http://www.ct.gov/dcp/cwp/view.asp?a=4287&q=509626 

How to Register 

 Physician Certification Process

 Patient Registration Process

 Primary Caregiver Registration Process

Physician Certification Process: 

Physicians are the gatekeepers to the medical marijuana registration system. No patient or caregiver can log in to the system until a physician initiates their application.

Once you, the physician, conclude that your patient should be registered with the Department of Consumer Protection for the palliative use of marijuana, you can access our online registration system to certify your patient as meeting the medical pre-requisites for a registration certificate.

To begin certifying your patients you must: 

 Confirm you meet the Physician Requirements and Eligibility in terms of having the proper licenses and registrations.

 Create a DAS Business Network Account so you can access the online registration system.

 Log in to the registration system using your DEA Number and the last four digits of your social security number.

 Be prepared to obtain contact information for your patient, including a valid e-mail address (if your patient has one) and a primary phone number. This information must be included in the patient profile page of your certification before you can submit the certification.

Patient Registration Process: 

Physicians may certify qualified patients for the palliative use of marijuana through an online registration system that the Department of Consumer Protection has developed.

If you are a patient seeking to register with the Department’s Medical Marijuana Program you must:

Make an Appointment with Your Physician: 

 Only your physician can initiate your application by certifying for the Department that you have a medical condition that qualifies you for a medical marijuana registration certificate.

 If your physician decides to certify you for a medical marijuana registration certificate, he or she will ask you for a number of things including:

o A valid e-mail address: This should be an email address that you are comfortable using in connection with your medical marijuana registration as it will be the primary method the Department will use to communicate with you. Therefore, please be careful before providing an email address that others can access or that belongs to your employer. If you do not have a valid e-mail address, the system will provide a temporary e-mail address to your physician, which he or she will provide to you for purposes of completing your registration application. The temporary e-mail address will not otherwise be functional and the Department will communicate with you through other means. 

o A primary telephone number: This should be a personal telephone number that the Department can use to contact you about your medical marijuana registration.

 Create a DAS Business Network Account so you can access the online registration system using the email address you provided to your physician.

 Log in to your account, verify that the information your physician submitted is accurate and answer a series of certification questions.

 Submit the following: 

o Proof of Identity ( see examples )

o Proof of Connecticut residency ( see examples )

o Current passport size photograph ( see photograph requirements )

o $100.00 registration fee (checks/money orders should be made payable to “Treasurer, State of CT”)

You will be able to upload these documents and pay the fee when you submit your registration application online or you can mail them to the Department.

Register Your Primary Caregiver, if Applicable 

 If your physician certification indicates a need for you to have a primary caregiver, you must register a qualified caregiver before the Department will issue you a registration certificate. The Department will not register a patient who needs a primary caregiver until the caregiver’s application is completed and approved. 

Primary Caregiver Registration Process: 

If a patient’s physician certifies the need for the patient to have a primary caregiver, the patient may register one person to act as their caregiver with respect to their palliative use of marijuana.

A primary caregiver applicant will only be able to access the online registration system if: 

 The patient’s physician indicates a need for a primary caregiver; and

 The patient identifies the applicant as the person who will serve as their primary caregiver.

To register with the Department, a primary caregiver must: 

 Have their patient identify them as their primary caregiver on their registration application. In this regard, the patient must provide identifying information about their caregiver, including:

o A valid e-mail address : This should be an email address that you are comfortable using in connection with your medical marijuana caregiver registration as it will be the primary method the Department will use to communicate with you. Therefore, please be careful before providing an email address that others can access or that belongs to your employer. If you do not have a valid e-mail address, the system will provide a temporary e-mail address to the patient, which he or she will provide to you for purposes of completing your registration application. The temporary e-mail address will not otherwise be functional and the Department will communicate with you through other means. 

o A primary telephone number: This should be a personal telephone number that the Department can use to contact you about your medical marijuana caregiver registration.

 Create a DAS Business Network Account so you can access the online registration system using the email address you provided to your physician.

 Log in to your account, verify that the information your physician submitted is accurate and answer a series of certification questions.

 Submit the following: 

o Proof of Identity ( see examples )

o Proof of Connecticut residency ( see examples)

o Current passport size photograph ( see photograph requirements )

o $25.00 registration fee (checks/money orders should be made payable to “Treasurer, State of CT”)

You will be able to upload these documents and pay the fee when you submit your registration application online or you can mail them to the Department.

Content Last Modified on 9/6/2013 2:34:45 PM