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How do I fill this out?

Begin by gathering all the required documents for your application. Ensure you have your completed patient application form ready for upload. Follow the instructions carefully to avoid submitting an incomplete application.

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How to fill out the Patient Application Instructions for Medical Marijuana?

  1. 1

    Gather all required documentation.

  2. 2

    Complete the patient application form.

  3. 3

    Upload your photo and identification documents.

  4. 4

    Submit the application fee via certified check or money order.

  5. 5

    Send your completed application to the Department of Health.

Who needs the Patient Application Instructions for Medical Marijuana?

  1. 1

    Patients seeking medical marijuana for health issues.

  2. 2

    Caregivers who need to help their patients apply.

  3. 3

    Residents of the District of Columbia looking to legally obtain medical marijuana.

  4. 4

    Healthcare providers recommending medical marijuana.

  5. 5

    Individuals qualifying for reduced application fees.

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    Open the PDF in PrintFriendly.

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What are the instructions for submitting this form?

Submit your completed application along with the application fee to the following address: 899 North Capitol Street, NE 2nd Floor, Washington, DC 20002. Payments can be made via certified check or money order, made payable to 'DC TREASURER'. For assistance, you can contact the Department of Health via email at doh.mmp@dc.gov.

What are the important dates for this form in 2024 and 2025?

Please check for any updates related to application submission deadlines in 2024 and 2025. The recommendation from a physician should always be current, ideally within a 90-day window. Dates may vary based on changes to the program.

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What is the purpose of this form?

The purpose of this form is to streamline the application process for obtaining a patient registration identification card in the District of Columbia. It ensures that individuals, who meet the necessary criteria, can legally access medical marijuana for therapeutic use. This form provides clear guidelines on what documentation is required and the steps involved in the application process.

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Tell me about this form and its components and fields line-by-line.

The application form consists of various fields designed to collect essential information from applicants.
fields
  • 1. Patient Application Form: Filled out by the applicant.
  • 2. Photograph: A jpeg photo of the applicant.
  • 3. Photo ID: Government-issued ID in pdf format.
  • 4. Physician Recommendation Number: Must be recent.
  • 5. Proof of Residency: Documentation proving District residency.
  • 6. Social Security Number: Submission details if not available.

What happens if I fail to submit this form?

If you fail to submit this form, you will not be able to obtain a patient registration identification card. This may prevent you from accessing medical marijuana legally. Missing any required documentation could lead to further delays in your application process.

  • Missed Deadline: Applications must be submitted on time.
  • Incomplete Application: Any missing documents will lead to rejection.
  • Loss of Funds: Non-refunded application fees may be forfeited.

How do I know when to use this form?

You should use this form when you are ready to apply for a patient registration identification card for medical marijuana in Washington, DC. It's necessary for patients to use this form when seeking legal access to medical cannabis for health management. If you qualify under local regulations, this is the form to fill out.
fields
  • 1. Application for Medical Use: When applying for a medical marijuana ID.
  • 2. Change of Details: To update personal information on your ID.
  • 3. Renewal of Registration: When your ID is set to expire.

Frequently Asked Question

What documents do I need to complete this application?

You need a completed application form, a photo, identification, and proof of residency.

Can I edit the PDF after submitting?

Yes, you can edit your PDF before downloading it.

How do I submit the application?

You can submit the application via mail to the specified address.

What payment methods are accepted?

Payment can be made via certified check or money order.

Is there a reduced fee for applications?

Yes, qualifying applicants can pay a reduced fee of $25.

How long is the physician's recommendation valid?

The recommendation must be dated within the last 90 days.

Can I apply without a Social Security number?

Yes, you can submit a sworn affidavit if you do not have one.

What happens if I submit an incomplete application?

The system does not save incomplete applications, so make sure everything is ready.

Where can I find further assistance?

You can contact the Department of Health for any inquiries.

Is there an application deadline?

Make sure to keep the validity of the physician's recommendation in mind.

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Patient Application Instructions for Medical Marijuana

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