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Caregiver Seeking ID Card

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In order to qualify for a designated caregiver registry card to legally purchase medical marijuana for a qualified patient, you must meet the following qualifications:

Note: Parents or legal guardians of a minor with a qualifying condition are not required to complete Criminal History Check. Parent or guardian will still register as a caregiver and pay the registry card application fee.

Steps to Get Started

Step 1 – Complete the Designated Caregiver Application

Complete the designated caregiver application in its entirety. Name and address must match what is listed on the state ID provided. Click here to apply online. If you plan to be a designated caregiver for multiple patients, you must complete an application for each patient. For more information on how to apply online click here.

Step 2 – Physician Certification Form

The patient is required to have a signed Physician Certification form that states he/she has a qualifying condition and is physically disabled or a minor. You will upload a copy of the physician certification on the designated caregiver application site or mail it with your application depending on which method you choose.

Click here to download the Physician Certification form.

Step 3 – Proof of Age and Identity

You must also upload or send in a photocopy of your Arkansas issued driver's license or state ID.

Step 4 – Criminal History Check

Pay a $37 fee.

Call Toll Free 1-833-214-8619 to request a Criminal History Review Application and finger print card.

Note: Parents or legal guardians of a qualified minor are not required to complete Criminal History Check. A Parent or guardian is required to register as a caregiver and pay the registry card application fee.

Step 5 – Pay the Application Fee

The caregiver registry identification card is $50 and is non-refundable for each application submitted. If you apply online, there will be a section for payment options. If you are mailing your application, please include a check for $50, payable to the Arkansas Department of Health. If you plan to be a designated caregiver for multiple patients, you must pay $50 for each application.

Downloads
Patient Application
Caregiver Application
Criminal History Review Application

FAQs

Not sure if you qualify to be a designated caregiver? How long will it take for your application to be processed and/or approved? Be sure to check out these Frequently Asked Questions prepared by the Arkansas Department of Health. You can also go to the State of Arkansas website for more information.

 

If you are mailing your application, please send to:

Arkansas Department of Health
Medical Marijuana Section
4815 West Markham Slot 50
Little Rock, AR  72205

Public Health Accrediation Board
Arkansas Department of Health
© 2017 Arkansas Department of Health. All Rights Reserved. | www.healthy.arkansas.gov
4815 W. Markham, Little Rock, AR 72205-3867 | 1-800-462-0599