In order to order Great Lakes Health and Wellness products, please fill out the form below. If you would prefer to call, please do so at 951-768-2981, or e-mail us HERE.

Full Name (required)

Date Of Birth (required)

Email (required)

Phone (required)

Street Address (required)



Zip Code

Once you have been verified, you will be able to utilize our products at anytime as long as your prescription from your doctor is still valid.

We need to collect copies of your Driver's License or State ID, as well as your Medical Marijuana Prescription. You may upload those below or email them HERE.