Medical Marijuana

Authorization Form

To be a Washington State medical marijuana patient, you must be a resident of the state under the care of a healthcare practitioner for your qualifying medical condition and provided a Medical Marijuana Authorization Form from your healthcare practitioner allowed to authorize marijuana for medical purposes. 

Authorization form requirements

All authorizations must be completed and signed by the patient's healthcare practitioner. The form must be printed on 8.5 x 11 inch authorization tamper-resistant paper as defined in RCW 69.51A.010.

Important note: Authorization forms printed on tamper-resistant paper containing the Pharmacy Commission seal are not valid and will prevent a patient from being entered into the Medical Marijuana Authorization Database.

• Please read the Medical Marijuana Authorization Form Guidelines (PDF) before downloading the Medical marijuana authorization form (PDF) - (for doctor use only).
• Do not mail, fax, or email medical marijuana authorization forms to the Department of Health. The department doesn't request, receive or retain authorization forms or register or issue medical marijuana recognition cards for patients. If a patient wants to register with the authorization database, they can schedule an appointment with a Medical Marijuana Consultant at a medically-endorsed store.

To learn more, visit the Medical Marijuana Program's most frequently asked questions webpage.