Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois

Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois

What Is Form MQP?

This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the MQP Application for Registry Identification Card?A: The MQP Application is a form used to apply for a Registry Identification Card for qualifying patients under 18 years of age and their designated caregiver in Illinois.

Q: Who can apply for the MQP Application?A: Qualifying patients under 18 years of age and their designated caregiver in Illinois can apply for the MQP Application.

Q: What is the purpose of the Registry Identification Card?A: The purpose of the Registry Identification Card is to provide legal protection for qualifying patients under 18 years of age and their designated caregiver in Illinois who are using medical marijuana.

Q: What documents are required for the MQP Application?A: The required documents for the MQP Application include a completed application form, a certification from a qualified physician, proof of age and residency, and a caregiver designation form (if applicable).

Q: Are there any fees for the MQP Application?A: Yes, there is a fee for the MQP Application. The current fee for minors and their designated caregiver is $150.

Q: How long does it take to process the MQP Application?A: It typically takes 30 days for the Illinois Department of Public Health to process the MQP Application.

Q: Can a caregiver apply on behalf of a qualifying patient under 18 years of age?A: Yes, a designated caregiver can apply on behalf of a qualifying patient under 18 years of age.

Q: What happens if the MQP Application is approved?A: If the MQP Application is approved, the qualifying patient under 18 years of age and their designated caregiver will receive a Registry Identification Card, which allows them to legally possess and use medical marijuana in Illinois.

Q: Is the MQP Application confidential?A: Yes, the information provided in the MQP Application is confidential and protected by HIPAA laws.

ADVERTISEMENT

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Illinois Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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

Download Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois

4.4 of 5 (17 votes)
  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois

    1

  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 2

    2

  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 3

    3

  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 4

    4

  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 1
  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 2
  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 3
  • Form MQP Application for Registry Identification Card for Qualifying Patients Under 18 Years of Age and Their Designated Caregiver - Illinois, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT