Application For Medical Marijuana Card
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Application for Medical Marijuana Card
Before submitting your paperwork to the Registry, make copies for your personal records.
Participation in the Registry does not appear on background checks and is completely confidential.
New and Renewal Adult Applications must include:
A complete application page
A physician certification completed by a qualified MD or DO
A copy of your Colorado driver’s license or photo ID (or a Proof of Identity and Residency Waiver)
A $15 check or money order (non-refundable) made out to CDPHE (or a Fee Waiver)
For renewal applications:
Please submit renewal applications between 30 to 60 days before your card expires. Renewal applications
CANNOT be used to purchase medical marijuana. You must wait until your new card arrives in the mail to
purchase medical marijuana.
For applicants with legal guardians or an authorized representative:
If you are signing on behalf of the patient, you must provide a copy of your Colorado driver’s license or
photo ID and legal documentation granting guardianship and/or authorized representation such as a
court-certified guardianship order or medical power of attorney. Medical care rights and or health care
decision authority must be legally assigned in order for you to sign on behalf of the patient.
Minor applications must include:
A complete application page
A Parental Consent form (MC) for parents/guardians residing in Colorado
Two (2) physician certifications completed by two (2) separate qualified MD’s or DO’s
A certified copy of the minor’s state-issued birth certificate (or legal guardianship order)
A copy of both parent’s/legal guardian’s Colorado driver’s licenses or ID’s (or a Proof of Identity and
Residency Waiver)
A $15 check or money order (non-refundable) made out to CDPHE (or a Fee Waiver form)
Proof of identity and Colorado residency requirements:
Proof of Residency Waivers are only valid for one (1) year. Upon renewing your medical marijuana
card, you must provide a Colorado driver’s license or photo ID.
Submit paperwork by mail or deliver to the Registry’s drop-box:
Mail: Application Processing, CDPHE HSV-8608, 4300 Cherry Creek Dr S, Denver, CO 80246-1530
Deliver to drop-box: 710 S Ash St, southeast entrance, Monday-Friday, 7:00 a.m. to 6:00 p.m.
The drop box is on the wall inside the first set of glass doors. Your paperwork must be in a sealed
envelope. You will not receive a receipt. If you wish to have a receipt, please mail in your paperwork by
certified mail.
Processing time:
Please allow 3-5 weeks from the date the Registry receives your paperwork for standard processing.
Applications with Proof of Residency Waivers or caregiver requests for a caregiver who currently serves 5 or
more patients may require additional time for review. If you do not receive your card or a letter from the
Registry within 35 days, please contact us at 303-692-2184.
4300 Cherry Creek Dr S, HSV-8630, Denver, CO 80246 | 303-692-2184
medical.marijuana@state.co.us
|
MMR1001 Application | Revised October 2015
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