If you have any issues or question about the form,

contact us at 530-222-6700 or Kim.NaturesNexus@gmail.com

Please fill out the form below and we will contact you when we have verified your recommendation.

Completing this form does not make you a member of Nature’s Nexus, it will just speed up the process.

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Permission to Contact Your Doctor

Yes, I give Nature's Nexus permission to contact my doctor below reguarding my Medical Marijuana Recommendation.

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