Patient Registration

  • You may become a member of our collective by completing the form below. We need this information to begin the necessary process of verifying your doctor's recommendation.
  • Once your California doctor's recommendation is verified, you will become a qualified Patient Member of the LuvBrite Collective and are entitled to receive deliveries, in addition to many other membership benefits.
  • By sending us the form, below, you agree to allow a LuvBrite Collective representative to verify your medical recommendation with your licensed California physician.
  • If you don't have a rec letter yet, check out https://getnugg.com/md and get one in minutes!
  • Please complete the form below and click the REGISTER button at the bottom. We'll reply as soon as possible.

First Name is required.

Last Name is required.

Valid email is required.

Username cannot be empty.

Password should be minimum 6 characters.

Passwords dosen't match.

Phone number is required.

/ /

Date of birth should be valid and patient should be 21 years or older.

Select Or Drop files here
Max size for upload is 10MB
Only images and PDFs are accepted
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Select Or Drop files here
Max size for upload is 10MB
Only images and PDFs are accepted
File Drag/Drop is not supported for this browser
/ /

Recommendation Expiry should be a valid future date.

Please read the statements below

By clicking REGISTER I Agree. I certify under penalty of perjury that the information provided is true and accurate, and I am not seeking membership for any fraudulent purposes. I will not distribute medicines received here to any other person, nor use it for non-medical purposes. By joining, I authorize LuvBrite Care Services Collective to legally produce or obtain, package, and deliver my medicine to my requested address.

By clicking REGISTER I Agree. Any member of law enforcement must disclose the fact that he/she is a member of law enforcement prior to becoming a member of the collective. Unless I have disclosed the same in writing, by becoming a member of LCS Collective, I promise, state and affirm under penalty of perjury under the laws of the state of California that I am not a member of, affiliate with, nor employed by any law enforcement entity or agency.

Please fill up all the mandatory fields.
Recommendation letter is required.

Copy of your ID card is required.

Reco. Expiry. year is invalid.