Reviewing Physician Written Certification Form for Qualifying Patients Under 18 Years of Age - Illinois

Reviewing Physician Written Certification Form for Qualifying Patients Under 18 Years of Age - Illinois

Reviewing Physician Written Certification Form for Qualifying Patients Under 18 Years of Age 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 Physician Written Certification Form?
A: The Physician Written Certification Form is a document used in Illinois to certify patients under 18 years of age for medical marijuana use.

Q: Who can complete the Physician Written Certification Form?
A: Only physicians who are licensed in Illinois and have a bona fide physician-patient relationship with the patient can complete the form.

Q: What is the purpose of the form?
A: The form is used to certify that a patient under 18 years of age has a qualifying debilitating medical condition that may benefit from medical marijuana treatment.

Q: What information is required on the form?
A: The form requires the patient's personal information, the physician's information and certification, as well as documentation of the patient's qualifying medical condition.

Q: Can patients under 18 years of age use medical marijuana in Illinois?
A: Yes, patients under 18 years old can use medical marijuana in Illinois if they have a qualifying debilitating medical condition and receive a Physician Written Certification.

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Form Details:

  • Released on May 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 Reviewing Physician Written Certification Form for Qualifying Patients Under 18 Years of Age - Illinois

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