Self Referral Form

Interested in seeing one of our expert cannabinoid physicians?

We’re happy to assist you! We’ve made our process extremely easy. If you already have an existing primary care doctor than all you need to do is request to be referred to us.

If you don’t have a primary care doctor no need to worry. Our new self-referral process is easy to follow and we’ve provided instructions below.

Self Referral
Referral by Doctor

Referrals can be faxed to 1-833-329-ATMA(2862) or email it to

Contact Us Today!

Take your first steps toward better health.