(Arizona) Medical Marijuana Caregiver Attestation Form

Form Template

The Medical Marijuana Caregiver Attestation Form mobile app generates an electronic version of the form that caregivers must fill out when working with medical marijuana patients who use cannabis to treat a medical condition.

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Designed for marijuana programs in Arizona, the app can be customized for other states as well.

The app for medical marijuana caregivers allows medical marijuana program managers to verify that personal caregivers do not have a criminal history and that they have agreed to not sell or otherwise distribute the patient's marijuana medication. This helps members of law enforcement track the unauthorized distribution of medical marijuana and helps protect patients from unlawful activities.

  • Signature Capture
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