Place a Delivery Order

Before placing your order, check out our Live Bridgewater Medical Menu.
When you are ready to order, complete the delivery order form with your product list, and keep an eye on your email inbox for delivery details.

Patient Name(Required)

First Last

Preferred Name

First

Is a Registered Caregiver ordering delivery for the Registered Patient?(Required)

Yes

Caregiver Registration Number(Required)

*Found on the Massachusetts Medical Marijuana Program ID card (ex: C12345678)

Caregiver Registration Expiration Date(Required)

*Found on the Massachusetts Medical Marijuana Caregiver Program ID card. Note – The Caregiver Registration expiration date may be different from the Medical Marijuana Patient Certification expiration date.

DELIVERY ADDRESS(Required)

Street Address City State ZIP Code

*Delivery address must match the Patient’s address registered with the Cannabis Control Commission’s Medical Marijuana program.

Phone Number(Required)

*This phone number will be contacted upon delivery.

Email(Required)

*This email will be used for the delivery order confirmation.

Date of Birth(Required)

Patient Registration Number(Required)

*Found on the Massachusetts Medical Marijuana Patient Program ID card (ex: P12345678)

Patient Registration Expiration Date(Required)

*Found on the Massachusetts Medical Marijuana Patient Program ID card. Note – The Patient Registration expiration date may be different from the Medical Marijuana Certification expiration date.

Valid State ID # or Passport #(Required)

Valid State ID or Passport expiration date(Required)

Delivery Order(Required)

Please include: Quantities, product type and strain specifications, when applicable.

This order was created using the BRIDGEWATER MEDICAL MENU.(Required)

I Agree

Form of Payment(Required)

CanPay

Cash

Debit

Special Delivery Instructions

Ex: Deliver to side door.

I, the Registered Patient/Caregiver, understand Same Day Delivery is not available & ACS cannot accommodate personal scheduling requests.(Required)

I Agree

I, the Registered Patient/Caregiver, will be present at the Patient's address, provided above, with the following information ready to provide to the delivery agent: Registered Patient/Caregiver ID, Valid State ID/Passport, and form of payment. ACS is not able to honor specific delivery scheduling requests. Additionally, returns cannot be accepted during a Home Delivery transaction. I will comply with MA state safety guidelines by properly wearing a face mask at the time of delivery and acknowledge these home delivery protocols.(Required)

I Agree