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.
- Completed by
- Recommending Medical Provider (MD, DO, APRN, PA or DPM) not using EVS directly
- Issued by
- Utah Department of Health and Human Services, Center for Medical Cannabis
- Format
- Fillable PDF
- Language
- English