How clinicians certify patients for each state's medical cannabis program: paper certification forms, registry portals, certifications for minors and renewals.
Each state medical cannabis program has its own clinician step: a certification, recommendation or written statement that the patient qualifies. Many of the 62 entries on this page are not paper forms at all. The certification is entered in a state registry, such as Utah's Electronic Verification System, New York's MCDMS, the Illinois provider portal, Pennsylvania's Practitioner Registry and Ohio's patient and caregiver registry. Other states still use a PDF the patient submits, such as the Arkansas Physician Written Certification, Michigan's MMP 3501 and Washington's DOH 623-123.
Rules on who may certify differ. Florida's qualified physicians take a 2-hour course, Pennsylvania and West Virginia require a 4-hour course, and Ohio physicians need a Certificate to Recommend. Alabama, Colorado and Florida require an in-person exam, while Pennsylvania allows telemedicine certifications. Minors often need a second physician, as on Michigan's MMP 3500-4 and Oklahoma's minor recommendation form. The patient pays the state registry fee. Vero Documents fills PDF forms from the visit note and the chart; the clinician reviews and signs.
Registered certifying physician diagnoses or confirms a qualifying condition and enters the patient's certification/recommendation in the state registry so the patient can obtain a medical cannabis card.
Ala. Admin. Code 540-X-25-.11 Appendix ARequired written informed consent the certifying physician personally obtains before certifying a patient for medical cannabis.
Physician states they personally examined the applicant in a bona fide physician-patient relationship, that the applicant has a debilitating condition under AS 17.37.070, and that the patient might benefit from medical marijuana.
Department-provided written certification in which the physician attests to diagnosing or confirming a debilitating medical condition under A.R.S. 36-2801 and that the patient is likely to benefit from medical marijuana.
Second (reviewing) physician reviews the minor's records and also recommends medical marijuana for a qualifying patient under 18.
Physician certifies that the patient has a qualifying medical condition (and whether a minor or physically disabled for caregiver eligibility) so ADH can issue a registry ID card.
Documentación escrita de los expedientes médicos del/de la paciente
Optional attending-physician statement that the patient has a serious medical condition (H&S Code 11362.7) and that medical marijuana use is appropriate, supporting a county-issued Medical Marijuana Identification Card.
Recommending provider certifies a debilitating (MD/DO only) or disabling medical condition and, per HB21-1317, records THC potency, directions, product and any above-limit daily quantity, supporting the patient's registry ID card application.
Formulario de certificación uniforme (Marihuana Medicinal)
Recommending provider authorizes a patient to purchase more than the statutory daily medical marijuana sales limit.
Certifying prescriber initiates the patient's registration by certifying a debilitating medical condition for the palliative use of marijuana.
Certifying physician decertifies a patient, prompting DCP to notify the patient that the certification is no longer in effect (30 days to obtain a new one).
Delaware-licensed practitioner identifies the medical condition(s) for which the adult patient should receive a standard or terminal-illness medical marijuana card; patients 65+ may self-certify on the same page.
Pediatric specialist certifies the medical condition(s) qualifying a patient aged 17 or younger for a pediatric medical marijuana registry card.
Registered DC practitioner recommends medical cannabis for a patient registering with the DC Medical Cannabis Program.
Qualified physician certifies a patient with a qualifying condition and enters the medical marijuana order (route, amount, up to a 70-day supply per order) in the state registry.
DH-MQA-5026Board-mandated written informed consent that the qualified physician must personally obtain each time a medical marijuana certification is issued; Part B covers smokable marijuana for patients under 18.
Annual physician certification that a Georgia resident has a qualifying condition and is eligible for low-THC oil (medical cannabis), designating up to two caregivers.
Certifying physician or APRN certifies the patient's debilitating condition (or primary-treating-provider/hospice certification) on the patient's 329 registry application and sends it to DOH for approval.
Written notice to void a patient's 329 registration card because the patient died, no longer has a debilitating condition, or benefits no longer outweigh risks.
Health care professional certifies an adult patient's debilitating medical condition (including terminal illness or lifelong condition) for a medical cannabis registry card.
Two health care professionals certify a minor patient's debilitating condition: one recommending, one reviewing, with identical qualifying conditions.
Physician certifies that a patient 21+ has a condition for which an opioid has been or could be prescribed, allowing medical cannabis as an alternative.
Health care practitioner certifies the patient's qualifying debilitating medical condition(s) for an Iowa medical cannabis registration card.
Certifying practitioner requests a waiver allowing the patient to exceed the 4.5 g THC limit per 90 days.
Authorized practitioner records a written certification that the patient has a qualifying condition likely to benefit from medical cannabis, enabling a registry card application.
Licensed medical provider certifies a patient for the medical use of cannabis; the online service produces the standard printed certification the patient uses as their designation card.
Registered certifying provider issues a written certification that the patient has a qualifying condition expected to be relieved by medical cannabis.
Certifying healthcare provider executes an electronic certification that the patient has an active debilitating medical condition and that benefits likely outweigh risks, setting duration (15 days to 1 year) and 60-day quantity.
Michigan physician certifies the patient's debilitating medical condition(s) (Categories A-C) and a bona fide physician-patient relationship for a medical marijuana registry card.
Two Michigan physicians each certify a minor patient's debilitating medical condition for a medical marijuana registry card.
Registered practitioner certifies that a Minnesota resident has a qualifying medical condition and attests to managing it on an ongoing basis, triggering the patient's enrollment application.
Registered practitioner certifies that a patient has a debilitating medical condition so MSDH can issue a medical cannabis identification card.
