Application for Qualifying Patient Registry Identification Card - Illinois

Application for Qualifying Patient Registry Identification Card - Illinois

Application for Qualifying Patient Registry Identification Card is a legal document that was released by the Illinois Department of Public Health - a government authority operating within Illinois.

FAQ

Q: What is the Qualifying Patient Registry Identification Card?
A: The Qualifying Patient Registry Identification Card is a card issued to eligible individuals in Illinois who have been approved to use medical cannabis.

Q: Who can apply for the Qualifying Patient Registry Identification Card?
A: Individuals who have been diagnosed with a qualifying medical condition and have a signed certification from a registered physician can apply for the card.

Q: What are the qualifying medical conditions in Illinois?
A: Some examples of qualifying medical conditions include cancer, HIV/AIDS, multiple sclerosis, Parkinson's disease, and post-traumatic stress disorder (PTSD).

Q: What documents are required for the application?
A: You need to provide a copy of your signed certification from a registered physician, proof of Illinois residency, and a passport-sized photo.

Q: How much is the application fee?
A: The application fee for the Qualifying Patient Registry Identification Card is $100 for one year or $200 for two years.

Q: How long does it take to receive the card?
A: It typically takes about 30 days to process the application and receive the card. You will be notified by email if your application is approved.

Q: Can I use my out-of-state medical cannabis card in Illinois?
A: No, only individuals with the Illinois Qualifying Patient Registry Identification Card can legally purchase and use medical cannabis in Illinois.

Q: Is my personal information protected?
A: Yes, the Illinois Department of Public Health maintains strict confidentiality of all patient information submitted as part of the application process.

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Form Details:

  • Released on October 1, 2018;
  • The latest edition currently provided by the Illinois Department of Public Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Application for Qualifying Patient Registry Identification Card - Illinois

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