Before an Alabama physician certifies or recommends medical cannabis, the patient or parent or legal guardian must initial each section of this consent and sign it with the certifying physician. Adopted as Appendix A to Ala. Admin. Code 540-X-25-.11, it covers cannabis's Schedule I status, lack of FDA approval, research on each qualifying condition, addiction, impairment and driving, side effects, interactions and pregnancy risks.
The certifying physician personally explains each section and cannot delegate obtaining consent. The patient, or the parent or legal guardian, initials every section, and both sign and date the last page.
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Alabama Medical Cannabis Informed Consent
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No. The form states that a qualified physician may not delegate the responsibility of obtaining written informed consent to another person. The certifying physician explains the information, and the patient or parent or legal guardian initials each section before the certification or recommendation is completed.
Before the physician completes the certification or recommendation for medical cannabis. The patient initials each section, then the patient, or a parent or legal guardian with the relationship noted, and the certifying physician sign and date the form, which is kept in the medical record.
Autism spectrum disorder, cancer-related cachexia, nausea, weight loss or chronic pain, Crohn's disease, depression, epilepsy, HIV/AIDS nausea or weight loss, panic disorder, Parkinson's disease, persistent nausea, PTSD, sickle cell anemia, spasticity from ALS, MS or spinal cord injury, terminal illness, Tourette's syndrome and qualifying chronic or intractable pain.