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Revised Medical Cannabis Certification Form NOW Required by the State
Posted on: 9/1/2016

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Effective September 5, the Illinois Department of Public Health (IDPH) will no longer accept the old form used by physicians to certify patients with qualifying conditions for medical cannabis. If you are unsure of which form to use, take note that the new form is printed with the date “7/16” at the bottom.

The new form was developed in compliance with changes to Illinois’ medical cannabis program. Changes include:

  • Physicians no longer certify that patients are “likely to receive therapeutic or palliative benefit” from the use of medical cannabis. They are still required to attest to the establishment of a bona-fide physician-patient relationship, the conduction of an in-person physical exam, and completion of an assessment of the patient’s medical history.
  • Post-Traumatic Stress Disorder now qualifies as an eligible condition.
  • Terminal illness, with a diagnosis of six months or less to live, now qualifies as a debilitating medical condition. Please note a separate form and expedited process is used for these patients. Unlike other medical cannabis certifications, the physician confirmation of diagnosis form for terminally ill patients is included with the patient’s application.
  • A modified waiver, contained on a separate form, is required for patients who seek an exemption to the 2.5 ounces (every two weeks) of medical cannabis allowed for purchase under the program. Previously the waiver language was included as an option in the physician written certification form.

The IDPH website has details on the certification process and a specific section for physicians. ISMS’ medical legal guideline on medical cannabis is now under review by physician experts and is expected to be released later this month.



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