Create a Potspace profile for a physician

Creating a profile for a physician or practice

Name of physician / practice

Please select the geographic region of practice ^{We ask you to also select a region because certain areas of the site, allow our members to search by not only proximity to their location, but also by region}

Physical address of medical practice ^{By entering the address of the practice, we can display it on your profile as well as determine location coordinates and timezone}

Address 1 Address 2 (optional) City State Country

Your preferred profile URL ^{For example if you lived in Utah and entered "BDS" here for the URL (without the quotation marks), people would be able to arrive at your profile by going to www.potspace.com/cannabis-doctors/utah/bds}

Enter a phone number

Display hours of operation Yes No

Sun

Mon

Tues

Weds

Thurs

Fri

Sat

*Unchecked boxes show practice is CLOSED

Do you have a websiste you'd like to display?

Do you own / operate this dispensary? ^{If you aren't the owner or operator of this dispensary, then we will attempt to contact the dispensary to allow them to take control of this dispensary listing}

Dispensary Email address Email must be valid in order to activate this account

Password Show password?

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