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 30-day 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