Medical Marijuana

Missouri Medical Marijuana Card

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Missouri Medical Marijuana Card

Medical cannabis is an invaluable substance for many patients. It vastly improves the quality of life and daily function for individuals experiencing an array of chronic and debilitating conditions.

A ballot initiative and resulting amendment to the state constitution made medical marijuana legal in Missouri in 2018. The government assembled the Missouri Medical Marijuana Program to distribute it over the next two years. Medical marijuana sales began in October of 2020.

Today, potential medical marijuana patients with a qualifying condition must obtain certification for medical marijuana from a physician, register with the Department of Health and Senior Services (DHSS) and the Missouri Department of Health, and apply for a card that allows them to purchase and possess four ounces of dry marijuana or its equivalent in other forms.

Missouri Medical Marijuana Card
Missouri Medical Marijuana Card

The application process is straightforward and can be completed online through the DHSS website. Once approved, new patients can legally obtain medical marijuana from a licensed dispensary.

Read on to learn more about the patient application and obtaining a Missouri medical marijuana card.

How to Apply


First, you must undergo an evaluation by an active and licensed Missouri physician. If they decide you will benefit from medical marijuana, they will complete a Physician Certification Form confirming your eligibility with the state.

This form is electronic and will be sent directly to the DHSS. If you’re seeking the standard four doses per month, you’ll need one Physician Certification Form. If your physician says that you need a higher dosage, you’ll need two Physician Certification Forms completed by different physicians for the same qualifying condition.

If the patient receiving medical marijuana is under 18, a Parent/Legal Guardian Consent Form will also need to be completed electronically. Patients with a qualifying caregiver who will obtain their marijuana for them must complete a Patient Authorization Form.

This registration and application process must be completed within 30 days of obtaining physician’s certification.


Once your forms are submitted by the physician, you’ll need to register online through Missouri’s DHSS portal. Be sure to select the correct registration (patient/caregiver). Your electronic Physician Certification Form will already be linked to your new account.


Once you or your caregiver account is registered, you’ll need to complete an application through the online portal. The DHSS will then process the application within 30 days. Missouri does not accept paper or in-person applications.

Missouri Medical Marijuana Card Requirements

Age & Residency

There is no age requirement to obtain medical marijuana in Missouri. However, patients under 18 must register and have a parent or legal guardian register as their caregiver. Missouri only grants medical marijuana cards to its own state residents.

Missouri residents or their primary caregivers must also provide a copy of a photo ID or other identification card, such as a driver’s license. Finally, Missouri patients and caregivers need to provide proof of residency as part of their applications.

Qualifying Conditions

  • Cancer
  • A terminal illness
  • Epilepsy
  • Glaucoma
  • Intractable migraines that do not respond to other treatment
  • A chronic medical condition with severe and persistent pain or muscle spasms, including but not limited to multiple sclerosis, Parkinson’s disease, Tourette’s syndrome, or seizures
  • A debilitating psychiatric disorder, including post-traumatic stress disorder (PTSD), that is diagnosed by a licensed psychiatrist
  • Human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS)
  • Alzheimer’s Disease
  • Cachexia
  • A chronic medical condition typically managed with prescription medications that carries the risk of physical or psychological dependence if medical marijuana could be a more effective and/or safer alternative
  • Any other source of chronic pain or a debilitating medical condition a physician deems suitable for medical marijuana treatment, including amyotrophic lateral sclerosis (ALS), inflammatory bowel disease, Crohn’s disease, autism, neuropathies, sickle cell anemia, or wasting syndrome

Medical Documentation

The applicant is not required to provide DHSS with any medical records or medical history to obtain a card. That being said, the certifying medical marijuana doctor may require some documentation.

The Physician Certification Form they submit on your behalf must include your demographic information, the physician’s information, your qualifying medical condition, the physician’s attestation, the physician’s signature, and the date.

Get Evaluated

Any Medical Doctor (MD) or Doctor of Osteopathy (DO) licensed in the state of Missouri and currently in good standing can complete the certification. All physicians who meet the criteria are allowed to prescribe medical marijuana.

The physician must be registered with DHSS so they can submit the form electronically.

Missouri providers are not required to certify patients for medical marijuana. If your physician does not certify you, you may ask for a referral to another provider who might reach a different conclusion.

Missouri Medical Marijuana Dispensaries

  • Terrapin Care Station, 5408 Prospect, Kansas City, MO 64130
  • BeLeaf Medical, 1315 Cherokee St, Saint Louis MO 63118
  • BD Health Retail, 2126 E Dale St, Springfield MO 65803
  • COMO Health, 4003 Ponderosa St, Columbia MO 65201
  • Fresh Green, 1041 Ne Sam Walton Ln, Lee’s Summit MO 64086

Frequently Asked Questions

The total cost to the state for a medical marijuana card is $25.94 for patients and caregivers. Your physician will charge you separately for your consultation with them.

A caregiver is an individual at least 21 years old who manages the well-being and care of the minor seeking medical marijuana. The individual using medical marijuana and the caregiver must each register with the state and obtain a card. Caregivers can purchase and possess marijuana on behalf of qualified patients.

One patient can have up to two caregivers. An individual may only serve as a caregiver for a maximum of three qualified patients.

No–health insurers do not currently cover the certification process for medical marijuana. Despite state law, medical marijuana remains federally prohibited.

Patient and caregiver cards are valid for one year. Individuals must complete an application to renew their cards each year and pay the requisite application fees before their current cards expire.

You can begin the renewal process within 60 days of your current card’s expiration date.


Missouri began selling medicinal marijuana for an array of chronic conditions in 2020. Patients with debilitating, chronic, or terminal conditions can improve their quality of life with marijuana.

Registration for a card allows you to purchase the equivalent of four ounces of marijuana every thirty days. The registration process is completed online and requires an electronic certification from a state-licensed physician.

Both patients and caregivers can legally purchase and possess marijuana from any licensed state dispensary for the patient’s personal use.

Don’t forget to refer back to this article when you decide to submit an application to the state of Missouri, and good luck!