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Guidance for the Medical Marijuana Physician Certification FormArkansas Medical Marijuana logo

In November 2016 Arkansas voters approved medical marijuana through the passage of a constitutional amendment, known as Amendment 98, the Arkansas Medical Marijuana Act of 2016. The law allows qualifying patients to purchase and use medical marijuana from a licensed dispensary if certain criteria are met. One of the requirements is a physician certification of qualifying conditions.
 
Q. Am I required to complete a physician certification for a patient?
Q. Am I mandated to sign this form?
Q. What am I actually certifying on this form?
Q. Is there an approved form?
Q. Do I need any special training or certification to sign the form?
Q. Completing the form:
Q. What are the qualifying conditions?
Q. Will these forms be verified?
Q. Do I keep a medical record of the visit?
Q. Am I allowed to complete a certification for a minor?
Q. What is a designated caregiver?
Q. How does ADH get this certification?
Q. When does this physician certification expire?
Q. What happens after I see the patient?

NOTE: Applications are being accepted; however registry ID cards will not be available for printing until one month prior to medical marijuana availability in Arkansas dispensaries.

Downloads
Physician Written Certification Instructions
Physician Written Certification

If you have further questions, you may call Toll Free 1-833-214-8619 or 501-682-4982, or email your questions here.

Public Health Accrediation Board
Arkansas Department of Health
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4815 W. Markham, Little Rock, AR 72205-3867 | 1-800-462-0599