QUALIFYING CONDITIONS

  • Parkinson’s Disease
  • Cancer
  • HIV or AIDS
  • Amyotrophic Lateral Sclerosis (ALS)
  • Multiple Sclerosis
  • Spinal Cord Damage
  • Epilepsy
  • Inflammatory Bowel Disease
  • Neuropathy
  • Chronic Pain
  • Post-Traumatic Stress Disorder
  • Huntington’s Disease

PATIENTS MUST ALSO HAVE ONE OF THE FOLLOWING ASSOCIATED OR COMPLICATING CONDITIONS:
CACHEXIA OR WASTING SYNDROME, SEVERE OR CHRONIC PAIN, SEVERE NAUSEA, SEIZURES, OR SEVERE OR PERSISTENT MUSCLE SPASMS

If you meet the above requirements please download this form.

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