• Please fill out the form below to save time & paper during your visit.
   

• Once completed you may pay online by clicking on the shop button

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• In Person Appointments Are Optional

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UPDATE: The OMMU has initiated caps on milligrams issued under each product category. Please use the form below to select ONLY the types of products you currently use, selecting all will evenly disperse your milligram limit among all categories effectively lowering the cap for each individual product category.