Mississippi patients need an electronic written certification from an MSDH-registered practitioner before applying for a medical cannabis identification card. The practitioner certifies that the patient has a debilitating medical condition and submits the certification in the MSDH licensing portal; the patient then selects it under View Available Certifications when applying, and MSDH issues the card.
An MSDH-registered MD, DO, nurse practitioner, physician assistant or optometrist completes the whole certification; for patients under 18, only an MD or DO may certify.
Download the current version from the source each time; forms change without notice.
Medical Cannabis Practitioner Written Certification (electronic)
Mississippi State Department of Health, Medical Cannabis Program 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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Only renewals. An initial certification can be issued only after an in-person visit. For recertification, a registered practitioner who previously evaluated the patient in person may conduct the assessment via telehealth.
If the date of birth or Social Security number the practitioner entered does not match the patient's portal account, the certification will not appear under View Available Certifications. The details on the practitioner's certification need to match the patient's own account.
Only a physician, MD or DO, may issue a certification for a patient under 18. Nurse practitioners, physician assistants and optometrists registered with MSDH may certify adults. All practitioners must register with MSDH annually, with initial and renewal continuing education.