Maine Medical Marijuana Card Application

Maine Medical Marijuana Card Application Form

• Caregiver Application (Word* | PDF*)
• Change of Information Form (Word* | PDF*)
• Designation Form (Word* | PDF*)
• Employee Application (Word* | PDF*)
  • Physicians wishing to certify visiting qualifying patients, please call
    Ginger (207)287-3282 or Nikki (207)287-9330
• Public Petition – Maine Medical Use of Marijuana Program (PDF*)

Maine Medical Marijuana Card Regulations

• MMMP Statute (Title 22, Ch 558-C)  (RFP*)
• MMMP Rules (10-144 CMR, Ch 122)  (PDF*)

Maine Medical Marijuana Card Dispensaries

• List of Maine Medical Marijuana Dispensaries (PDF*)

 

Maine Medical Marijuana Certificate Process

The Division of Licensing and Regulatory Services (DLRS) within the Maine Department of Health and Human Services (DHHS) has launched a custom online service to allow licensed medical providers to certify patients for the use of medical marijuana on January 5, 2015. The online service will only be available to licensed Maine medical physicians and nurse practitioners in good standing and will produce a standard printed certification for all patients in the Maine Medical Use of Marijuana Program. Its use is mandatory.

The new system includes several precautions that ensure information privacy and data integrity and conforms to standard health care information security standards, and offers a variety of benefits to patients, physicians and the DLRS. Enhanced security, direct relationship-building between the patient and provider and the immediate issuance of a patient designation card are just a few of the benefits.

Patient information is not captured or stored in this new system. A basic transaction history will be retained for statistical purposes, which include the date, name of the certifying medical provider, the zip code of the patient and whether the patient is over age 18. Medical provider login information and passwords will be encrypted.

Below is the link to the system.  All providers must go to the link to set up an account* and order paper before they can certify a patient to use Medical Marijuana.

http://www.maine.gov/online/medicalmarijuana

* In order to set up an account, each provider must obtain their license number and access code from their appropriate board of licensure.

Board of Osteopathic 287-2480
Board of Nursing 287-1133
Board of Medicine 287-3601

For more information, please contact Marietta D’Agostino at 287-9300.