HOME ABOUT US PRE-VERIFY STRAIN MENU CLONES SEEDS CONTACT US

Pre-Verification Form
Call Us:  (508) 645.6420
Have your patient status verified and together we'll grow far!
Discretion is important and we process all patient information securely using Health Insurance Portability and Accountability Act (HIPAA) guidelines. Our representatives have found this step to be the most confusing to new patients; it shouldn't. Anyone licensed to cultivate cannabis is issued an Illinois Registry ID card, which is formal consent allowing Illinois patients to legally possess and cultivate medical marijuana.

We thank you in advance for your patience, an Illinois Strainbank representative will contact you shortly.

Full Name:



Cell Phone:

Confirm Cell Phone:



Home Phone:



E-mail:

Confirm E-mail:



Patient ID No:
City:
Zip Code:


I'm interest in...
Clones
Pre-Teens
Seeds

I have read and understand the following:
Membership Agreement
Exchange Policy

Any questions?  We've got answers.





Marijuana Clones   |   Exchange Policy   |   Membership Agreement

The Strainbank - Est. 2009