Oklahoma's recommending physicians use this one-page form to tell OMMA that a patient no longer meets the requirements for medical marijuana. On successful submission, OMMA terminates the patient's license and any associated caregiver license, then notifies the patient and sends them a copy of the form. The patient is not refunded the license application fee.
The physician who signed the patient's recommendation form completes the patient information, physician information and attestation, and signs. For a patient under 18, both recommending physicians must complete the form.
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Physician Termination of Patient License Form
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Complete OMMA's Physician Termination of Patient License Form, attesting that you signed the patient's recommendation and that the patient no longer meets the requirements, then email or mail it to OMMA. OMMA verifies the information with you; if it cannot, the license stays active. For minors, both recommending physicians must submit the form.
No. In the attestation, the physician acknowledges that submitting the form terminates the patient's license and that the patient will not be refunded the license application fee. Any caregiver license tied to the patient is terminated as well, and OMMA notifies the patient along with a copy of the form.