Advanced Practice Registered Nurse (APRN) / Nurse Practitioner (NP) Request to Access Electronic Recommendation Form
Complete this form electronically. Once this form is submitted, the Department will verify that your DC Healthcare Professional License is active and in good standing. You will receive an email with instructions on how to access the electronic medical marijuana recommendation form. Please allow 1-3 business days to verify your license. For additional information, please visit the Division of Medical Marijuana and Integrative Therapy website at http://doh.dc.gov/mmp.
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APRN / NP Information

Business Address

Signature

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 Marijuana Laws and Regulations.

Except as provided in section 8 of the Act, a Healthcare Professional License shall not be subject to any penalty, including arrest, prosecution, or disciplinary proceeding, or denial of any right or privilege, for advising a qualifying patient about the use of medical marijuana or recommending the use of medical marijuana to a qualifying patient pursuant to the Act and the rules issued pursuant to the Act.
The United States Congress has determined that marijuana is a controlled substance and has placed marijuana in Schedule I of the Controlled Substance Act. Growing, distributing, and possessing marijuana in any capacity, other than as a part of a federally authorized research program, is a violation of federal laws. The District of Columbia’s law authorizing the District’s medical marijuana program will not excuse any person from any violation of the federal laws governing marijuana or authorize any registrant to violate federal laws.