Welcome to Ütndr Medical’s Patient Registration

It’s a 2 step sign-up with 2 forms (both found below)

Step 1. Account Creation

So you can join our mail order club

Step 2. Get Your Medical Cannabis Card

Select an appointment time in EST, fill in form to speak with a health care provider


Step 1. Account Creation


Patient Registration

Welcome! Please specify whether you are a patient or caregiver, then fill out the form below to register. *

Caregiver Information

Caregiver Residing Address

Patient Information

Residing Address

Shipping Address

Shipping Address


All Set

Thank you for signing up. Please complete your
registration by submitting your medical document

Mail to

Submit your Medical Document Fax your Medical Document to:


Step 2. Medical Cannabis Card

Select a time for your doctor appointment and complete your new patient intake

Click Here for a French Doctor appointment form.

All appointments are in Eastern Time