This page is no longer being maintained. To visit the Private Collective website, go to: http://www.othersidecollective.com, a separate entity from the Information Center

Private Collective Website

Private Collective: Call 1-877-51-4WEED (or 9333)

Home > Patients > Get Verified

Patient Verification

Submit your verification information:

Please note that we are only accepting patients within the cities we currently deliver to. To view the list of cities, click here.

Please fill in all areas of the verification form below to be considered. You may also email your scanned patient record to info@othersidefarms.com.

Please see patient rules for additional information.

^*Full Name:		Doctor's Name:
*^Date of Birth:**		Doctor's Phone:
*^Address:**		License#: (if available)
^*City, Zip (California Only):		Website: (if available)
^*Phone:		Dept. of Health ID:
^*Patient ID:		Where did you hear about us?
^*Issue Date:
^*Expiration Date:
^*Email:

Please note that submission does not guarantee membership and OTHERSIDE FARMS reserves the right to refuse service to anyone.

As we are a private collective we keep the number of members to a minimal so we can be of better service to all members, all the time.

We encourage all of our patients to grow so they can become self reliant or in the very least able to supplement their medicinal needs.

Hours of Operation

OPEN 7 DAYS A WEEK
8:00am - 8:00pm

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	OTHERSIDE FARMS Collective 2010 - All Rights Reserved. In accordance with California Health & Safety Sec. 11362(B)(1)(A) & 11362.7(H) Prop 215 S.B 420 Sitemap
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