Nebraska Medical Cannabis Written Recommendation

Under Nebraska's medical cannabis regulations (238 NAC 1), an enrolled practitioner issues two documents: a written recommendation stating that the potential benefits of cannabis outweigh the potential harms, and a written order naming the product, dosage, potency and dispensary. The state publishes no template; both are sent electronically to the patient's dispensary and to the Commission, with a copy for the patient.

Who completes it

A health care practitioner who primarily practices in Nebraska and is enrolled in the Recommending Health Care Practitioner Directory completes both documents after an in-person appointment. Until a patient registry is funded, the patient and any caregiver also complete a form that the practitioner signs and sends to the Commission.

Submitting and payment

How to submit it
Send both documents through the dispensary's electronic delivery system and submit electronic copies to the Commission by its prescribed method, such as a secure Commission portal; give the patient a copy and keep records for at least seven years.
Who pays
Enrolled practitioners may not accept remuneration from anyone licensed under the Nebraska Medical Cannabis Regulation Act, though a caregiver may pay the practitioner for services provided to the patient.

Good to know

  • Enrollment requires ten hours of ACCME-accredited medical cannabis courses within a year of enrolling, an annual two-hour refresher, and re-enrollment 30 to 90 days before the current enrollment expires.
  • The recommendation expires two years after the in-person appointment. Notify the Commission immediately if the patient no longer has the condition, benefits no longer outweigh harms, or the patient dies.
  • Each order covers at most 30 days of doses, capped at 40 mg per dose and 5 g total THC per 90 days; patients may request the next order in the final 10 days.
  • You may not send one order to more than one dispensary, issue more than one order in 30 days, recommend for a patient known to be pregnant, or share an address with a dispensary.

Read the official requirements

The issuer sets what the letter or report must contain; check its current rules before you write it.

Medical Cannabis Written Recommendation and Written Order

Get the note ready with Vero

There is no form to fill: the program asks for a letter or report with the content it sets. Vero Scribe writes the visit note it draws on, so the details are ready when you write it.

How this list is checked

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.

Frequently asked questions

Who can write a medical cannabis recommendation in Nebraska?

Only a health care practitioner who primarily practices medicine in Nebraska and is enrolled in the Commission's Recommending Health Care Practitioner Directory. Enrollment asks for name, license number, work address, practitioner type and an attestation of education, and must be renewed every year. A practitioner can issue a written order only for a patient whose recommendation they wrote.

Can Nebraska patients fill medical cannabis orders yet?

Not yet. The program came from the 2024 voter initiatives, and in October 2026 amendments to the regulations were still in formal rulemaking, with manufacturer licensing expected in early 2027, so dispensing was not operational. The Commission continues to operate under the current regulations, approved in mid-2026, until new rules take effect.

Does a Nebraska recommendation require an in-person visit?

Yes. Under 238 NAC 1, a patient must attend an appointment in person to receive a written recommendation or written order. The recommendation must attest that the patient met the practitioner in person, and each written order must attest to an in-person meeting within the last twelve months.