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.
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.
Form Details:
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.