Medical Marijuana and Cannabis Dispensary Store - Massachusetts

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Patient Registration

First-time Patients visiting ACS are requested to submit a registration form before visiting the dispensary to help expedite the check-in process.

Patient Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address City State ZIP Code
Phone Number*
Email*
Patient Registration Number*
Found on Medical Marijuana Patient Program ID card (ex: P12345678)
Valid State ID Number or Passport ID Number*
State ID or Passport Expiration Date*
MM slash DD slash YYYY
Do you have a Registered Caregiver?*
- Yes
- No
Caregiver Name
First Last
Caregiver Registration Number
Found on Medical Marijuana Caregiver Program ID card (ex: C12345678)
Caregiver Registration Expiration Date
MM slash DD slash YYYY

*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.
What is your preferred location?
- Bridgewater
- Hull
- Both
How did you hear about Alternative Compassion Services? (Choose all that apply)*
- Search Engine (ex. Google)
- Word of Mouth
- Facebook
- Instagram
- Twitter
- Hull Times Summer Guide
- Trade Show (ex. NECANN)
- Patient Referral
- Other
I would like to receive special discounts, exclusive deals, and dispensary updates by subscribing to ACS emails and text messages.
- Yes

Welcome
Product Menu
Contact
Policies

Bridgewater
693 Elm St.
Mon – Fri: 9 am – 7 pm
Sat – Sun: 10 am – 6 pm

Hull
175 George Washington Blvd.
Mon – Fri: 10 am – 7 pm
Sat – Sun: 10 am – 6 pm

508-356-5151

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All information displayed on this website is for educational purposes only, and is not to be construed as medical advice or treatment for any specific person or condition. Cannabis has not been analyzed or approved by the FDA. Individual results may vary. Please Consume Responsibly.

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