Forms

Illinois Cannabis Patient Forms

Here you will find all official state forms and applications for the Illinois Medical Cannabis Pilot Program.

Online Application Process

Patients and caregivers can now apply for an Illinois Medical Cannabis Registry Card online using the Illinois e-License System. Your recommending physician will still need to send in her/his certification form separately. The online application for patients and caregivers is located here: medicalcannabispatients.illinois.gov/

Patient & Caregiver Forms

Patient Application
Patient Application for Applicants under 18 Years Old
Caregiver Application
Parent-Guardian Authorization Consent Form for Applicants Under 18 Years Old
Fingerprint Background Check form
Dispensary Selection form

Physician Forms & Petition to Add a New Condition

Physician Written Certification form
Reviewing Physician Written Certification for Applicants under 18 Years Old
Petition to Add a New Debilitating Medical Condition

Fingerprint Vendors

The Illinois Department of Financial & Professional Regulation has a comprehensive list of all the fingerprint vendors and their contact information available in the state.