How to Sign Up

Thank you for your interest in FloraMedex and the Illinois Medical Cannabis Pilot Program. Below you will find links for the online medical cannabis application, finger print vendor, and a list of doctors that are willing to certify qualified patients for the program. If you have any questions you can always call us at (708) 452-7688

 

Electronic Application

 

Fingerprint Vendor

 

Certifying Doctor List

 

Patient Application

Patient Application Instructions

 

Caregiver Application

Caregiver Application Instructions

 

Physician Certification Form

 

Reviewing Certification Form For Minors

 

Waiver To Increase Adequate Supply

 

Application (including physician information) for those with a terminal illness

 

Terminal Illness Application

 

Fingerprint Consent Form

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