![]() ![]() a W-2, 1099 Statement, Form 1098, or other correspondence from the Internal Revenue Service (IRS) or the New Jersey Division of Taxation from the last year that shows patient’s name and address (We do not accept a Form 1040 or Form 1095).a utility or cell phone bill from the last 90 days.If you do not have a current New Jersey state issued ID reflecting your physical address you made provide twoother proofs of residency from the list below:.A current New Jersey government-issued ID ortwo proofs of residency. ![]() taken with eyes open and facial expression neutral.taken against a plain, white background.A recent full-face, front facing photograph.To set up your account you will also need:.Identify an Alternative Treatment Center where you will be able to purchase your medicinal cannabis doses.With an Authorizing Provider Statement from your healthcare provider you will have a reference ID number and a registry ID number to set up an account to complete your application.Determine if your current healthcare provider is a participant in the program or find a participating healthcare practitioner.The healthcare provider assumes responsibility for providing management and care of the patient’s qualifying medical condition after conducting a comprehensive medical history and physical examination, including a personal review of the patient’s medical record maintained by other treating physicians reflecting the patient’s reaction and response to conventional medical therapies.īe diagnosed with a qualifying medical condition by a New Jersey healthcare practitioner registered with the New Jersey Medicinal Cannabis Program.Īpproved qualifying medical conditions include:.The healthcare provider has seen and/or assessed the patient for the debilitating medical condition on at least four visits or.The practitioner-patient relationship has existed for at least one year or.Maintain a bona fide relationship with a healthcare provider who is registered with the program.Ī bona fide relationship is defined as a relationship in which the healthcare practitioner has ongoing responsibility for the assessment, care, and treatment of a patient’s qualifying medical condition, where: To become a registered patient with the New Jersey Medicinal Cannabis Program (NJMCP), you must:
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