Illinois adults applying for a medical cannabis registry card need an electronic certificate from a health care professional. The professional creates it in the IDPH Medical Cannabis Provider Portal, choosing the Adult MCPP category, entering the patient's information and debilitating condition, and flagging terminal illness or a lifelong condition. The patient then adds the certificate to their registry application.
An Illinois-licensed physician, APRN or PA with a controlled substances license and a bona fide relationship with the patient, registered in the IDPH provider portal, completes the whole electronic certificate. The patient completes the registry application separately.
Download the current version from the source each time; forms change without notice.
Medical Cannabis Patient Program Health Care Professional Certification (Adult MCPP)
Illinois Department of Public Health, Division of Medical Cannabis takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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.
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A new certificate starts with the status Eligible in the IDPH Provider Portal. It stays Eligible until the patient adds the certification to their registry application, and then the status changes to Active. The provider can view each certificate's details from the portal dashboard.
IDPH lists more than 50, including autism, agitation of Alzheimer's disease, HIV/AIDS, ALS, cancer, chronic pain, Crohn's disease, Ehlers-Danlos syndrome, glaucoma, migraines, multiple sclerosis, neuropathy, osteoarthritis, Parkinson's disease, PTSD, seizures, sickle cell disease, traumatic brain injury and ulcerative colitis.
Yes. Illinois-licensed APRNs and physician assistants, as well as physicians, may create adult certificates if they hold a controlled substances license, have a bona fide relationship with the patient and are registered in the IDPH provider portal. The Opioid Alternative Patient Program differs: its certification must come from a physician.