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Patient Application and Physician Written Certification Forms. This form is used by an individual applying to be a qualifying patient. This application includes the Physician Written Certification form. This form is to be filled out by a Physician to certify a qualifying medical condition.
- Information for Physicians
Guidance for the Medical Marijuana Physician Certification...
- Qualified Patient Requirements
Be diagnosed with a qualifying medical condition – view a...
- FAQs
An official physician written certification must be obtained...
- Information for Physicians
Guidance for the Medical Marijuana Physician Certification Form. In November 2016 Arkansas voters approved medical marijuana through the passage of a constitutional amendment, known as Amendment 98, the Arkansas Medical Marijuana Act of 2016. The law allows qualifying patients to purchase and use medical marijuana from a licensed dispensary if ...
Be diagnosed with a qualifying medical condition – view a list of qualifying medical conditions. Have the official physician written certification form. Be an Arkansas resident with proof of residency.
Arkansas Department of Health. Medical Marijuana Physician Written Certification. I hold a valid, unrestricted, existing license to practice as a medical physician or osteopathic physician in Arkansas.
A new Physician Written Certification. Your previous certification cannot be used. Photocopy of the front of your Arkansas-issued driver's license or state ID on a full sheet of paper.
An official physician written certification must be obtained from a medical physician and submitted with the application. Questions about Physicians: Which medical physicians can certify me for medical marijuana?
Medical Marijuana Physician Written Certification. To apply online visit https://mmj.adh.arkansas.gov. I hold a valid, unrestricted, existing license to practice as a medical physician or osteopathic physician in Arkansas and have been issued a registration from the U.S. DEA to prescribe controlled substances.
