**Disclaimer** Please Read and Acknowledge: I am being evaluated for a physician's recommendation for medicinal use of cannabis. The physician will make this recommendation based, in part, on the medical information I have provided. I have and will not misrepresent my medical condition, not for recreational or non-medical purposes. I understand that it is my responsibility to be informed regarding state and federal laws in the possession, use, sale/purchase and/or distribution of cannabis. I have been informed of and understand the following: The federal government has classified marijuana as a Schedule 1 controlled substance. Schedule 1 substances are defined, in part, as having (1) a high potential for abuse; (2) no currently accepted medical use in treatment in the United States; and (3) a lack of accepted safety for use medical supervision. Federal law prohibits the manufacture, distribution and possession of marijuana, even in states that have modified their laws to treat marijuana as medicine. By clicking YES, I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for benefits.