Arizona Medical Marijuana Program
- We would like to inform you that the Information Technology Services division of the Arizona Department of Health Services is going to perform database maintenance starting on Saturday, November 1 2014 at 10 PM and expected to be completed by Sunday, November 2, 2014 at 10 AM. During this period of time, the Medical Marijuana Online Registry Applications will not be available. We apologize for the inconvenience this maintenance downtime may cause.
- The Arizona Department of Health Services will accept Dispensary Registration Certificate applications in late 2015. There will be more information forthcoming regarding which, and the number of, CHAAs that will be available.
- Dispensary Agent/Member Attestation Form
- Patient Attestation Form
- Add/Replace Caregiver Form (for Qualified Patients only)
- Patients Under 18 Attestation Form
- Caregiver Attestation Form
- Physician Certification Form
- Reviewing Physician Form for Patients Under 18
- Fingerprint Verification Form
Note: Information provided in PDF files, unless otherwise indicated.