Follow the steps to complete your application accurately.

1. Press the ‘Get Form’ button to access the application form. This will allow you to open the form for completion.
2. Begin by selecting if you are a new patient or a renewing patient. Indicate whether you have previously applied for a medical marijuana ID card by choosing ‘Yes’ or ‘No’.
3. Fill in your contact information clearly. This includes your name (last, first, middle initial), date of birth (must be 18 or older), and full address (street, P.O. box, city, state, ZIP code). Make sure to provide a primary phone number and a secondary phone number, checking the boxes if confidential messages may be left on those numbers.
4. Provide your email address if you wish to receive confidential information via email. Remember, this step is optional.
5. Read and understand the patient’s attestation statement. You will need to initial and sign to certify that all information provided is accurate and true.
6. Complete the voluntary demographic information section. This information is used for research purposes and does not affect your eligibility.
7. Have your physician fill out the physician certification section completely. It is required that the physician is licensed in Delaware to complete this section.
8. Ensure the physician signs and dates the certification, confirming that they have assessed your eligibility for medical marijuana based on the qualifying conditions.
9. Complete the patient release of medical information. This allows the medical marijuana program staff to verify your eligibility with your physician.
10. Go through the patient application checklist to ensure all required documents are included. This includes the signed forms and a legible copy of your Delaware driver’s license or state-issued identification.
11. Submit your completed application by mailing it to the Delaware Division of Public Health. Make sure to include the non-refundable application fee.

Start the process online to obtain your medical marijuana ID card in Delaware.