Once you've been approved by a provider for medical cannabis, you will need to complete the state application.
Click here to download the application pack: https://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/MedicalMarijuana.pdf
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:
- Information, including details about the check and mailing address
- Step-by-step instructions
- Application for Medical Marijuana Registry
- This will be mailed to you by your certifying provider and you will need to complete any outstanding information
- Primary Caregiver Application for Medical Use of Marijuana Registry Applicant
- Only fill in if you need a caregiver
- Alternate Caregiver Application for Medical Use of Marijuana Registry Applicant
- Only fill in if you need a second caregiver
- Physician Statement for Medical Use of Marijuana Registry Applicant
- This will be mailed to you by your certifying provider
- Information page
- Information page
- Information page
Process
- Download and print the application pack
- Read Page 1 and 2 - these are instructions
- Receive in the mail, the following pages, partially completed by your Leafwell provider:
- Page 3 - Application for Medical Marijuana Registry
- This will be populated with the physician information and the INITIAL application box will be checked
- Page 6 - Physician Statement for Medical Use of Marijuana Registry Applicant
- Page 3 - Application for Medical Marijuana Registry
- Complete all outstanding parts of Page 3
- 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)
- Get someone to act as a witness - they will need to sign page 3 (and 4 and 5 if applicable)
- Check all paperwork is completed
- You will need to mail the following items:
-
Page 3 - Application for Medical Marijuana Registry
- Page 4/5 (if applicable) - Caregiver Applications
- Page 6 - Physician Statement for Medical Use of Marijuana Registry Applicant
- Check or money order, payable to the Bureau of Vital Statistics - for $25
- Photocopy of your AK State Driver's License or your AK State ID card
- For Patient and Caregiver (if applicable)
-
- Mail all documentation and your $25 check/money order to:
- Health Analytics and Vital Records Marijuana Registry
P.O. Box 110699
Juneau, AK 99811-0699
- Health Analytics and Vital Records Marijuana Registry
- 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.