2. COMPLETE & SIGN PATIENT APPLICATION FORM
Fill in all parts of the application, choose a medical cannabis dispensing organization and sign the last page. You may also fill out the optional demographic information. If you do not want to designate a caregiver, don’t fill out that section of the application.
Download application form
Under Illinois’ Compassionate Care Act, Patients must select a dispensary they intend to purchase products form. To select HCI Alternatives as your Dispensary, complete the form with either the Springfield or Collinsville location information as follows:
HCI Alternatives 1014 Eastport Plaza Drive Collinsville, IL 62234 District 11 Registry #11-002
HCI Alternatives 628 East Adams Springfield, IL 62701 District 9 Registry #09-002