Online Forms

If you booked an appointment with us you should have received an automated email with links to required forms for your appointment and other services. If you did NOT get that email, please check your spam folder - you will be receiving other emails from us after your appointment so it's important to receive them.
The following are links to our online forms. Please only complete these forms if you were specifically instructed by our office and only if you have already made payment for an appointment.

GEM OMMP Appointment Form:

Required for all patients scheduled for an OMMP appointment with our clinic.

Please have your govt. issued photo ID and any proof of OHP, SNAP, SSI, or Military Vet Status ready. If using a non-Oregon photo ID, be prepared to upload proof of OR residency such as lease/rent/mortgage statement, bank statement, utility bill etc.

OMMP Paperwork Service Form:

For patients who requested and paid for the $25 Paperwork Service please use this link to complete your application materials.

Please have your govt. issued photo ID and any proof of OHP, SNAP, SSI, or Military Vet Status ready. Please also be prepared to upload photo ID for any Grower or Caregiver you plan to have on your application.

Release of Information (ROI) Form:

If you'd like use to help collect your information from your prior healthcare provider, please complete and submit this form asap. 

Growsite Consent Form:

If You or your Grower do not own the growsite - you must obtain permission from the property owner to have a medical growsite. Download this form and have the Property Owner complete this and send directly into the OMMP at the address on the form.

Do not send this form to our office.

OMMP Application Form:

Blank OMMP application you can complete online and download or print.

Green Earth Medicine Clinics

Company Mailing Address

10350 N. Vancouver Way #280

Portland, OR 97217

Phone: (503) 272-8781

Fax: (503) 536-6458

©2019 by Green Earth Medicine- OMMP Services. Proudly provided to Portland, Bend, Warrenton, Cave junction, Medford, Grants Pass, Tillamook, and surrounding areas.