Patient Application


Please gather all the required information and documents you will need before starting your application. Incomplete applications cannot be saved and returned to later.

Require items include:

  • A healthcare practitioner recommendation with a date of issuance within 90-days of the application submission date
  • Social Security Number or a copy of a sworn affidavit stating lack of one
  • Two (2) current face photos, 2x2 inches
  • One (1) copy of government-issued photo identification
  • Two (2) proofs of DC residency
  • Caregiver Application Form (Optional)

Upon submission, you will be sent a confirmation of receipt email. If your application is given initial approval, you will be sent a second email detailing payment options within three (3) business days.

To ensure prompt receipt, please add our email address ( your safe senders list, address book, or contact list.

Program details are available 24/7 at Phone and email inquiries are responded to Monday-Friday from 8:30 a.m.-4:00 p.m.

* Indicates a required field

Recommendation Information

Patient Information

Required Documents

Required Documents--Reduced Fee Applicants Only

Required Documents--Applicants with No SSN Only

Optional--Applicants Designating a Caregiver Only

Intended Fee Payment Method


By typing my name and the date below, I verify that I am the person identified above and that all information provided is true to the best of my knowledge. I am acknowledging that I am aware of District of Columbia Medical cannabis Laws and Regulations and stated terms and conditions