Section 22-C502. QUALIFYING PATIENTS APPLICATION

 

502.1To apply for a patient registration identification card, an applicant shall submit a completed application to the Department on the required forms, which shall include:

 

(a)The applicant’s social security number, or if the applicant does not have a social security number, the applicant shall:

 

(1)Submit with the application a sworn affidavit, under penalty of perjury, stating that he or she does not have a social security number; and

 

(2)Provide the Department with his or her social security information once a social security number has been obtained;

 

(b)Two (2) recent passport-type photographs of the applicant’s face measuring two inches by two inches (2 in. x 2 in.), which clearly expose the area from the top of the forehead to the bottom of the chin;

 

(c)One (1) clear photocopy of a U.S., state, or District government-issued photo ID, such as a driver’s license, as proof of identity;

 

(d)Proof of District residency, including his or her District of Columbia residential address which shall not be a post office box    number;

 

(e)A signed and dated written physician’s recommendation for the use of medical marijuana meeting the requirements of this chapter, that is dated not more than ninety (90) days prior to the application date;

 

(f)Designation of the dispensary where the qualifying patient will receive his or her medical marijuana;

 

(g)Designation of the individual who will serve as his or her caregiver, if applicable; and

 

(h)Payment of the required application fee.

502.2To apply for a registration identification card for a minor, the parent or legal guardian of the minor shall submit a completed application to the Department on the required forms, which shall include:

 

(a)The minor and parent or legal guardian’s social security numbers, or if the applicant does not have a social security number, the applicant shall:

 

(1)Submit with the application a sworn affidavit, under penalty of perjury, stating that he or she does not have a social security number; and

 

(2)Provide the Department with his or her social security information once a social security number has been obtained;

 

(b)Two (2) recent passport-type photographs of the minor’s face measuring two inches by two inches (2 in. x 2 in.), which clearly expose the area from the top of the forehead to the bottom of the chin;

 

(c)One (1) clear photocopy of U.S., state, or District government-issued photo ID issued to the parent or legal guardian, such as a driver’s license, as proof of identity;

(d)Proof of the minor and parent or legal guardian’s District residency, including his or her District of Columbia residential address which shall not be a post office box number;

 

(e)A signed and dated written physician’s recommendation for the use of medical marijuana meeting the requirements of this chapter, that is dated not more than ninety (90) days prior to the application date;

 

(f)Designation of the individual who will serve as the minor’s caregiver;

(g)Designation of the dispensary where the qualifying patient will receive his or her medical marijuana;

 

(h)The signed, written statement of the minor’s parent or legal guardian affirming that he or she:

 

(1)Understands the qualifying medical condition or qualifying medical treatment of the minor;

 

(2) Understands the potential benefits and potential adverse effects of the use of medical marijuana, in general, and specifically, in the case of the minor;

 

(3)Consents to the use of medical marijuana for the treatment of the minor’s qualifying medical condition or treatment of the side effects of the minor’s qualifying medical treatment; and

 

(4)Consents to, or has designated another adult to, serve as the caregiver for the qualifying patient and that the caregiver will control the acquisition, possession, dosage, and frequency of use of medical marijuana by the qualifying patient; and

 

(i)Payment of the required application fee.

 

502.3The minor’s designated caregiver shall also register with the Department and obtain a caregiver registration identification card. 

authority

The Mayor, pursuant to section 14 of the Legalization of Marijuana for Medical Treatment Initiative of 1999 (Act), effective July 27, 2010 (D.C. Law 18-210; D.C. Official Code §§ 7-1671.01, et. seq. (2011 Supp.)).

source

Notice of Emergency and Third Proposed Rulemaking published at 58 DCR 3299 (April 15, 2011)[EXPIRED]; as amended by Notice of Emergency and Fourth Proposed Rulemaking published at 58 DCR 7207 (August 12, 2011)[EXPIRED]; as amended by Notice of Final Rulemaking published at 58 DCR 10128, 10142 (December 2, 2011).