How do I renew my medical marijuana card with the State of Missouri?

You will receive an email from the state 60 days before your existing card expires. They will also email you at 45 days, 30 days, and 15 days. These emails keep coming, even if you've already submitted your new certificate, so just ignore them if you have already completed your Leafwell appointment.

On the flip side, if you have let your state card expire, you will need to register as a NEW patient, NOT a renewal. You can find new patient registration instructions here.

Here's your step-by-step guide for renewing your Missouri medical marijuana card as a patient and for caregivers

  1. Log into the registry portal -
  2. Click "+Create Application."
  3. Choose either "Patient Renewal" or "Caregiver renewal" from the pop-out of application types.
  4. Click "Patient Renewal" or "Caregiver Renewal" from the drop-down menu.
  5. Click "Create Application."
  6. Select your license number from the "License Number*" drop-down.
  7. Click "Save."
  8. This will open the application and allow you to edit each page.
  9. Move through the application by clicking "Save and Next" at the bottom of each screen.
  10. Follow the prompts from there to complete and submit the application renewal. You will need to provide your ID and the updated authorization form. Proof of residency in Missouri is no longer required.
  11. Once you have submitted your application:

    1. You will receive a confirmation email with an application reference code/application ID number, which means that your application has been submitted and is in the application queue.

      1. If you did not, and the application shows an "open" status in the application portal, the application has not been submitted.
    2. The state department has 30 days to process applications — all applicants will be contacted via email when their application is processed
  12. Once an application has been approved, patient and caregiver licenses are immediately available to download from the registry portal. The renewed license will have a new expiration date and must be downloaded from the registry portal.
    1. If applicants have been approved for cultivation, they will receive a separate email with their cultivation authorization license.

Important Notes about approved licenses:

  • Missouri medical marijuana cards are now valid for three years.
  • The department will not be mailing physical cards. It is the patient's/caregiver's responsibility to print their license.
  • If you submit a renewal after your existing card has expired, this will be reactivated once approved.