Illinois Medical Cannibis Verification Form 2026

1. Click ‘Get Form’ to open the Illinois Medical Cannabis Verification Form in our platform.
2. Begin by filling out the 'Petitioner' section. Enter your name and driver's license number clearly in the designated fields.
3. Affirm your enrollment in the Compassionate Use of Medical Cannabis Pilot Program by checking the appropriate boxes regarding your medical cannabis usage and stability in the program.
4. Sign and date the form at the bottom of this section to confirm your statements are accurate.
5. