Arizona Medical Marijuana Program Qualifying Patient Checklist

Form Template

A physician may prescribe medical cannabis as a treatment for a patient with a debilitating medical condition or chronic pain.

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A patient's eligibility in a medical cannabis treatment program depends on both physician assessment and proper documentation for a specific condition. The Arizona Medical Marijuana Program Qualifying Patient Checklist app guides a patient requiring medicinal marijuana in compiling the necessary information and supporting documentation to effectively enroll in a medical cannabis program. A patient should review this checklist prior to submitting a qualifying application in order to meet the requirements of marijuana laws. With the checklist, an app user can review necessary information required including basic patient background and contact information, the qualifying health condition, and identifying the number on the identification card. Next, the app user will provide details about the physician including physician certification for medicinal marijuana attesting to medical conditions that merit medicinal marijuana as a treatment. Using the app, the patient can also designate a caregiver and provide contact details for a designated caregiver. The app guides the patient through the necessary documents required for enrolling in the medical cannabis program.

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