Medical Cannabis Materials and Forms

Educational Materials

NOTE: As a convenience to our stakeholders, the Office of Medical Cannabis is offering several new fact sheets available for download directly from our website. In addition, we streamlined information in the patient guide into one brochure. Brochures focused on patients and caregivers will still be available for printing, but other brochures will not. We have redesigned those materials into one-pagers to better support program outreach.

Brochures

• Minnesota's Medical Cannabis Program: Patients' Guide (PDF)
• Minnesota's Medical Cannabis Program: Caregivers' Guide (PDF)

One-pagers

• Patient Enrollment Process (PDF)
• Caregiver Enrollment Process (PDF)
• Health Care Practitioner Registration Process (PDF)
• Frequently Asked Questions for Public Safety Professionals (PDF)

Order brochures

• Order Minnesota Office of Medical Cannabis Brochures
  

MDH is updating its materials for the Medical Cannabis Program. New brochures (one focused on patients and another for caregivers) will be available for distribution when printing is complete. Other brochures have been redesigned into one-pagers and will no longer be available for ordering from this site for Flaire Print Communications, Inc.

The Office of Medical Cannabis is in the process of printing the two new brochures; if you need a PDF of those in the meantime, you can access them above. Thank you for your patience as we transition our educational materials.

*We are unable to approve orders above the quantity of 50 of each of the brochures. If you are requesting an order larger than that, please contact us at health.cannabis@state.mn.us.

Forms

• Designated Caregiver Background Check Informed Consent Form (PDF)
  
  
• Patient Email and Acknowledgment Form (PDF)
  
  
• Unauthorized Medical Cannabis Possession Report (Interactive PDF)
  
  
• Unauthorized Medical Cannabis Possession Report (PDF)
  A licensed peace officer must complete this form to report an instance where an unauthorized individual is found to be in possession of medical cannabis.


• MN Office of Medical Cannabis Complaint Form (Interactive PDF)
  
  
• MN Office of Medical Cannabis Complaint Form (PDF)
  Use this form to report knowledge of a suspected violation of rules and/or statutes governing the Minnesota Medical Cannabis Program.
  

  Completed forms may be mailed to:

  Office of Medical Cannabis
  PO Box 64882
  St Paul, MN  55164-0882
  

Acknowledgment/Consent/Disclosure Documents

• Health Care Practitioner Patient Certification Acknowledgment (PDF)
  
  
• Health Care Practitioner Registration Acknowledgment (PDF)
  
• Parent or Legal Guardian Acknowledgment/Consent/Disclosure (PDF)
  • Fillable version (PDF)
• Patient Tennessen Notice and Acknowledgment (PDF)
  
  
• Patient Information Document (PDF)
  
  
• Caregiver Acknowledgment/Consent/Disclosure (PDF)
  
  
• Pharmacist Acknowledgment/Consent/Disclosure (PDF)
  
  
• Pharmacy Receptionist or Technician Acknowledgment/Consent/Disclosure (PDF)

Reference Guides for the Medical Cannabis Registry

The reference guides below have been created to help make using the Medical Cannabis Registry easier. Each guide provides simple instructions along with corresponding screen shots, highlighting steps to register and common account management activities.

• How to Register in the Medical Cannabis Program: A Guide for Adult Medical Cannabis Patients (PDF)
  This reference guide provides assistance to certified adult patients with a certified email notification to create an account in the Medical Cannabis Registry..
  
  
• How to Register Your Minor Child in the Medical Cannabis Program: A Guide for Parents and Legal Guardians (PDF)
  This reference guide provides assistance to certified minor patients (or parents and legal guardians with a minor patient) with an invitation to create an account; parents and legal guardians can use guide to complete the enrollment process.
  
  
• How to Register in the Medical Cannabis Program: A Guide for Caregivers (PDF)
  This reference guide provides registration assistance for people who have been selected to serve as a caregiver for a medical cannabis patient.
  
  
• Managing Your Medical Cannabis Registry Account: A Guide for Medical Cannabis Patients (PDF)
  Approved patients can use this guide to edit account information (update address and name, add/remove parent/legal guardian and caregiver); print/view the registry verification card; edit account settings (change password, email/username, and security questions/answers); and complete self-evaluation reports.
  
  
• Managing Your Medical Cannabis Registry Account: A Guide for Health Care Practitioners (PDF)
  Approved health care practitioners can use this reference guide to manage the account settings (change password, email/username, and security questions/answers); to certify or re-certify patients; allow for a caregiver; and complete patient experience surveys.
  
  
• Managing Your Medical Cannabis Registry Account: A Guide for Medical Cannabis Caregivers (PDF)
  Approved caregivers can use this guide to edit account information, print/view the registry verification card, and edit account settings.
  
  
• Reset Password (PDF)
  This reference guide provides assistance in resetting a password if a password is forgotten or the user has a locked account.

Surveys

The Office of Medical Cannabis currently employs three surveys that are administered via the Medical Cannabis Patient Registry. These surveys give patients and their certifying health care practitioner to give us critical feedback on the patient’s experience with the program.

Patient Surveys

• Patient Experience Survey (PDF)
  

  Sent to patients 90 and 180 days after their first medical cannabis transaction, upon the patient’s annual program re-approval, and 180 days after re-approval.

Health Care Practitioner Surveys


• Health Care Practitioner Survey (PDF)
  

  Sent to the certifying health care practitioner of each patient except those certified for intractable pain. It is sent 180 days after the patient’s first medical cannabis transaction, upon the patient’s annual program re-approval, and 180 days after re-approval.
  

• Health Care Practitioner Intractable Pain Survey (PDF)
  

  Sent to the certifying health care practitioner of patients certified for intractable pain. It is sent 180 days after the patient’s first medical cannabis transaction and 180 days after annual patient re-approval.
  

• Health Care Practitioner Intractable Pain Re-approval Survey (PDF)
  

  Sent to the certifying health care practitioner of patients certified for intractable pain. It is sent at annual patient re-approval.