How to Become a Patient

Midway Dispensary has all of the necessary State of Illinois forms ready for you to start the application process. Using the information provided below, you can apply today. Be sure to follow the instructions that apply to you, as there are different processes for patients, designated caregivers, and patients under 18.

If you are already licensed by the Illinois Department of Public Health and wish to select us as your medical cannabis dispensary, you can do so by simply designating “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.

Documents you will need for your application:

  1. Illinois Driver’s License or State ID;
  2. Proof of Residence: Current utility bill, Voter Registration Card, Pay stub issued within 60 days, Bank Statement, Property Tax Bill, Insurance policy, Medical Claim or statement of benefits, W-2 from most recent tax year, tuition invoice from college or university;
  3. Note to Veterans: Bring your DD214 and VA medical records stating your qualifying condition and ongoing treatment over the last 12 months;
  4. Benefit Verification Letter from SSA for supplemental or disability income;
  5. Photograph: Passport photo if mailing application or selfie if submitting electronically;
  6. Fingerprint consent form and fingerprint receipt;
  7. Form of Payment (for the Online Application) or Check/Money Order if you are mailing in your application;

Basic Steps for Applying

1

Physician Certification

Have your physician fill out and submit the “Physician Certification Form” to the Illinois Department of Public Health certifying your qualified condition.

2

Submit your Fingerprints

Submit your fingerprints to the IDPH
through an approved fingerprint vendor.

 

3

Submit your Application

Submit your application with the attachments the Illinois Department of Public Health and appropriate fee for a 1, 2 or 3 year medical cannabis card.

 

Please call Midway Dispensary at (872) 267-7038 with any questions!

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.

Printable Forms for Patients Over 18

If you are over the age of 18 and have a qualifying medical condition, you can apply for a medical cannabis license for yourself using the forms below:

Printable Forms for Designated Caregivers

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:

Printable Forms for Qualifying Patients 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. This allows underage patients to access medical cannabis-infused food products for treating or alleviating symptoms associated with one or more debilitating conditions.

Applicants under 18 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. To get started, review and fill out the forms below to submit to the Illinois Department of Public Health:

Online Patient Application

Patients and caregivers may now submit registry applications online. Please note that 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.

Additional Materials Required with Your Application

In addition to the forms above, you must also submit the following materials with your application.

  • Application Fee of $100 for 1 Year, $200 for 2 Years, or $250 for Three Years (Military Veterans, SSDI, and SSI Patients May Have Their Fee Reduced by Half)
  • 2″X2″ Passport Style Photo (White Background, Full Face Showing)
  • Proof of Residency (For Example: State ID, Utility Bill, Voter ID, Bank Statements)
  • Proof of Identity and Age (Copy of Valid Government Issued Photo ID)

Where to Mail Application Materials

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

Information for Physicians

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.

Contact our medical marijuana dispensary if you have any questions about the application process. We are located in Chicago, Illinois, and serve patients throughout Chicagoland.