NEW! Delivery service, click here for details!
                                             
                                             Click here to download the Patient PDF Handbook!






    
Greenway Patient Application

Please allow up to 48 hours for your online registration to process. If you do not have a Cannabis verification, please fill out form anyways and we will point you to a clinic who can help provide you with one.

Driver's License :
*Cannabis verification# (if you have one):
Cannabis verification # EXP. Date:
*Cannabis verification provider URL:
Your FULL name as it appears on Cannabis verification (if you have one). If you do not have a Cannabis verification set up, please provide your full name. :
*Date of birth:
Address Street 1:
Address Street 2:
Zip Code :
City :
Email Address:
Daytime Phone:
Evening Phone:
                           Comments:




GREENWAY SANTA CRUZ
140 Dubois Street, Santa Cruz, CA  95060
831.420.1640
[email protected]

Business Hours: Monday - Saturday, 9am to 7pm, Sunday, 10am to 6pm
Content copyright . Greenway Santa Cruz. All rights reserved.