Register

Welcome to MinnMed Online Pre-Order. Please complete the form below to begin ordering products for in-store pick-up!

* means a required field

Are you a patient or caregiver?*

Are you currently an existing customer?*

Patient First Name:*

Patient Middle Name:

Patient Last Name:*

Patient Street Address:*

Patient City:*

Patient State:*

Patient Zip:*

Patient Date of Birth(Enter in format MM/DD/YYYY):*

Patient’s Minnesota Medical Cannabis Enrollment ID number(This ID number can be found in your approval email from the Minnesota Department of Health):

Please enter your information as a Caregiver:

Caregiver First Name:*

Caregiver Middle Name:

Caregiver Last Name:*

Caregiver Street Address:*

Caregiver City:*

Caregiver State:*

Caregiver Zip:*

Caregiver Date of Birth(Enter in format MM/DD/YYYY):*

Home Phone:*

Cell Phone:*

Email Address:*

Preferred Pickup Location(This will not prevent you from picking up at any of our 4 Cannabis Patient Centers):*

What is your preferred digital communication method?*

How did you hear of us?

Other:*

Choose a username:*

Choose a password(Minimum of 6 Characters Required):*

Re-enter password:*

Would you like to receive special offers and promotional messages?