Health Care Professional Written Certification Form - Illinois

Health Care Professional Written Certification Form is a legal document that was released by the Illinois Department of Public Health - a government authority operating within Illinois.

FAQ

Q: What is the Health Care Professional Written Certification Form?
A: It is a form used in Illinois to certify a patient's eligibility for medical cannabis.

Q: Who can complete the Health Care Professional Written Certification Form?
A: Only licensed health care professionals, like doctors or nurse practitioners, can complete the form.

Q: What is the purpose of the Health Care Professional Written Certification Form?
A: The form is used to confirm that a patient has a qualifying medical condition for medical cannabis use in Illinois.

Q: What information is required on the Health Care Professional Written Certification Form?
A: The form requires the patient's personal information, medical condition, and the health care professional's certification.

Q: Is there a fee to submit the Health Care Professional Written Certification Form?
A: No, there is no fee to submit the form.

Q: How long is the Health Care Professional Written Certification Form valid for?
A: The certification form is valid for one year from the date it is issued.