Medical Patient Donation
Please fill out entirely if you are interested in receiving medical cannabis donations. A member of our staff will reach out iin 5 -14 business days to discuss the products we can currently offer at a donation. We do not always have donations available, but will reach out when we have something available.
Full Legal Name (as read on cannabis card)
First Name
Last Name
Phone Number
Please enter a valid phone number. We will use this to reach you.
Format: (000) 000-0000.
I wish to be contacted by a HWY420 staff member when cannabis donations are available:
Please Select
YES
NO
I have a valid medical cannabis card from the state of Washington.
Please Select
YES
NO
Please upload a photo of your Washington State Medical Card
Front of medical card only
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Please list any allergies you have, products you prefer, or items you do not use.
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