Step by Step Guide

Before submitting an application it’s good practice to double check that all required documents are accounted for. This will ensure timely processing of the application and avoid easy mistakes.

1. Physician Written Certification Form

  • Meet with your physician to discuss the use of medical cannabis for the treatment of your condition. This is an important  first step in the application process. Your doctor must complete and mail this form to the IL. Department of Public Health (DPH).
  • Download Certification Form – Click here

2. Complete & Signed Qualifying Patient Application Form

  • Fill in all parts of the application, choose a medical cannabis dispensing organization and sign the last page. You may also fill out the optional demographic information. If you do not want to designate a caregiver, don’t fill out that section of the application.
  • Link to Application – Click here
  • Under Illinois’ Compassionate Care Act, patients must select a dispensary they intend to purchase products from.
  • Transfer/Make Herbal Remedies Dispensary as your dispensary – Click here

3. Application Fees

  • Qualifying patients and caregivers may apply for a one, two, or three-year registry identification card. Persons who are receiving Social Security Disability Income (SSDI) or Supplemental Security Income (SSI) and veterans may be eligible for a reduced application fee. (Page 2 of 4 on the Qualifying Patient Application form.
  • Application Fees are non-refundable. (Check or Money Order to Illinois Department of Public Health)

4. Photograph Requirements (Passport Compliant)

  • Taken in the last 30 days
  • Taken against a plain, white or off-white background or backdrop
  • In natural color (Do not use a filter)
  • Full-face view directly facing the camera with a neutral facial expression and both eyes open
  • At least 2 inches by 2 inches in size
  • It is recommended you use a passport photo vendor to ensure the photograph meets these requirements

5. Proof of Residency

  • You will need two items that prove you live in Illinois. The addresses on each of the documents must match the address on your application.
  • Bank statements, utility bills, state ID, driver’s license and voter ID cards are all acceptable.
  • Check the application for a full list.

6. Proof of Age & Identity

  • Submit a clear color copy of a valid, unexpired Illinois Driver’s License, Illinois State ID, or the photograph page of a US passport.

7. Fingerprint Consent Form & Receipt

  • For more info see "Fingerprint" tab above.

8. Veterans (DD214)

  • For more info see "Veterans" tab above.

9. Caregiver application (if applicable)

  • For more info see "Caregiver" tab above.

10. Designated Caregiver Application (for minor use) *

  • For more info see "Minor" tab above.

* For parents attempting to access medical cannabis for their children, two physician are required, with the parent or legal guardian serving as primary caregiver for the patient.


Application Forms & Delivery

Patients must mail their application, fees, and required documents (pdf) below.


Mail Application to:

Illinois Department of Public Health
Division of Medical Cannabis
535 W. Jefferson St.
Springfield, IL 62761-0001

Qualifying As A Patient

In order to get a medical cannabis qualifying patient card, some basic qualifications must be met.

  • Must be 18 years or older
  • Illinois state resident with proof of residency
  • Diagnosis of a qualifying medical condition
  • Doctor’s certification

Final things to check

Before submitting an application it’s good practice to double check that all required documents are accounted for. This will ensure timely processing of the application and avoid easy mistakes.

For parents attempting to access medical cannabis for their children, two physician are required, with the parent or legal guardian serving as primary caregiver for the patient.


Application Forms & Delivery

Patients must mail their application, fees, and required documents (pdf) below.

Medical Cannabis Card – Caregiver

Complete the entire caregiver application and send it with either the following fees:

Fees

  • $25 for a one your card
  • $75 for a three year card

Send with all supporting documents (photo, proof of residency, proof of age and identity, fingerprint consent form, and caregiver’s signature.

The caregiver application should be sent with your patient application.


Forms (DPH Illinois):

Medical Cannabis Card – Minor

Minor qualifying patients do not need to submit a photo or undergo a fingerprint background check.

A physician certification is required as well as a reviewing physician certification.

A designated caregiver shall be specified for a minor qualifying patient:

  • A qualifying patient under 18 years of age may identify two designated caregivers if both biological parents or two legal guardians have significant decision-making responsibilities over the qualifying patient; or
  • If only one biological parent or legal guardian has significant decision-making responsibilities for the qualifying patient under 18 years of age, then a second designated caregiver may be identified.

Qualifying patients who turn 18 years of age during the time period in which their registry identification card is valid may apply for an adult registry identification card immediately or during the normal renewal period.  Until that time, the registry identification card shall be subject to the conditions applicable to the registered qualifying patient under age 18.

Designated caregivers of registered qualifying patients under 18 years of age may only purchase medical cannabis-infused products from registered dispensing organizations; other types of medical cannabis products are not allowed.


Forms (DPH Illinois):

Medical Cannabis Card – Veteran

Veterans receiving health care at a VA facility do not need to provide a Physician Written Certification, but must instead provide medical records from the VA facility for the last 12 months. Once you receive your official medical records, you must submit the medical records with your application.

Send in a copy of your DD214 and a check for the applicable application fee (page 2 of 4 on the Qualifying Patient Application form.)


Forms (DPH Illinois):

Medical Cannabis Card – Fingerprinting

Fingerprint Consent Form & Receipt

The fingerprint consent form (page 3 of 4 of the Qualifying Patient Application) must be signed and include the Transaction Control Number (TCN).

You must submit the completed form, with the receipt and your application within 30 days of being fingerprinted.

Easily find the location nearest you – Click here


Forms (DPH Illinois):