Washington practitioners authorize medical cannabis on this one-page state form, which states that the patient may benefit from medical use and has a qualifying condition under RCW 69.51A.010(24). It is not a prescription. The authorization is the basis for entering the patient in the Medical Cannabis Registry and issuing a recognition card at an endorsed retailer, and it records compassionate-care renewal eligibility and any additional plants.
A Washington-licensed MD, DO, PA, ARNP or naturopath completes Sections II and III (items 7 to 13), then signs and seals the form. Section I holds the patient's and any designated provider's information, and an adult patient signs item 6 to name a designated provider.
Download the current version from the source each time; forms change without notice.
Washington State Medical Cannabis Authorization
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.
No. Authorizations must be printed on vendor-provided tamper-resistant paper with the RCW 69.51A.030 logo in the lower right corner. DOH does not keep a list of paper vendors, so practices ask their current vendor or find one themselves. DOH 608-048 explains what retailers check for a valid authorization.
Up to one year from the issue date for adults and up to six months for minor patients. Item 12 records the issue date and the date by which it must be renewed. Renewal requires an in-person physical exam unless you document severe hardship, which allows telemedicine.
In July 2025, DOH replaced the Airlift system with the Medical Cannabis Registry. Practitioners can create an optional registry account to manage patient authorizations, and DOH posts FAQs and training guides for it. The form itself, revised December 2025, is still printed, signed and given to the patient.