Phone from Sacramento: (916) 927-0237
North of Sacramento: (530) 282-6747

All messages are COMPLETELY CONFIDENTIAL!  We will
respond to all messages within a 2 hour time frame.

All completed forms may be emailed to:
Americann001@yahoo.com

To fax completed forms, call ahead so we can turn on the
fax machine (we're saving money on the second line!) then
fax
forms to our main number (916) 927-0237.
We appreciate feedback. Use this form to let
us know how we're doing:
Contact Us
Come see the new shop!!
1855 Diesel Drive Suite# 1
Behind Sunburst Bottle
Company!
Americann Cannabis Collective
Download the membership application here. Once the
application is returned, the application will be reviewed and the
information verified.

Next,  we will process the application and verify your
recommendation through whichever doctor you used, and
presto, you're a member!

All information gathered by Americann Collectives is considered
highly confidential and will be treated as such.

Use the "Make a Donation" button on the left to make donations
to the collective through  PayPal.

Click Here to Download a Membership Application and to be
PRE-VERIFIED.
Please complete all questions and  include
any patient ID listed on your doctor's recommendation.

Membership Application-PDF Format

Membership application-Word Format
Need help obtaining your 215 Medical Recommendation?

We at Americann Collectives understand there are thousands of
Californians that may suffer from debilitating mental health
issues that would normally qualify them to receive a marijuana
recommendation, but are unable to pay hundreds of dollars to
see an expensive psychologist/psychiatrist for a mental health
evaluation they can then take to a 215 doctor.
Because we use a certified counselor to supply the needed
evaluation for a minimal $50 donation to our collective. Click the
link below to download a simple confidential questionaire the
counselor will use to complete the  evaluation, then use the
"Donate Now" button to the left to pay the $50 donation at our
sister PayPal account at Holistic Health Services. After you've
faxed (or emailed) the completed evaluation back, We will
contact you with your evaluation, which can be then taken to a
qualified 215 physician for your recommendation. A link to 215
physicians is on the left.

MH Evaluation Form-Word Format

MH Evaluation Form-PDF Format

Forms updated 10/19/09
Your name:
Your email address:
Your phone number:
Comments:

While state law and the Attorney General are currently
advocating protection for medical marijuana users, we
are not completely safe until the federal government
recognizes the validity and usefulness of medical
marijuana, and repeals out dated drug war marijuana
laws. Stay safe,  follow all state guidelines and ENJOY!  
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