Patient Forms

New Patients:

In order to serve you better on your first appointment, please print, fill out, and bring the following documents with you to your appointment:

  • Registration Form
  • Disclosure Form

You will receive a confirmation email when your appointment time has been confirmed. We look forward to seeing you. Please feel free to view our available product list prior to your appointment.

Please feel free to call with any questions,

Your Organic Remedies Team

ENOLA, PA
Phone: 717.562.7758

CHAMBERSBURG, PA
Phone: 717.251.2321

PDF Registration Form Instructions:

  • Click the button to download/open the PDF.
  • Type your answers into the PDF, then click File > Print to print the completed form and bring it with you when you come to Organic Remedies.
  • OR you can print the blank form and fill it out manually and bring it with you to Organic Remedies

PDF Disclosure Form Instructions:

  • Click the button to download/open the PDF.
  • Print the form, initial and sign the form, and bring it with you to Organic Remedies

We’d love to show you around, just let us know when you’ll be coming and we’ll have someone ready to help you one-on-one.

PLEASE NOTE: Only registered medical marijuana patients and caregivers may enter our dispensary – and only with a valid PA Department of Health Medical Marijuana card and a valid Government issued photo ID.