Alaska State Process

Once you've been approved by a provider for medical cannabis, you will need to complete the state application. 

You will need the following:

  • The application pack - downloaded and printed out
  • The Physician Statement - this will be mailed to you
  • $25 fee
  • A photocopy of your AK driver's license or ID card

These instructions are for New patients - if you are an existing card holder, click here for Renewal Instructions

What the Pack Contains

Reference for what each page contains:

  1. Information, including details about the check and mailing address
  2. Step-by-step instructions
  3. Application for Medical Marijuana Registry
    1. This will be mailed to you by your certifying provider and you will need to complete any outstanding information
  4. Primary Caregiver Application for Medical Use of Marijuana Registry Applicant
    1. Only fill in if you need a caregiver
  5. Alternate Caregiver Application for Medical Use of Marijuana Registry Applicant
    1. Only fill in if you need a second caregiver
  6. Physician Statement for Medical Use of Marijuana Registry Applicant
    1. This will be mailed to you by your certifying provider
  7. Information page
  8. Information page
  9. Information page

Process

  1. Download and print the application pack
    1. Read Page 1 and 2 - these are instructions
  2. Receive in the mail, the following pages, partially completed by your Leafwell provider:
    1. Page 3 - Application for Medical Marijuana Registry
      1. This will be populated with the physician information and the INITIAL application box will be checked
    2. Page 6 - Physician Statement for Medical Use of Marijuana Registry Applicant
  3. Complete all outstanding parts of Page 3
    1. Leave the minor section blank if it does not apply - if it does apply, complete Page 4 and 5 (if a second caregiver is needed)
  4. Get someone to act as a witness - they will need to sign page 3 (and 4 and 5 if applicable)
  5. Check all paperwork is completed
  6. You will need to mail the following items:
    1. Page 3 - Application for Medical Marijuana Registry

    2. Page 4/5 (if applicable) - Caregiver Applications
    3. Page 6 - Physician Statement for Medical Use of Marijuana Registry Applicant
    4. Check or money order, payable to the Bureau of Vital Statistics - for $25
    5. Photocopy of your AK State Driver's License or your AK State ID card
      1. For Patient and Caregiver (if applicable)
  7. Mail all documentation and your $25 check/money order to:
    1. Health Analytics and Vital Records Marijuana Registry

      P.O. Box 110699

      Juneau, AK 99811-0699

  8. Once approved, the state will mail your medical card to your address - use this card to shop for your medicine. You will need to show ID when purchasing medical cannabis in Alaska.