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State of Illinois Department of Public Health Illinois Medical Cannabis Pilot ProgramApplication for a Designated Caregiver Registry Identification Card ***Do not use this form for Terminal Illness***APPLICATION
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How to fill out illinois medical cannabis pilot

01
To fill out the Illinois Medical Cannabis Pilot Program application, follow these steps:
02
Complete the patient application form with accurate personal information.
03
Obtain a written certification from a physician who is licensed to practice medicine in Illinois.
04
Submit the completed patient application form, along with the written certification, to the Illinois Department of Public Health.
05
Pay the required application fee.

Who needs illinois medical cannabis pilot?

01
The Illinois Medical Cannabis Pilot Program is intended for individuals who meet the following criteria:
02
Must be a resident of Illinois.
03
Must have a qualifying debilitating medical condition such as cancer, AIDS, Parkinson's disease, epilepsy, etc.
04
Must have a written certification from a physician stating that medical cannabis is a potential treatment option.
05
Must be 18 years of age or older (minors may also apply with parental consent).
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The Illinois Medical Cannabis Pilot Program allows those with certain medical conditions to legally access medical cannabis.
Patients with qualifying medical conditions and their designated caregivers are required to file for the Illinois Medical Cannabis Pilot Program.
To fill out the Illinois Medical Cannabis Pilot Program application, applicants must provide the necessary medical documentation and submit the required forms.
The purpose of the Illinois Medical Cannabis Pilot Program is to provide relief for patients with debilitating medical conditions through the use of medical cannabis.
The Illinois Medical Cannabis Pilot Program requires reporting of medical conditions, treatments, and the use of medical cannabis.
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