Non Resident Adult Patient Application

Instructions:

Before starting your application, please gather all the required information and documents you will need to complete it. Incomplete applications cannot be saved and returned to later. If you are a DC resident, please use this form DC Resident - Adult Patient Application.

Duplicate applications will prevent further processing without ABCA staff intervention, limited to business hours. Please verify your information before submission. Registration fees are non-refundable.

Required items include:

  • 1. Self-Certification for individuals 21 and older*
  • 2. One (1) copy of government-issued photo ID*
  • 3. One (1) current face photo, "2x2"*
  • 4. Thirty dollar ($30) registration fee*

Upon submission, you will be sent an email with a payment link.

After documents and payment is received, you will receive an email that will serve as your Non Resident Medical Cannabis Patient Registration. Once in receipt, you can use it immediately.

To ensure prompt receipt, please add our email addressABCA.CannabisInfo@dc.gov to your safe senders list, address book, or contact list.

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

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Patient Information

Verify Date of Birth

Required Documents

Intended Fee Payment Method

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 cannabis Laws and Regulations and stated terms and conditions

Verify Date of Birth