Medical Cannabis Certification for qualified Arkansans. 

 This certification is required before a patient may submit a patient application* to the Arkansas Department of Health.

*We will provide you a copy of the patient application at your appointment.

REQUEST AN APPOINTMENT FOR CERTIFICATION

To inquire about receiving a Medical Cannabis Certification, please fill out this form.  

Once the form is submitted, one of our nurses will contact you to review your case.

Who can qualify?

You must have A MEDICAL RECORD THAT DOCUMENTS ONE OF THE QUALIFYING MEDICAL CONDITIONS:

Please note that the Arkansas Department of Health has listed the following as qualifying conditions:

 Cancer

 Glaucoma

 Positive status for human immunodeficiency virus/ acquired immune deficiency syndrome

 Hepatitis C

 Amyotrophic lateral sclerosis

 Tourette’s syndrome

 Crohn’s disease

 Ulcerative colitis

 Post-traumatic stress disorder

 Severe arthritis

 Fibromyalgia

 Alzheimer’s disease

 Cachexia or wasting syndrome

 Peripheral neuropathy

 Intractable pain, which is pain that has not responded to ordinary medications, treatment or surgical measures for

more than six (6) months

 Severe nausea

 Seizures, including without limitation those characteristic of epilepsy

 Severe and persistent muscle spasms, including without limitation those characteristic of multiple sclerosis

Cost: $200.00 (no insurance billed)

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