Online Appointment Form

We will contact you within one business day.

Valued Miracle Leaf patient, please select the link below to the location of your preference to register as a patient and to log in to your patient portal thereafter. If you do not have the registration code please contact the clinic you’re going to visit and request it before registering as you cannot move forward without it.

In an effort to provide the most elevated patient experience your medical consent forms will be acknowledged and filled out electronically through our HIPAA compliant Miracle Leaf Patient Portal. We encourage you to fill out these forms PRIOR to your appointment. You will receive an email after registering with a walk through on how to fill out the forms in case you run into any issues or have any questions. These forms should take no longer than a few minutes to complete.

This Patient Portal places you, our patient, at the center of our focus! Through it you can:

  • Fill out and acknowledge all your medical consent forms
  • Upload any medical records
  • Upload your picture and personalize your page
  • Update or change your medical conditions, symptoms, medications
  • View your patient chart and see last appointment date, physician, recommendation dosage/type and any CBD products that were recommended and purchased
  • Confirm your appointment electronically
  • Send your clinic a message through our messaging system that reaches our staff and Physicians if you have questions or need further assistance
  • Access the Department of Health’s Medical Marijuana Registry website