1. Obtain Physician Certification Form
Meet with a qualified physician to discuss the use of medical cannabis for the treatment of your condition. Your physician will complete and sign the form before giving it back to you. Form will be used to apply online.
TIPS WHEN MEETING WITH YOUR PHYSICIAN:
- It’s medical cannabis. Stay away from using slang (“pot”, “weed”, etc).
- Be ready to discuss the risks associated with cannabis consumption.
- Remind your physician they are acknowledging you have an approved debilitating medical condition, NOT writing a prescription. Describe your intent. You may be seeking relief from symptoms caused by your medical condition, or you may be seeking relief from the harmful effects of medications.
VETERANS | Veterans receiving care at a VA facility DO NOT need to provide a physician written certification but must instead provide medical records from the VA facility for the last 12 months. Digital records can be found at myhealth.va.gov. Use VA form 10-5345 to request these records. If care has not been received for more than 5 years at a VA facility, you must mark “OTHER” under “Information Requested” then write that you are requesting info about the treatment of your qualified condition for the most recent 12-month period. A physician certification form may be submitted if the above does not apply or treatment comes from outside VA.
2. Submit Required Documents
APPLICATION | Apply online at https://medicalcannabispatients.illinois.gov or visit your local dispensary.
PROOF OF RESIDENCY | Copies or scans of two forms required. Bank statements, utility bills, state ID, driver’s license and voter ID cards are all acceptable.
APPLICATION FEE | $100 for a year, $200 for 2 years, $250 for 3 years. Credit and debit cards are accepted online. Discounts available for Veterans and SSI/SSDI qualifying patients.
PROOF OF IDENTITY | A photocopy of a valid, unexpired government-issued photo ID. Address must match address on proof of residency.
2X2 INCH PHOTO | No selfies! Be by yourself, facing the camera, with your full face showing. A white background is recommended. We recommend using a passport photo vendor.
As of 08/28/2018, applicants are no longer required to provide fingerprints or complete a background check as part of the application process.
Effective 02/01/2019, patients who apply for a Medical Cannabis Registry Card online will receive provisional access to a licensed dispensary within 24 hours of completing the application process. It is recommended the patient call their dispensary to verify their provisional registration card is active before driving to the dispensary location. The provisional registration card is valid for up to 90 days. During this period, the patient cannot change their dispensary location.
3. Fulfill Special Requirements
CAREGIVERS | Complete the entire caregiver application and send it with the caregiver fee and all supporting documents (photo, proof of residency, proof of age and identity, caregiver’s signature). The caregiver application should be submitted online with your patient application.
VETERANS AND SSI/SSDI | If you are a veteran or enrolled in SSI/SSDI, you pay half of the application fee. If you are entitled to this discount, you must bring your DD214 (for veterans) or Social Security Benefit Verification letter (SSI/SSDI). Without these proofs, you cannot get the discount.
Qualifying Medical Conditions
Qualifying patients must be diagnosed with a debilitating condition, as defined in the Compassionate Use of Medical Cannabis Pilot Program Act, to be eligible for a medical cannabis registry identification card in Illinois.
Below is a list of common conditions. Visit http://www.dph.illinois.gov/ to see all qualifying conditions in Illinois. If you do not qualify under MCPP rules and have a prescription for an opioid or could be prescribed an opioid based on generally accepted standards of care, please see OAPP qualifications. Online registration at https://etk.icts.illinois.gov/etk-icts-prod/login.request.do
- Agitation of Alzheimer’s disease
- Amyotrophic lateral sclerosis (ALS)
- Anorexia nervosa
- Arnold-Chiari malformation
- Cachexia/wasting syndrome
- Chronic inflammatory demyelinating polyneuropathy
- Chronic pain Crohn’s disease
- CRPS (Complex Regional Pain Syndrome Type II)
- Ehlers-Danlos syndrome
- Fibrous Dysplasia
- Hepatitis C
- Interstitial cystitis
- Irritable bowel syndrome
- Multiple Sclerosis
- Muscular Dystrophy
- Myasthenia Gravis
- Nail-patella syndrome
- Neuro-Bechet’s autoimmune disease
- Parkinson’s disease
- Polycystic kidney disease (PKD)
- Post-Concussion Syndrome
- Post-Traumatic Stress Disorder (PTSD)
- Reflex sympathetic dystrophy
- Residual limb pain
- Rheumatoid arthritis
- Seizures (including those characteristic of Epilepsy)
- Severe fibromyalgia
- Sjogren’s syndrome
- Spinal cord disease (including but not limited to arachnoiditis)
- Spinal cord injury is damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity
- Spinocerebellar ataxia
- Superior canal dehiscence syndrome
- Tarlov cysts
- Tourette syndrome
- Traumatic brain injury
- Ulcerative colitis