MMJ EXAMS OF COLORADO

    We are establishing a physician-patient relationship to determine whether a recommendation for the safe use of medical marijuana can be made and NOT for any other purpose. You are advised to consult with your primary care provider at least once a year for re-evaluation of the diagnosis and treatment plan.




    Under the Health Insurance Portability and Accountability Act of 1996 (HIPPA), you have certain privacy rights concerning your health care information. Under this law, your health care provider generally cannot give your information to your employer, or share your
    information for marketing or advertising purposes, without your written consent. It is important that you understand that your information can be used and shared in the following ways.

    • To Inform multiple health care providers who may be involved in your treatment directly and indirectly.
    • To inform your family, friends, relatives, or others that you identify, who are involved in your health care or heath care bills.
    • Threats to health and safety that involves you harming yourself or others
    • To make required reports to the police
    • To provide information about employees, to employers, regarding worker’s compensation
    • To obtain payment from third party payers.

    I acknowledge that I have received and read a copy of my HIPPA privacy rights. And I agree to have thisinformation released to my medical doctor. (This permission may be revoked at any time!)

    Patient Informational Resources

    Please review the following patient resources information prior to your appointment
    pdf-image

    Guide To Using Cannabis

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    pdf-image

    Colorado Marijuana Registry Information

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    pdf-image

    HIPAA Privacy Policy And Procedure Manual

    Download Now
    Get In Touch Today

    Contact Information

    Location

    DENVER

    1776 S Jackson St, Ste 302
    Denver,  CO  80210
    Get Directions

    Mon, Wed, Fri: 10am-1pm

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    FORT COLLINS

    Inside Allstate Insurance

    1606 S Lemay Ave, Ste 107
    Fort Collins,  CO  80521
    Get Directions

    Tues: 2pm-4:30pm, Sat: 10am-12pm

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    GREELEY

    Tripoint Business Center

    3001 8th Ave, Ste 100
    Greeley,   CO  80634
    Get Directions

    Thurs: 9am-12pm

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    LONGMONT

    659 4th Ave
    Longmont,  CO  80501
    Get Directions

    Tues: 9am-12pm

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    NORTHGLENN

    Evolution Northglenn

    11990 Grant, Ste 550
    Northglenn,  CO  80234
    Get Directions

    Fri: 1pm-4pm

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    Schedule Your Appointment

    Click on the location below to schedule your appointment or call (970) 579-7379 for any remaining questions.

    • DENVER
      1776 S Jackson St, Ste 302
      Denver, CO 80210
      Mon, Wed, Fri: 10am-1pm
    • FORT COLLINS
      Inside Allstate Insurance
      1606 S. Lemay Ave, Ste 107
      Fort Collins, CO 80521
      Tues: 2pm-4:30pm, Sat: 10am-12pm
    • GREELEY
      Tripoint Business Center
      3001 8th Ave, Ste 100
      Greeley, CO 80634
      Thurs: 9am-12pm
    • LONGMONT
      659 4th Ave,
      Longmont, CO 80501
      Tues: 9am-12pm
    • NORTHGLENN
      Evolution Northglenn
      11990 Grant St, Ste 550
      Northglenn, CO 80233
      Fri: 1pm-4pm
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    MAKE AN APPOINTMENT
    CALL (970) 377-0500