Become a registered patient or caregiver NOW! Email us today to set up an appointment with our patient consultant and we will walk you through the process:
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Please see below for frequently asked questions:
APPLICATION AND REGISTRATION
All application forms, including the online Patient and Caregiver applications, are available online at the Medical Cannabis Pilot Program website.
In order to qualify for a medical cannabis card a patient must:
- Be a resident of the State of Illinois
- Over 18 years of Age*
- Not have been convicted of an excluded offense
- a felony under the Illinois Controlled Substances Act, Cannabis Control Act or Methamphetamine Control and Community Protection Act, or similar provisions in a local ordinance or other jurisdiction, unless the Department waives such a conviction(s)
- Have a qualified debilitating condition certified by a qualified physician
The following are considered qualified debilitating conditions under Illinois law.
- Acquired Immunodeficiency Syndrome (AIDS)
- Agitation of Alzheimer’s disease
- Amyotrophic Lateral Sclerosis (ALS)
- Arnold-Chiari malformation and Syringomyelia
- Cachexia/wasting syndrome
- Chronic Inflammatory Demyelinating Polyneuropathy
- Crohn’s disease
- CRPS (Complex Regional Pain Syndromes Type II)
- Fibromyalgia (severe)
- Fibrous dysplasia
- Hepatitis C
- Human Immunodeficiency Virus (HIV)
- Interstitial Cystitis
- Multiple Sclerosis
- Muscular dystrophy
- Myasthenia Gravis
- Nail-patella syndrome
- Parkinson’s disease
- Post-concussion syndrome
- Post Traumatic Stress Disorder
- RSD (Complex Regional Pain Syndromes Type I)
- Residual limb pain
- Rheumatoid arthritis (RA)
- Seizures, including those characteristic of epilepsy
- Sjogren’s syndrome
- Spinal cord disease, including, but not limited to, arachnoiditis, Tarlov cysts, hydromyelia, syringomyelia
- Spinal cord injury
- Spinocerebellar Ataxia (SCA)
- Tourette’s syndrome
- Traumatic brain injury (TBI)
Note: An incomplete application will be denied so make sure you submit a complete application in the 90 day time period. We recommend meeting with your doctor prior to beginning the application.
- Patient Application Form
- Physician Written Certification Form
- Your doctor must complete and send in this form. Your appointment must be within 90 days of submitting your application so please discuss with your doctor prior to submitting an application.
- Application Fee
- Proof of Residency
- Proof of age and identity
- Fingerprint consent form
- Make sure to include the receipt from the livescan fingerprint vendor
- *Caregiver application
- Not required but allows caregivers to visit your dispensary on your behalf
A designated caregiver is a person who is selected by a qualifying patient as the person authorized, on the qualifying patient’s behalf, to obtain medical cannabis from a certified dispensary. Caregivers must complete the Caregiver application. A designated caregiver is issued a medical cannabis registry identification card that allows him/her to possess up to 2.5 ounces of medical cannabis on behalf of their patient. It is not legal for caregivers to consume medical cannabis that has been dispensed on behalf of a registered qualifying patient. A patient may only have one caregiver and a caregiver may only serve one patient.
If you are under 18 years old you can still become a registered medical cannabis patient in Illinois. To qualify you must:
A veteran who has received treatment at a VA hospital is deemed to have a bona fide physician-patient relationship with a VA physician if the patient has been seen for his or her debilitating condition at the VA hospital in accordance with the VA hospital protocols.
To qualify for a patient registry card, a veteran must:
- Be an Illinois resident and provide two valid items proving residency. • Have a qualifying debilitating medical condition.
- Provide a copy of his or her U.S. Department of Veterans Affairs official hospital medical records requested on VA form 10-5345. If you have received care for your debilitating medical condition for more than 5 years at a VA facility, you must mark “OTHER” on VA Form 10-5345 under “INFORMATION REQUESTED” then specify that you are requesting information about the treatment of your debilitating medical condition for the most recent 12-month period. Under “PURPOSE(S) OR NEED FOR WHICH THE INFORMATION IS TO BE — USED BY INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED” write “personal medical purposes.” Under “NAME AND ADDRESS OF ORGANIZATION, INDIVIDUAL OR TITLE OF INDIVIDUAL TO WHOM INFORMATION IS TO BE RELEASED” write your address. Once you receive your official medical records, you must submit the medical records with your application.
- Provide a copy of his or her DD214 or equivalent certified document indicating character and dates of service.
- Complete the fingerprint-based background check and not have been convicted of an excluded offense.
- Submit a non-refundable application fee with the signed Registry Identification Card Application to the Illinois Department of Public Health Division of Medical Cannabis.
The State requires that all medical cannabis patients complete a fingerprint-based background check. These can be performed on site at our MOCA location.
