Medical Cannabis Card – Terminal Illness

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Medical Cannabis Card – Terminal Illness

Persons diagnosed with a terminal illness with a life expectancy of six (6) months or less may apply for a medical cannabis registry identification card valid for six months. There is no application fee.


Applications cannot be submitted on-line.

Qualifying patients (Adults and Persons under age 18)

  • Be a resident of the State of Illinois at the time of application and remain a resident during participation in the program
  • Have been diagnosed with a terminal illness with a life expectancy of six (6) months or less
  • Submit a complete application – Click here
  • Make sure your physician completes and signs the physician confirmation of diagnosis of terminal illness. This form must be signed in blue ink. The in-person physical examination must take place within 90 days of the application submission date.
  • Not hold a school bus permit or Commercial Driver’s License
  • Not be an active duty law enforcement officer, correctional officer, correctional probation officer, or firefighter.
  • Select a caregiver, if desired (persons under age 18 may have two caregivers)

Veterans receiving care at a U.S. Department of Veterans Affairs (VA) Facility

  • Submit a copy of your DD-214 showing dates of service and character of service (type of discharge)
  • Provide a copy of your medical records from the VA facility for the last 12 months.
  • Complete the Attestation of Terminal Illness (page 6 of the application package). This form must be notarized.

Persons whose diagnosis is no longer terminal after a period of six months and their designated caregiver may submit applications for a three-year registry identification card.

Forms (DPH Illinois)


Requesting an application for a Terminal Illness Registry Identification Card by mail:

* Scroll down to the bottom of the page to complete mail request