Sign-Up for our Collective

Please fill out this short form below to join our collective. By filling this form out online, you streamline the process and we can pre-approve you with your doctor.

We will have a copy of your submitted form, for you to sign, on your first visit.

Thank you,
Natures Green Healing Collective

     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
  1. I am a qualified patient or Primary Caregiver pursuant to the laws of the State of California with a current recommendation from a licensed physician.
  2. I certify under the penalty of perjury I am not a law enforcement official, officer or agent. I am not signing this agreement nor joining NATURE'S GREEN HEALING COLLECTIVE or purchasing medical cannabis for any law enforcement purpose.
  3. I have read, I understand and I agree to the NATURE'S GREEN HEALING COLLECTIVE Identification Card agreement and the NATURE'S GREEN HEALING COLLECTIVE and Regulations Agreeement and I consent to joining this collective pursuant to the terms set forth in these agreements.
  4. I certify under the penalty of perjury that the information provided on this agreement is true and accurate and that I am not seeking membership in NATURE'S GREEN HEALING COLLECTIVE for any fraudulent purpose.
  5. I will not distribute any medicine received from NATURE'S GREEN HEALING COLLECTIVE to any other person, and I shall use it for medical purposes only.
  6. I authorize my recommending physician to verify his or her recommendation, authorization or approval for my use of medical cannibis.
  7. I authorize and assign NATURE'S GREEN HEALING COLLECTIVE, on my behalf, to possess, and distribute to NATURE'S GREEN HEALING COLLECTIVE members who are qualified patients up to (8) eight ounces of medical cannabis and 6 cannabis plants afforded to me pursuant to Health and Saftey Code section 11362.5 et seq.
     
     

It is the policy of NATURE'S GREEN HEALING COLLECTIVE to update our rules and regulations from time to time to reflect changes in the law. It is your responsibility to keep an up to date recommendation. Our staff members are not expected to remind you or your expiration date. The following rules and regulations are strictly enforced at all times.

  1. It is understood by all parties that membership in NATURE'S GREEN HEALING COLLECTIVE is a privilege not a right. NATURE'S GREEN HEALING COLLECTIVE members must be 18 years of age or older.
  2. Membership may be revoked at anytime by management or the Board of Directors for violation of any action not covered by the rules and regulations that, in the opinion of the Board of Directors or the management, brings discredit, unwelcome public attention or unwanted burden to our collective.
  3. The facilities at NATURE'S GREEN HEALING COLLECTIVE are designed to provide a safe, friendly environment for our members. Members with disabilities understand and agree that their access and use of NATURE'S GREEN HEALING COLLECTIVE facilities shall be limited to places of public accommodation and other places to which the general public is invited only. Assistance to disabled members shall be offered upon request.
  4. There is no bathroom access for NATURE'S GREEN HEALING COLLECTIVE members or members of the public at any NATURE'S GREEN HEALING COLLECTIVE facility.
  5. Except for NATURE'S GREEN HEALING COLLECTIVE staff and management, the operation of cell phones, recording devices and cameras is prohibited in all NATURE'S GREEN HEALING COLLECTIVE facilities at all times.
  6. No person shall accept deliveries from NATURE'S GREEN HEALING COLLECTIVE or enter the private areas of NATURE'S GREEN HEALING COLLECTIVE facilities without a valid recommendation for medical cannabis, as well as a valid California State issued Identification Card or NATURE'S GREEN HEALING COLLECTIVE identification card.
  7. Loitering is not allowed at or in front of any NATURE'S GREEN HEALING COLLECTIVE facilities at any time.
  8. Dogs (other than guide dogs) are not allowed at NATURE'S GREEN HEALING COLLECTIVE facilities.
  9. Members agree NOT to consume or open any cannabis containers within 1000 feet of NATURE'S GREEN HEALING COLLECTIVE facilities or in any other place prohibited by law.
  10. Members agree NOT to sell or attempt to sell any cannabis acquired from NATURE'S GREEN HEALING COLLECTIVE.
  11. Members are allowed ONE medical cannabis purchase or ONE delivery per day.
  12. Members agree to abide by all requirements and restrictions regarding medical cannabis as set forth in Prop 215, SB420, California Health and Safety Code sections 11362.5 and 11362.7 et seq. and all local regulations.
  13. Members agree NOT to operate motor vehicles or other mechanical devices while medicated.
  14. Members must NOT bring any weapons or anything that can be used as a weapon to any NATURE'S GREEN HEALING COLLECTIVE facility. Pocket knives, tools etc. must be left in your vehicle or surrendered to NATURE'S GREEN HEALING COLLECTIVE staff or security while on the premises.

I UNDERSTAND AND AGREE TO THESE RULES AND REGULATIONS AS CONDITIONS FOR MEMBERSHIP IN NATURE'S GREEN HEALING COLLECTIVE AND AS REQUIRED TO ENTER ANY NATURE'S GREEN HEALING COLLECTIVE FACILITY.

     
     

Section 1 - General Information

     

Section 2 - CA DHS ID patients or Referring Doctor Information

     

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Section 3 - Declaration

     

Section 4 - Rules and Regulations Agreement