Doctor Listing Request
Fill out this information to get listed as a doctor on Business details and open/close hours can be changed at any time once listing is added. Once this form is submitted a representative will reach out to you. All personal information will be kept confidential.
Please enable JavaScript in your browser to complete this form.

Doctor Information

Your personal information
How would you like a representative to contact you (Check all that apply)

Business Details

Your office information
Click or drag a file to this area to upload.
May be used for listing on
Business Address
Physical location patients will visit.

Hours of Operation

Please select your office hours, this is used to set up your booking availability for patients. Your hours can be changed, and breaks, holidays, days off, ect can be added and/or modified at any time. Days which you are closed please leave blank.








Are you already working with an FLMMD representative or has one reached out to you?
By signing up as a doctor and using our services, you agree to be bound by the following terms and conditions: Registration and Listing a. To register as a doctor on our website, you must provide accurate and complete information about yourself, including your name, contact information, and professional credentials. b. By listing your practice on our website, you agree to be contacted by patients seeking medical marijuana consultations and evaluations. c. You also agree to be bound by our pricing policies unless otherwise noted by FLMMD. d. You are not authorized to use our forms for any other purpose except for patients with an FLMMD (Florida Medical Marijuana Doctors) account. Professional Conduct a. As a medical professional, you must conduct yourself in a professional and ethical manner. b. You must follow all applicable laws and regulations, including those related to medical marijuana evaluations and consultations. c. You must not engage in any unethical or illegal practices, including falsifying patient information or medical records. Confidentiality a. You must maintain the confidentiality of patient information in accordance with all applicable laws and regulations. b. You must not disclose any patient information without the patient’s consent or as required by law. Intellectual Property a. Our website and all its contents, including but not limited to text, graphics, logos, and images, are the property of our company and are protected by copyright and other intellectual property laws. b. You may not use any of our intellectual property without our prior written consent. Liability a. We are not liable for any damages or injuries arising from your use of our website, including but not limited to damages resulting from the use or reliance on any information or services provided on our website. b. You agree to indemnify and hold us harmless from any claims, damages, or expenses arising from your use of our website or your breach of these terms and conditions. Termination a. We reserve the right to terminate your account and/or remove your listing from our website for any reason, including but not limited to your breach of these terms and conditions. b. You may also terminate your account at any time by giving us written notice. Modification a. We reserve the right to modify these terms and conditions at any time, with or without notice. b. Your continued use of our website after any modifications will constitute your acceptance of the modified terms and conditions. Governing Law a. These terms and conditions are governed by and construed in accordance with the laws of the State of Florida. b. Any disputes arising from these terms and conditions will be resolved in the courts of the State of Florida. By clicking “Submit my listing” or completing the sign-up form, you acknowledge that you have read, understood, and agreed to these terms and conditions.
Please Sign Above
Please note that in order to be eligible for a listing on our website, you must already be a licensed medical marijuana doctor in the state of Florida. We do not provide medical services or certifications ourselves, but rather serve as a platform for connecting patients with qualified doctors. We look forward to working with you to help provide medical marijuana treatment to those who need it.