Rise dispensaries logo.

We're glad you found
Rise Dispensaries!

Before we let you in ...

Are you over 21 years old*?

*For Pennsylvania, New York, Maryland and Minnesota you must be 18+

Yes No

By clicking “YES” and entering the website, I agree to be bound by the Terms of Service and Privacy Policy.

Wish We Could
Let You In

Please come back and visit when you are old enough!

New York Patient Registration Form

Thank you for your interest in registering with our dispensary. Please complete the Patient Pre-Registration form below. If you have any questions, please contact us and a patient care specialist will reach out to you.

New patients: You must bring your patient certification form on your first visit.

1 Part 1*

Personal Info

2 Part 2

Medical Cannabis History

3 Part 3*

Privacy Practices Notice

4 Part 4*

Code Of Conduct Agreement

5 Part 5*

Authorization

Thank You For Being Here!

We are honored you’ve chosen RISE as your medical cannabis provider. We look forward to getting to know you. Please tell us a little about you and your history with medical cannabis.
Yes, I would like to receive information, community updates, and special offers. We promise we will not sell or share your contact information.
Notification
Home Address
MM slash DD slash YYYY
Are you facing any financial hardships?
Are you a Senior
Are you a Veteran?
Current Medications? (Prescription & Nutritional Supplements)

Select your state and preferred dispensary to shop .