Obtain My MMJ Card

All fields on this form are required.

Simple! Fill out the patient registration form below and you will be contacted to begin the registration process.

There are 52 qualifying conditions, which are as follows:
  • Autism
  • Agitation of Alzheimer’s disease
  • HIV/AIDS
  • Amyotrophic lateral sclerosis (ALS)
  • Anorexia nervosa
  • Arnold-Chiari malformation
  • Cancer
  • Cachexia/wasting syndrome
  • Causalgia
  • Chronic inflammatory demyelinating polyneuropathy
  • Chronic pain
  • Crohn’s disease
  • CRPS (complex regional pain syndrome Type II)
  • Dystonia
  • Ehlers-Danlos syndrome
  • Fibrous Dysplasia
  • Glaucoma
  • Hepatitis C
  • Hydrocephalus
  • Hydromyelia
  • Interstitial cystitis
  • Irritable bowel syndrome
  • Lupus
  • Migraines
  • Multiple Sclerosis
  • Muscular Dystrophy
  • Myasthenia Gravis
  • Myoclonus
  • Nail-patella syndrome
  • Neuro-Bechet’s autoimmune disease
  • Neurofibromatosis
  • Neuropathy
  • Osteoarthritis
  • 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
  • Syringomyelia
  • Tarlov cysts
  • Tourette syndrome
  • Traumatic brain injury
  • Ulcerative colitis
Persons diagnosed with a terminal illness with a life expectancy of 6 months or less may also apply for the program.

​Qualifying patients and caregivers may apply for a one-, two-, or three-year Registry Identification Card. Persons who are receiving Social Security Disability Income (SSDI) or Supplemental Security Income (SSI) and Veterans may be eligible for a reduced application fee.

Application Fees for Qualifying Patients

  • $100 – One-year Registry Card
  • $200 – Two-year Registry Card
  • $250 – Three-year Registry Card

Reduced Application Fee

  • $50 – One-year Registry Card
  • $100 – Two-year Registry Card
  • $125 – Three-year Registry Card

Application Fees for Designated Caregivers

In order to enter or make a purchase of medical cannabis at a licensed dispensary or assist a registered qualifying patient with the use of medical cannabis, the designated caregiver must have a Registry Identification Card.

  • $25 – One-year Registry Card
  • $50 – Two-year Registry Card
  • $75 – Caregiver applying separately for a patient who has already been registered (the expiration for the caregiver and the patient card will be the same)

Additional Information

Qualifying patients enrolled in SSDI or SSI – submit a “Benefit Verification Letter” from the Social Security Administration that shows your name and address and the types of benefits that are received. This letter must be dated within the last year. You can get this letter by using your My Social Security account online at https://www.ssa.gov/myaccount/.

Yes. Veterans receiving health care at a U.S. Department of Veterans Affarirs (VA) facility, do not need to provide a physician written certification, but must instead provide medical records from the VA facility from the last 12 months.

  • Use VA Form 10-5345 to request these medical records. If you have received medical care for your debilitating medical condition for more than 5 years at a VA facility, you must mark “OTHER” on VA Form 10-5345 under “INFORMATION REQUESTED” then write that you are requesting information about the treatment of your qualified coniditon for the most recent 12-month period. Under “PURPOSES OR NEED FOR WHICH THE INFORMATION TO BE USED BY INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED” write “PERSONAL MEDICAL PURPOSES.” Under “NAME AND ADDRESS OF ORGANIZATION, INDIVIDUAL OR TITLE OF INDIVIDUAL TO WHOME INFORMATION IS TO BE RELEASED” write your address. The records will be sent to you.
  • To obtain VA medical records electronically, go online to www.myhealth.va.gov/index.html
  • Once you receive your official medical records, you must submit the medical records with your application.
  • You must also send a copy of Form DD214 with your application.

**NEW debilitating medical conditions for the Medical Cannabis Patient Program (MCPP) as of August 2019:

  • Autism
  • Chronic pain
  • Irritable bowel syndrome
  • Migraines
  • Osteoarthritis
  • Anorexia nervosa
  • Ehlers-Danlos syndrome
  • Neuro-Bechet’s autoimmune disease
  • Neuropathy
  • Polycystic kidney disease (PKD)
  • Superior canal dehiscence syndrome
  • Ulcerative colitis










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