3_5,1_5&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_transition_duration=&#8221;0ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; module_class=&#8221;conts_colsec&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;support_sec&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Poppins||||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; text_font_size=&#8221;20px&#8221; header_3_font=&#8221;Poppins|700|||||||&#8221; header_3_text_align=&#8221;center&#8221; header_3_text_color=&#8221;#FFFFFF&#8221; header_3_font_size=&#8221;20px&#8221; text_orientation=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>Real live support 7 days a week. If we don\u2019t answer, leave a voicemail or send a text message.<\/span><\/p>\n<h3>We will call you right back!<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_class=&#8221;contact-banner medical_heading&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; height=&#8221;423px&#8221; custom_margin=&#8221;0px|0px|0px|0px|true|true&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_margin=&#8221;94px||||false|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; background_enable_image=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;bottom_contact_form_hd&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Poppins||||||||&#8221; text_text_color=&#8221;#231f20&#8243; text_font_size=&#8221;22px&#8221; text_line_height=&#8221;30px&#8221; header_2_font=&#8221;Poppins|700|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#231f20&#8243; header_2_font_size=&#8221;38px&#8221; header_2_line_height=&#8221;44px&#8221; text_orientation=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Medical cannabis is not a one size fits all and education is key to your journey.<br \/><strong>We are here to help!<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; module_class=&#8221;form-section&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; custom_margin=&#8221;-212px|0px|0px|0px|false|true&#8221; custom_padding=&#8221;0px|0px|45px|0px|false|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;form-wrap&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;1225px&#8221; custom_margin=&#8221;0px||0px||true|true&#8221; custom_padding=&#8221;0px||0px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]\n                <div class='gf_browser_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' ><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/3732' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_6\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_6\"><h3>Personal Details:<\/h3><\/div><div id=\"field_3_1\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_1\"><label class='gfield_label gform-field-label' for='input_3_1' >First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='large'    placeholder='First Name: *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_3\"  class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_3\"><label class='gfield_label gform-field-label' for='input_3_3' >Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='large'    placeholder='Last Name: *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_4\"  class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_4\"><label class='gfield_label gform-field-label' for='input_3_4' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_3_4' type='email' value='' class='large'   placeholder='Email: *' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_19\"  class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_19\"><label class='gfield_label gform-field-label' for='input_3_19' >Cell Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_3_19' type='tel' value='' class='large'  placeholder='Cell Phone: *' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_7\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_7\"><h3>Your Address:<\/h3><\/div><div id=\"field_3_8\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_8\"><label class='gfield_label gform-field-label' for='input_3_8' >Street<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_3_8' type='text' value='' class='large'    placeholder='Street:'  aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_9\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_9\"><label class='gfield_label gform-field-label' for='input_3_9' >City:<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='text' value='' class='large'    placeholder='City:'  aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_10\"  class=\"gfield gfield--type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_10\"><label class='gfield_label gform-field-label' for='input_3_10' >State<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_3_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='State:' >State:<\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select><\/div><\/div><div id=\"field_3_11\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_11\"><label class='gfield_label gform-field-label' for='input_3_11' >ZIP<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_3_11' type='text' value='' class='large'    placeholder='ZIP:'  aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_12\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_12\"><h3>ID details:<\/h3><\/div><div id=\"field_3_13\"  class=\"gfield gfield--type-text gfield--width-full Please enter your patience ID number field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_13\"><label class='gfield_label gform-field-label' for='input_3_13' >Patient ID<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_3_13' type='text' value='' class='large'    placeholder='State patient ID number if applicable:'  aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_3_14\"  class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_14\"><label class='gfield_label gform-field-label' for='input_3_14' >State photo ID (drivers license or ID card):<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='268435456' \/><input name='input_14' id='input_3_14' type='file' class='large' aria-describedby=\"gfield_upload_rules_3_14\" onchange='javascript:gformValidateFileSize( this, 268435456 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_14'>Max. file size: 256 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_14'><\/div><\/div><\/div><fieldset id=\"field_3_18\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_18\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Please check all that apply:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_3_18'><div class='gchoice gchoice_3_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Initial Certification'  id='choice_3_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1' class='gform-field-label gform-field-label--type-inline'>Initial Certification<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Renewal Certification'  id='choice_3_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_2' id='label_3_18_2' class='gform-field-label gform-field-label--type-inline'>Renewal Certification<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.3' type='checkbox'  value='Allotment increase new patient renewal'  id='choice_3_18_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_3' id='label_3_18_3' class='gform-field-label gform-field-label--type-inline'>Allotment increase new patient renewal<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.4' type='checkbox'  value='Allotment increase returning patient'  id='choice_3_18_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_4' id='label_3_18_4' class='gform-field-label gform-field-label--type-inline'>Allotment increase returning patient<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.5' type='checkbox'  value='Cannabis Coaching'  id='choice_3_18_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_5' id='label_3_18_5' class='gform-field-label gform-field-label--type-inline'>Cannabis Coaching<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.6' type='checkbox'  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Wheels<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_18_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.9' type='checkbox'  value='Email subscription'  id='choice_3_18_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_9' id='label_3_18_9' class='gform-field-label gform-field-label--type-inline'>Email subscription<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_20\"  class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_3_20\"><label class='gfield_label gform-field-label' for='input_3_20' >Please check below<\/label><div id='input_3_20' class='ginput_container ginput_recaptcha' data-sitekey='6LeF6zYnAAAAAFHjqhHgQFZTTWBbfmsFp_2tQ-TM'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform_footer before'> <input type='submit' 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