Arizona Medical Marijuana Form Printable Bureau of Marijuana Licensing ADHS Home Public Health Licensing Services Information about Arizona s Medical Marijuana program
Download and print the Medical Marijuana Physician Certification form from the ADHS website https www azdhs gov licensing medical marijuana index php physician This form must be taken to your physician and completed If there are any areas that are not completed ADHS will not accept the application If the physician determines you meet the criteria of the Arizona program and would benefit from the medical consumption of marijuana he or she issues a written certification The written certification must be issues on the form provided by the Arizona Department of Health Services AZDHS within 90 days before submission of an application for
Arizona Medical Marijuana Form Printable
Arizona Medical Marijuana Form Printable
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Arizona Medical Marijuana Card Service Veriheal AZ
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Restrictions Anyone looking to apply for a medical marijuana card in the state of Arizona must meet the following requirements Must be a legal resident of Arizona Must currently reside in Arizona Must be 18 years of age or older Patients under 18 may apply for a medical marijuana card with parent legal guardian designated as their Completed Medical Marijuana Physician Certification Form provided by Leafwell Signed and dated Medical Marijuana Patient Attestation form required only if you do not consent to an electronic signature Credit debit or prepaid card Visa or Mastercard only SNAP documentation if applicable Getting Your Arizona Medical Marijuana Card
This form is to be completed by the applicant and is to be submitted for every application permit or registration that is offered by the Arizona Medical Board with the exception of the renewal of license if citizenship has previously been established with the Board Clinical Instructor Verification Form CME Audit Form If you are a resident of the state suffering from a qualifying medical condition the Arizona Medical Marijuana Act allows you to access medical cannabis for therapeutic purposes By following the simple steps outlined below you can join the community of medical marijuana patients in Arizona and gain legal access to the relief you need
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A qualifying patient pays an application fee of 150 for a medical marijuana card An individual participating in the Supplemental Nutrition Assistance Program may pay a reduced fee of 75 for new applications On the other hand a designated caregiver pays 200 for an initial application for a medical marijuana card In November 2010 Arizona voters passed Proposition 203 an initiative creating the Arizona Medical Marijuana Act AMMA The AMMA went into effect in December 2010 and made the Arizona Department of Health Services the state agency that oversees the program
Step Two Meet The Doctor During your appointment the doctor will discuss your condition and medical history provide guidance on medical marijuana usage and answer any questions you may have If you meet the requirements the doctor will approve you for the program and fill out the Arizona Physician Certification Form Individuals seeking to receive medical marijuana cards in Arizona can only file applications with the ADHS online Previously the ADHS made necessary application forms available online Applicants had to download print and complete the forms and submit alongside supporting documents and payments to the ADHS
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https://www.azdhs.gov/licensing/medical-marijuana/index.php
Bureau of Marijuana Licensing ADHS Home Public Health Licensing Services Information about Arizona s Medical Marijuana program
https://www.azdhs.gov/documents/licensing/medical-marijuana/applications/adult-patient-application-instructions.pdf
Download and print the Medical Marijuana Physician Certification form from the ADHS website https www azdhs gov licensing medical marijuana index php physician This form must be taken to your physician and completed If there are any areas that are not completed ADHS will not accept the application
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Arizona Medical Marijuana Form Printable - Restrictions Anyone looking to apply for a medical marijuana card in the state of Arizona must meet the following requirements Must be a legal resident of Arizona Must currently reside in Arizona Must be 18 years of age or older Patients under 18 may apply for a medical marijuana card with parent legal guardian designated as their