Certifying physician or nurse practitioner attests that the patient has a qualifying medical condition so DHSS can issue a medical marijuana patient license (also used to certify amounts above 6 oz per month).
Treating or referral physician certifies the applicant's debilitating medical condition, treatments tried, activity restrictions and the recommended period of use for a medical marijuana registry card.
Cardholder and certifying physician request a monthly purchase limit above the default 5 ounces (up to 8 ounces).
Physician certification of a minor applicant's debilitating medical condition, with a second physician's concurrence unless the first is an oncologist, neurologist or epileptologist.
Enrolled health care practitioner's written recommendation (valid up to 24 months) and written order allowing a qualified patient to obtain medical cannabis from a licensed dispensary.
Provider confirms the applicant's chronic or debilitating medical condition and sets the registration term (1 or 2 years) for a Nevada medical cannabis registry card.
Same certifying provider extends an existing written certification (total not to exceed 3 years) without a new application or fee.
Certifying provider attests to a provider-patient relationship and the patient's qualifying medical condition (diagnosis plus qualifying symptom, or stand-alone condition) for an initial or renewal registry ID card.
Second certifying provider for a minor attests to qualifying as a 'pediatric care provider' when not a pediatrics/family medicine specialist (e.g. PA on a pediatric team or provider with extensive pediatric experience).
Certifying provider rescinds a previously issued written certification for cause (no qualifying condition, should discontinue, falsified information, non-adherence, other).
Registered practitioner authorizes a patient with a qualifying condition for the medicinal cannabis registry and sets the monthly allotment.
Medical provider certifies a qualifying condition and starts the patient's Medical Cannabis Program enrollment application online.
Registered practitioner certifies that a patient is likely to receive therapeutic or palliative benefit from medical cannabis so the patient can register and obtain a registry ID.
Health care provider certifies that the patient has a debilitating medical condition; the certification is linked to the patient's registry ID card application.
Physician holding a Certificate to Recommend registers the patient (and caregiver) in the state registry and recommends medical marijuana for a qualifying condition; renewed annually.
Physician recommends a 2-year or 60-day temporary medical marijuana patient license and optionally certifies the need for a caregiver.
Two physicians each recommend a medical marijuana license for a patient under 18.
Recommending physician notifies OMMA that a patient no longer meets the requirements for medical marijuana so the patient's (and associated caregiver's) license is terminated.
Attending provider attests that the patient has a debilitating medical condition and that marijuana may mitigate its symptoms, supporting an OMMP registry card application or renewal.
Approved practitioner certifies that the patient has one or more (up to 10) serious medical conditions so the patient can obtain a medical marijuana ID card.
Registered practitioner certifies that a patient has a debilitating medical condition, triggering the patient's emailed application link for a registry card.
Registered physician enters the patient's low-THC cannabis prescription (dosage, amount, method) and the patient record in CURT so a licensed dispensing organization can fill it.
Registered practitioner certifies a patient's debilitating condition and physical examination, with expiry up to 1 year, for the USVI medical cannabis patient registry.
Recommending medical provider certifies the patient's qualifying condition, card length and dosing guidelines in the patient's EVS card application.
Paper certification by a recommending medical provider sent to a medical cannabis pharmacy, which enters it into EVS; sets qualifying condition, card length, dosage-form restrictions and monthly limit.
Provider petitions the Compassionate Use Board to approve a medical cannabis card for a patient under 21 or a patient without a qualifying condition.
Healthcare professional verifies that the patient-applicant has a debilitating medical condition as defined by Vermont law (not a prescription or recommendation).
Practitioner certifies that the patient has a condition or disease that will benefit from cannabis products; the digital certification (with QR code) lets the patient buy at a licensed pharmaceutical processor/dispensary.
Practitioner's authorization that a patient with a qualifying condition may benefit from medical cannabis; basis for registry entry/recognition card, plant counts and compassionate-care renewal.
Registered physician certifies that a patient has a serious medical condition and specifies the form and allotment of medical cannabis, so the patient can apply for an ID card.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
In many states, yes. NPs or APRNs can certify in Connecticut, Illinois, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, New York, Utah, Virginia and Washington, among others. Some programs are physician-only: Alabama, Arkansas, Florida, Georgia, Michigan, Montana, Ohio and Pennsylvania limit certification to MDs and DOs, and Oklahoma also accepts podiatric physicians. The list below shows who completes each state's certification.
Pennsylvania certification is portal-only. The MD or DO first completes a 4-hour approved training course and is approved by the Department of Health. Then, in the Practitioner Registry, choose Patient Certifications and Create New Certification, list up to 10 serious medical conditions, and record the certification number in the chart. Telemedicine certifications are allowed. The patient uses the certification to get a medical marijuana ID card.
In several states, yes. Michigan's MMP 3500-4 packet needs certifications from two Michigan MDs or DOs. Oklahoma's minor form needs two physicians, with the recommendations dated within 30 days of each other. Illinois needs a recommending and a reviewing certification from different professionals for non-terminal minors, Arizona adds a reviewing physician certification, and Montana's PSDMC-Minor needs a second physician unless the first is an oncologist, neurologist or epileptologist.
Only the official DOH 623-123 form, printed on tamper-resistant paper bearing the RCW 69.51A.030 logo, is valid. A Washington-licensed MD, DO, PA, ARNP or naturopath signs and seals it and gives it to the patient, who takes it to an endorsed retailer for registry entry. The first authorization must be in person. It lasts up to 1 year for adults and up to 6 months for minors.