TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER u: MISCELLANEOUS PROGRAMS AND SERVICES
PART 946 COMPASSIONATE USE OF MEDICAL CANNABIS PATIENT REGISTRY
SECTION 946.310 PHYSICIAN WRITTEN CERTIFICATION


 

Section 946.310  Physician Written Certification

 

a)         A certification confirming the patient's debilitating medical condition shall be written on a form provided by the Department and shall include, at minimum, the following:

 

1)         The qualifying patient's name, date of birth, home address and primary telephone number;

 

2)         The physician's name, address, telephone number, e-mail address, medical license number, indication of specialty or primary area of clinical practice, if any, and active controlled substances license under the Illinois Controlled Substances Act;

 

3)         The length of time the qualifying patient has been under the care of the physician;

 

4)         The qualifying patient's debilitating medical condition;

 

5)         A statement that the physician has confirmed a diagnosis of a debilitating medical condition; is treating or managing treatment of the patient's debilitating condition; has a bona-fide physician-patient relationship; has conducted an in-person physical examination; has conducted a review of the patient's medical history, including reviewing medical records from other treating physicians, if any, from the previous 12 months; and

 

6)         The physician's signature and date.

 

b)         The physician written certification does not constitute a prescription for medical cannabis.

 

c)         Applications for qualifying patients under 18 years old shall require a written certification from a physician and a reviewing physician.

 

(Source:  Amended at 40 Ill. Reg. 16753, effective December 15, 2016)