77 Ill. Adm. Code 946.310
Health Care Professional Written Certification for the Medical Cannabis Program
Section 946.310Â Health Care Professional Written
Certification for the Medical Cannabis Program
a)Â Â Â Â Â Â Â Â A
certification confirming the patient's debilitating medical condition shall be
written on a form provided by the Department or shall be submitted in
electronic format and shall include, at minimum, the following:
1)Â Â Â Â Â Â Â Â The
qualifying patient's name, date of birth, home address and primary telephone
number;
2)Â Â Â Â Â Â Â Â The certifying
health care professional's name, address, telephone number, e-mail address,
medical license number, indication of specialty or primary area of clinical
practice, if any, and active controlled substances license under the Illinois
Controlled Substances Act;
3)Â Â Â Â Â Â Â Â The
length of time the qualifying patient has been under the care of the certifying
health care professional;
4)Â Â Â Â Â Â Â Â The qualifying
patient's debilitating medical condition;
5)Â Â Â Â Â Â Â Â A
statement that the certifying health care professional has confirmed a diagnosis
of a debilitating medical condition; is treating or managing treatment of the
patient's debilitating condition; has a bona-fide health care professional-patient
relationship; has conducted an in-person physical examination has conducted a
review of the patient's medical history, including reviewing medical records
from other treating health care professionals, if any, from the previous 12
months;
6)Â Â Â Â Â Â Â Â The certifying
health care professional's signature and date of certification; and
7)
A
statement that a participant in possession of a written certification
indicating a debilitating medical condition shall not be considered an unlawful
user or addicted to narcotics solely as a result of his or her pending
application to or participation in the Compassionate Use of Medical Cannabis
Program.
(Section 36 of the Act)
b)Â Â Â Â Â Â Â Â The certifying
health care professional written certification does not constitute a
prescription for medical cannabis.
c)Â Â Â Â Â Â Â Â Applications
for qualifying patients under 18 years old shall require a written
certification from a certifying health care professional and a reviewing health
care professional. A written certification from a reviewing health care
professional is not required for persons under 18 years old who have been
diagnosed with a terminal illness.
d)
It
is unlawful for any person to knowingly submit a fraudulent certification to be
a qualifying patient in the Compassionate Use of Medical Cannabis Program or
a
qualifying
Opioid Alternative Pilot Program participant. A violation of this
subsection shall result in the person who has knowingly submitted the
fraudulent certification being permanently banned from participating in the
Compassionate Use of Medical Cannabis Program or the Opioid Alternative Pilot
Program.
(Section 36 of the Act)