Delaware State Process

Congratulations on getting approved for your medical certification.

Per state regulations, you must submit your state application within 90 days of certification. 

Here's a guide to what you need to do next.

1. Register with the state
   1. Click here to begin.
   2. Click on New Program Participants.
   3. Enter your name and email and create a password.
   4. After completing this one-time registration process and verifying your account via e-mail, you can log in. 
2. Log In
   1. Log in using the e-mail address and password you established during the registration process.
   2. Select Patient Application under the Applications tab.
   3. Upload a photo of yourself.
   4. Fill in all the necessary boxes including driver's license/state ID information.
3. Fill in the Patient Release Request Form
   1. Fill in your name, qualifying condition, and Physician's information:
      1. Hazel Bluestein - 625 Clark Ave, King of Prussia, PA 19406
      2. Joel Durinka - 500 Seneca St, Unit 4-22, Buffalo, NY 14204
      3. Gavin Moreland - 3300 Bee Cave Rd, Suite 650 #1105, Austin, TX 78746
      4. Michael Palmer - 7 Marian Dr, W. Windsor, NJ 08550
   2. Date and electronically or manually sign.
4. OPTIONAL: Fill out Caregiver Authorization form if applicable
   1. The caregiver is required to do a State and Federal background check which is good for three years.
   2. The caregiver must fill out a separate application.
5. Fees
   1. Patient and caregiver application fees are $50 for one year, $75 for two years, or $100 for three years.

1. Patient’s Attestation Statement
   1. Read the statement and select the radio button to confirm each of the additional statements.
   2. Click ‘+Upload’ to upload a copy of your identification.
   3. Once all sections are complete, review the application, sign/date the application, and click ‘Save’ to save and transmit the application.