MEDICAL MARIJUANA APPOINTMENT REQUIREMENTS
At least one week prior to your appointment please submit all medical records (including physical therapy, mental health and chiropractic visits) that pertain to your diagnosis. A full list of your current medications and dosing is also required. We require at least one year of records and you must have been seen by your provider for your diagnosis during the last 12 months. Should you be approved, we require a 3-month follow-up visit after your initial visit and a yearly follow-up after.
Your medical records may be faxed to 701-483-6667 or e-mailed to KKuylenNP@urbanunwindspa.com.
MEDICAL MARIJUANA CARD PROCESS
You can apply for your medical marijuana card through the State of North Dakota at www.health.nd.gov/mm. The state
application process has a $50 application fee. For all application questions, please call the Office of Medical Marijuana at 701-328-1311. You will need to put Kelsey Kuylen’s full name and email address on your application where it asks for “Healthcare Provider”.
Kelsey Kuylen, FNP-C
FEES FOR MEDICAL VISITS
• First Office Visit: $300
• 3 Month Follow-Up Visit: $100
• Yearly Renewal Visit: $200
All fees are due at the time of your visit. We require a credit card to be put on account at the time your appointment is made. If you do not show for your appointment we will charge your card $50.
We DO NOT accept checks or any forms of insurance.
Cash or credit/debit cards only. Care Credit is also accepted with a minimum $200 purchase required.
For a list of Debilitating Medical Conditions please visit : www.health.nd.gov/mm
For further details see NDCC Section19-24.1-01 (15)
Visit www.health.nd.gov/mm or call 701-328-1311 for more information
Call 701.483.6666 for more information or to schedule an appointment.