LCCC Membership

Please print out the required membership forms and mail or drop them off to the address on the forms.

Each application for membership must be accompanied by a completed membership form.

There are three membership categories:

click here People who provide us with a doctor's letter of diagnosis of any of the following conditions: HIV, AIDS, cancer, multiple sclerosis, anorexia, insomnia, muscular dystrophy, glaucoma, epilepsy, fibromyalgia, arthritis or intractable pain, and paraplegia or quadriplegia.

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Those who provide us with a doctor's letter stating that the patient suffers from a condition not found on our list, and would likely benefit from medical marijuana.

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Anyone age 65 or over need not provide any letter from their doctor.

Applicants who fall under the first two categories must also provide us with a letter allowing the release of medical information, so that we can verify their condition with their doctor.

All that we need from a prospective member is: Photo I.D., a completed membership form, and any necessary doctor's letters. Once this information is gathered, it is stored off-premises. Only first name and membership number will be used to ensure privacy.

Membership Form  |  Category One Form  |  Category Two Form

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