Colorado's Medical Marijuana Registry issues patient ID cards based on an online certification from a registered provider, submitted with the rest of the patient's application. Under HB 21-1317, the certification's Additional Information box must list the patient's address, maximum THC potency, directions for use, any recommended product, any daily quantity above the statutory limit, and other etiology.
MDs and DOs licensed in Colorado with an unrestricted DEA registration can certify debilitating and disabling conditions. Dentists, PAs, advanced practice nurses, podiatrists and optometrists with prescriptive authority can certify disabling conditions only. Each needs a registry account.
Download the current version from the source each time; forms change without notice.
Medical Marijuana Registry Provider Certification (online)
Colorado Department of Public Health and Environment, Medical Marijuana Registry 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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Yes, for disabling conditions only. Advanced practice nurses, PAs, dentists, podiatrists and optometrists with prescriptive authority, a Colorado license and an unrestricted DEA registration may certify PTSD, autism spectrum disorder or a condition for which an opioid could be prescribed. Debilitating conditions require an MD or DO.
No. Under Colorado statute, Board of Health rules and Colorado Medical Board Policy 40-28, recommendations must be made during an in-person encounter in a clinical setting, and telemedicine recommendations are prohibited. The provider then submits the certification online and gives the patient a copy.
No. Marijuana remains a Schedule I substance under federal law, and recommendations made under Colorado law are not prescriptions and cannot be filled at a pharmacy. The certification goes to the registry with the patient's application, and a card is issued if the rest is complete.