Become a Patient

Midway Dispensary has all of the necessary State of Illinois forms ready for you to start the application process. Using the links below you can apply today! Just select the link that applies to you:

If you are already licensed by the Illinois Department of Public Health and wish to select Midway Dispensary as your medical cannabis dispensary, you can do so by simply selecting Midway Dispensary, City of Chicago on your application. 

To select Midway as your Dispensary, click here.

For instructions on how to change your registration from another Dispensary to Midway, click here.

Patients

Are you a patient over the age of 18 with one of the qualifying medical conditions?  If so, here’s what you need to apply:

  1. Submit the Patient Application to the IL Department of Public Health (IDPH).
  2. Have your physician submit a Physician Certification to the IDPH
  3. Submit your fingerprints to the IDPH through an approved fingerprint vendor.

PRINTABLE FORMS:

ONLINE PATIENT APPLICATION!  Patients and caregivers may now submit registry applications online at https://medicalcannabispatients.illinois.gov/. This is only the patient application, you will still need to submit the Fingerprint Consent form (within 30 days of application) and your Doctor must still submit the Physician Certification.

To be included with the above forms you will need:

      1. Application fee of $100 for one year, $200 for two years or $250 for three years.  In certain cases the fee is reduced by half (veterans, SSDI, SSI).  The fees are for a 1, 2 or 3 year license.
      2. 2″x2″ passport style photo of yourself.  (white background, full face showing)
      3. Proof of Residency (for example: state ID, utility bill, voter ID, bank statements)
      4. Proof of Identity and Age (copy of valid government issued photo ID)

Designated Caregiver

Do you know someone with a qualifying condition that would benefit from Medical Cannabis?  Do you qualify as a designated caregiver?  Please review and fill out the forms below:

Qualifying Patient Under 18

Effective January 1, 2015, the Compassionate Use of Medical Cannabis Pilot Program Act was amended to provide registration identification cards for qualifying patients under 18 years of age to access medical cannabis-infused food products for treating or alleviating symptoms associated with one or more debilitating conditions. Applicants under 18 years of Age must obtain certification from a physician with whom they have a bona-fide relationship and from a reviewing physician. Additionally, parent/custodial parent or legal guardian of the qualifying patient under 18 years of age must serve as the caregiver for the patient.  If so, please review and fill out the forms below to submit to the Illinois Department of Public Health:

Online Application and General Applicant Information

Applicants should consider discussing medical cannabis with their physician prior to beginning an application. All applicants, except for veterans receiving care at a VA facility, must provide written certification from their physician for the use of medical cannabis.

Patients and caregivers may now submit medical cannabis registry applications online through a secure electronic application at https://medicalcannabispatients.illinois.gov/.

Persons unable to use the online application may mail application materials to:

Illinois Department of Public Health
Division of Medical Cannabis
535 W. Jefferson St.
Springfield, IL 62761-0001

Helpful Resources for your Application and deciding whether medicinal cannabis is right for you or your patient:

Physician Information

The Illinois Compassionate Use of Medical Cannabis Pilot Program requires physicians to be the gatekeeper for access to medical cannabis. A physician may be a doctor of medicine or osteopathy licensed under the Medical Practice Act of 1987 to practice medicine and must have a current controlled substances license under Article II of the Illinois Controlled Substances Act. No other licensed profession (including dentists) may recommend a qualifying patient for medical cannabis use.

The Physician-Patient Relationship

Physicians are not “prescribing” medical cannabis.   Instead, a physician is asked to certify that in his or her professional opinion a qualifying patient is likely to receive therapeutic or palliative benefit from the use of medical cannabis to treat or alleviate the patient’s debilitating medical condition or symptoms of the debilitating medical condition, and that the potential benefits of the medical use of cannabis would likely outweigh the health risks for this patient.  See 410 ILCS 130/10(y).

Physicians should have a “bona fide” physician-patient relationship with the qualifying patient.   A physician should be able to comfortably certify that the qualifying patient is under the physician’s care, either as the patient’s primary care physician, or for his or her debilitating medical condition.  See 77 Ill. Adm. Code 946.10.

Physicians may accept payment from a qualifying patient for the fee associated with the examination required before recommending medical cannabis.   However, physicians may not accept any remuneration for making a medical marijuana recommendation, nor can they accept any remuneration from any dispensary for such a recommendation.  See 410 ILCS 130/35.   Physicians are entitled to a “safe harbor” under Illinois state law.

The Medical Disciplinary Board may not discipline physicians for making a proper certification for medical cannabis to qualifying patients.  See 410 ILCS 130/25(e).   Unlike other pharmaceuticals, physicians cannot “overprescribe” medical cannabis.   Physicians are not required to regulate dosage, strain, or administration of medical cannabis.  Under the law, qualifying patients are unable to procure unlimited amounts of medical cannabis.

For more information, please visit the Medical Cannabis Pilot Program website: http://www2.illinois.gov/gov/mcpp/Pages/default.aspx.