Medical Marijuana Certifications with Dr. Roark
TeleHealth Medical Marijuana Certifications
To qualify, you must have one of the qualifying medical conditions and it must be chronic (greater than 6 months). If you are uncertain of your medical history, you can request your records from your previous physician by filling out the records request form on this page.
Alternatively, you do not necessarily have to obtain your complete medical records. If you are certain of your medical history, you simply need to complete the Intake and Consent Forms on this page. Be sure to list all medical history and issues on the Intake Form. If you are using a Psychiatric condition, please fill in the name of your Psychiatrist; this is required for your certification.
Within 7 days a nurse will contact you to schedule the visit. If it has been greater than 7 days since you filled out your forms and you haven't heard from us, please email firstname.lastname@example.org.
For psychological conditions:
If you are wanting to obtain certification for a psychiatric condition, you will need the name of a psychiatrist who has evaluated you at some point. Clinical psychologists or counselors are not able to provide this verification. A psychiatric specialist must have MD or DO after their name on medical forms.
Note: If you are unsure of your medical history, you can complete a Records Release Form on this page, and Dr. Roark's staff will take care of requesting your records from your other care providers.
After Roark Family Health has received your records, a staff member will schedule a TeleHealth video visit with the doctor.
Patients will need a cell phone, tablet or computer/laptop with a camera and internet access for a TeleHealth conference. At the time of their appointment, the patient will receive an email invitation for the visit and, if necessary, a consent form that can be filled out online. Next, click okay on the link and the patient will be connected with Dr. Roark. During the visit, the patient's medical history will be reviewed and entered into the chart, questions will be answered, etc. Payment will be taken during the telehealth visit. Then, a Roark Family Health representative will email the patient or caregiver an electronic copy of their Physician Certification if they qualify.
Dr. Roark will be offering lunch time and after hours appointments to accommodate patients' needs.
Price for all medical marijuana certification visits is $100. Telehealth visit payments will be taken during the appointment.
Step One: Intake Form
Complete a patient intake form.
Note: You will need to verify your email address for legal electronic signature compliance.
Step Two: Consent Form
Complete a medical marijuana consent form.
Records Release Form
Only complete this form if you are uncertain of your medical history.