Note: This is only the list of fees from the State of Illinois. Other fees, such as fingerprint background checks and doctors visits may also occur.
$100 for a one year registry card, $200 for a two year registry card and $250 for a 3 year registry card.
For the reduced fees: $50 for a one year registry card, $100 for a 2 year registry card and $125 for a 3 year registry card.
- For qualifying patients enrolled in the federal Social Security Disability Income (SSDI) or the Supplement Security Income (SSI) disability programs, submit a copy of a letter or other documentation form the Social Security Administration identifying the qualifying patient and showing the amount of monthly Social Security and Supplemental Security Income disability benefits to be received by the qualifying patient during the current year of application. – Veterans must provide a copy of their DD214.
- Annual caregiver application fee is: 1 year @ $25, 2 years for $50, and 3 years for $75
- Replacement card fee is $25
- Returned check fee is $35
MEDICAL CANNABIS INFORMATION
Illinois state law only allows patients to register with one designated dispensary and use that dispensary to purchase your medical cannabis. Modern Cannabis strives to be the highest quality and most professional dispensary in Illinois, conveniently located in the Logan Square neighborhood in the heart of Chicago and will meet all of our patients needs and happily educate and help anyone through the process of purchasing medical cannabis.
Illinois law allows registered patients and/or their designated caregivers to purchase 2.5 ounces of cannabis products during a period of 14 days from a registered Illinois dispensary.
Modern Cannabis will work with each individual patient to meet his or her needs. Our goal is to never turn any patient away from the dispensary and to ensure any qualified patient who needs medical cannabis will be able to purchase it. Modern Cannabis plans on creating a financial aid program that will allow other patients to assist those in needs and if a patient displays financial hardship we will offer discounted rates in order to help provide the best care possible for all of our patients.
Selecting the right strain is very important and our patient specialists will help guide you in your purchase by identifying the right options for your condition. The main types of strains are sativa, indica, or a hybrid. Most users of indica medical cannabis plants tell of a heavily relaxing effect. The effect of sativa medical cannabis is described as quite cerebral, giving the user energy and stimulation to both the body and mind. We will continue to work with our patients to learn from their experiences with their previous purchases and identify the best strains and methods of consumption for their conditions.
No, there are a variety of methods for using medical cannabis. There are three basic administration methods: inhalation, oral, and topical. If you do want to inhale the medical cannabis, you can vaporize the medical cannabis opposed to smoking it, which has shown to be a healthier form of inhalation. The staff at Modern Cannabis will answer all of your questions and guide you through the process. The varieties of strains and methods of consumption can be confusing at first and we will ensure that it is an easy experience and will continue to work with all our patients
Every patient is affected differently by various strains and methods of consumption. We recommend all patients start with smaller doses to test their effects and then to adjust with experience. Potency also varies from strain to strain so our goal is to form a relationship will all our patients in order to best serve their needs. We encourage all patients to have ongoing conversations and consultations with our staff in order to ensure the best possible experience and outcome from the use of medical cannabis.
Medical cannabis can only be used in private residences. Medical cannabis can never be used in any public spaces.
TALKING TO YOUR PHYSICIAN
The Illinois Compassionate Use of Medical Cannabis Pilot Program Act requires physicians certification to become a registered Medical Cannabis patient. A physician may only be a doctor of medicine or osteopathy licensed under the Medical Practice Act to practice medicine and must have a current controlled substances license under Article II of the Illinois Controlled Substances Act. No other licensed professions (including dentists) are eligible.
Once the physician concludes you are diagnosed with a qualifying debilitating medical condition and may receive therapeutic or palliative benefit from the use of medical cannabis, a Physician Written Certification Form
must be completed and submitted by the physician.
When talking to your physician, consider the following points.
- Bring any available medical records
- Use language that is professional and technical, such as “medical cannabis” or “medical marijuana” opposed to terms such as “pot” or “weed.”
- Explain why you feel medical cannabis is right for you and what benefits you expect from the use of medicinal cannabis. For example, do you want to restore appetite? Are you seeking to relieve symptoms such as pain or nausea caused by your medical condition or medications?
- Similar to all medications there are potential rewards and side effects with the use of medical cannabis. In your discussion with your doctor, discuss the potential side effects (such as: anxiety, drowsiness, dry mouth, dry or red eyes, headache) in order to be more educated and prepared for the effects of medical cannabis.
However, unlike many prescription medications, your doctor is not writing you a prescription for medical cannabis. Your doctor actually needs to provide you with a written certification. This document states that you do indeed suffer from the qualified condition and that there is a bona-fide physician-patient relationship along with, in the physician’s professional opinion, certifying the patient is likely to receive benefit from the medical use of cannabis and it will treat or alleviate the patient’s debilitating medical condition or symptoms.