Pennsylvania patients need a certification from an approved practitioner before they can obtain a medical marijuana ID card. The practitioner creates it in the Department of Health's practitioner registry, completing sections 1 through 8 for a patient with one or more serious medical conditions (up to 10), and records the generated certification number in the chart. Saving without submitting leaves the certification pending.
A Pennsylvania-licensed MD or DO approved by the Department after completing a 4-hour training course completes all eight sections. The patient registers separately and pays for the ID card; minors and homebound patients are served through a registered caregiver.
Download the current version from the source each time; forms change without notice.
Medical Marijuana Patient Certification (Practitioner Registry)
Pennsylvania Department of Health, Office of Medical Marijuana 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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About 60 days before a certification expires, the patient receives an email and can then be recertified by an approved practitioner. If the annual ID card fee is not overdue, the new card prints automatically. To withdraw a certification instead, practitioners contact the program by email with the required doctor and patient identifiers.
Minors do not receive ID cards. A caregiver registers on the minor's behalf, completes a criminal background check, buys an ID card and is linked to the patient, and only the caregiver holds a card. Homebound patients are handled the same way, and adult patients may also add a linked caregiver.
The program lists 24 serious medical conditions, including ALS, anxiety disorders, autism, cancer, Crohn's disease, epilepsy, glaucoma, hepatitis C, HIV/AIDS, Huntington's disease, inflammatory bowel disease, multiple sclerosis, neuropathies, opioid use disorder, Parkinson's disease, PTSD, severe chronic or intractable pain, sickle cell anemia, terminal illness and Tourette syndrome.