
Minors are required to have a parent/ guardian as a designated caregiver.A designated caregiver is a person who may purchase and transport medical marijuana from an Arkansas dispensary, for a qualified patient who is either a minor or is physically disabled.Remember to certify that the patient is under 18 on the form.The parent/guardian must be present, and they must sign the form.You may complete certification for a minor who has a qualifying condition. Am I allowed to complete a certification for a minor? All aspects of this process are covered by HIPAA.The physician certification form may be copied and placed in the patient’s medical record as part of your documentation.
#Should i get my medical card license#
The physician’s license will be verified to be current and unrestricted.Yes, the agency may contact the physician to verify the signature.ADH will not accept applications that have additional write-in conditions.Mark the applicable condition(s) for the patient.No other conditions are approved at this time.(New conditions are added through a petition process).The form has a complete list of the qualifying conditions.The patient’s parent/guardian must sign the form if the patient is a minor.Fully fill out all physician information.It may be up to 12 months, or less depending on your determination for the patient. Check the correct time frame box for the patient.If an adult patient will need a caregiver, their form must be marked as ‘yes’ for the disabled. This is necessary for determining their need for a certified caregiver who will be authorized by law to purchase and transport medical marijuana for the patient. Identify if the patient is disabled or under the age of 18.The patient must be an Arkansas resident. Complete the patient demographic portion at the top of the form.Do not leave the form blank anywhere in the content areas.All portions of the form must be filled out completely.There is no specific medical marijuana training required by law to complete the form.Do I need any special training or certification to sign the form? This form is available to print from the ADH website.This form cannot be substituted with a letter or other type of certification.There is an approved form from the Arkansas Department of Health ( ADH) That you are a medical doctor or doctor of osteopathy with a current, unrestricted license to practice in Arkansas.That the patient DOES have one of the qualifying conditions.You are certifying that you have completed a patient assessment.What am I actually certifying on this form? If a physician is willing to complete a physician certification form for a patient to use medical marijuana obtained from a licensed dispensary, a physician must sign the form. Physicians are not required to complete and sign the certification for a patient. Am I required to complete a physician certification for a patient?
