The Arkansas Department of Health (ADH) has just published the medical marijuana patient card physician certification form.
This is the form that will be completed by your physician if you have a qualifying condition and wish to receive a medical marijuana card.
Once your physician has completed the form, you will upload it to the ADH website or mail it to them.
Click here to download.
Once your physician has completed the form, it can be submitted to the ADH by mail or in an online form, which is not available on the ADH site until later in June.
Arkansas Department of Health
4815 W. Markham, Slot 50
Little Rock, AR 72205
If you would like a paper application you can call 501-682-4982 and request it. The paper application will come with very explicit instructions. However, once the link goes live on the 30th, the online application process will be really easy, and we think a lot of people will find that to be a preferable way of applying.
would you snail mail me an app to; david porter 302 hilltop rd, cabot, 72023. thank you.
You can request a paper application by mail by calling the ADH at 501-682-4982.
Really you want a form & your statement is snail mail You think you will get a form Really
Linda, the Arkansas Department of Health is happy to mail out forms for signing up for your medical cannabis card. You just have to give them a call at 501-682-4982. They have been super friendly and helpful.
What about the caregiver application for fully disabled patients
Will there be a list of Doctors that are complying with the new law & participating in the programs available in your area at any time ..
Terry, that’s a great question, and we’d love to publish a list if we could get enough physicians to participate.
Yes I am trying to see if I can qualify since I have chronic back pain been to a pain specialist had shots in my back and only work half the time dr was going to send me to a back surgeon
Intractable pain is definitely on the list of qualifying medical conditions
Yes you should qualify based on you have chronic (long term) back pain.
Chronic back pain should be covered by intractable pain, which is on the qualifying conditions list.
Glad to hear this is happening yet just a small step….when will the first dispensary open?
Shane, it’s likely that dispensary licenses will be awarded this December, which technically means that dispensaries could open not long after that. However, medical cannabis will probably not be available until 4-5 months after that – that’s about how long it takes to grow and cure from seedlings.
Will be able to use medical cannabis away from home and in public as long as I am not in a smoking restricted area?
Suzi, according to the Amendment 98 (which was Issue 6 when we voted on it), a patient may not use medical cannabis where smoking cigarettes is prohibited or in public. For more info, see sub-section 6 of the Amendment.
Heard convicted felons would not be able to get cards …. is that true? From what I remember reading it was just felons couldn’t work in the industry.. please clarify..
Convicted felons will be able to apply for and receive a medical cannabis registry card.
I contacted Joy Gray of the state dept in Little Rock. She said that they will not be posting the names of physicians to sign said documents. That we have to do our own research. Joy did tell me that while there are no medical marijuana doctors per se, any doctor on the DEA list for the state could sign the paper(s).
My issue is that while my doctors at the VA have said I qualify and am eligible, the VA will not allow any of their providers to sign documents or issue prescriptions, until DEA/FDA have removed marijuana from the Schedule 1 listing. I was told I will have to find a physician outside the VA.
Jon, you can try our Doctor Locator for finding a physician willing to sign medical cannabis certifications:
Thank you for the information. I will followup with the one near me.
I live just across border in mo. But owen land in Arkansas , do I qualify?
Aaron, you would have to have an Arkansas state ID to apply for a medical cannabis card. Hope that helps!
I have epilepsy, depression and anxiety among other things tired of taking ten pills a day, my doc mentioned it but I don’t see them on the list do I need to go somewhere else? Also my adult son who has cerebral palsy and multiple scoliosis refuses pain meds and wants to know should he ask for a card for himself also?
Seizures related to epilepsy are covered as qualifying conditions for obtaining a medical cannabis card in the State of Arkansas. Anxiety and depression aren’t on the list yet, but we are working with the Arkansas Department of Health to add those. For your son, persistent muscle spasms related to multiple sclerosis are also covered as a qualifying condition. If we can be of more help, please let us know.
At what stage (if any) are the dosage or dosages determined? So as I understand it to Physicians just certify that the person has the condition then it’s up to the government to ascertain the dosage and frequency. So my PCP is off the hook for the prescription all together?
Robb, it’s up to the patient to determine the proper dosage, but every dispensary is required to have a pharmacist consultant who will help train dispensary employees in giving dosage guidance for patients.
I would just like to ask where and when can residents legally be a Trimmer, an operations assiatant, or possibly even a Budtender?
Layla, we will hold a job fair once the dispensary and cultivation licenses have been awarded. Please look out for our announcements by signing up here: http://arcannabis.org/contact/
I read that parents of minors could not have their children taken away as long as it was not smoked around children under 14. If I have a previous (ridiculous small mess in house) neglect finding through DHS but still have my kids, will I or will I not be issued my card. I have all my paperwork signed and ready just dont wanna pay the $50 if it’s going to get declined.
Ashley, I don’t believe the prior DHS incident would be an issue. The Department of Health doesn’t perform background checks on medical cannabis patient applications.
I have seizures due to severe brain injury and the doctors are calling it epilepsy/ seizure disorder. PTSD not like war trauma, due to coma /accident. It shows Degeneration of disc interverterbral disc-cervical and lumbar, no pain meds, muscle relaxers only. Doctor says surgery wont help. That to me says intractable pain. Nueropathy but not Peripheral. Migraines daily. Daily focal seizures. I have a laundry list of problems that come with STBI, mental, and physical that are not on the list. Do I still qualify? It’s clear to me I do. What do you think. I have made an appointment for Jan. 6th in Hot Springs.
Kevin, thanks for getting in touch with us. Just for the fact that you have seizures means that you meet the qualification for being certified for a medical cannabis card in Arkansas. Here’s the complete list:
I have been diagnosed for a about 10 years with degenerative disc disease, degenerative joint disease, spinal canal stenosis, and 2 herniated discs.
I have mental conditions also… Bipolar 1, Borderline Personality disorder, and anxiety.
I haven’t seen my therapist, psychiatrist, or family physician in at least a year because I lost my Medicaid and can’t afford to pay $100 a month, per doctor, out of pocket. My family doc left and went hours away and all other near by physicians are around $150 a visit. More if they run tests. Because of this, I have haven’t been able to see a doctor. In at least a year so I haven’t been on meds for in a year or more. My conditions are only worsening at a very quick rate.
My questions are:
-Should I qualify with any of my conditions?
-Will go to see a doctor cost the same as going to see a doctor without a medical marijuana license?
-Does Medicaid or other insurances cover the cost of the cost and/or the marijuana prescription?
Thank you so much.
Amber, thank you for getting in touch with us. To answer your questions:
– The conditions that you list are not on the approved list, but if those conditions cause you intractable pain, then you would be eligible to become a qualifying patient.
– You may be able to have your doctor sign your MMJ certification during a normal office visit, which should not cost extra, but the doctor is under no obligation to write a certification for you. If you have to schedule an appointment specifically for a physician to write a certification for you, then that would probably be an extra expense.
– Unfortunately, insurance does not cover the cost of medical cannabis, but that’s something we certainly need to talk to our representatives about.
Have a great Tuesday.
I want to apologize for all the typos in the last comment. Sleep deprivation is awful. lol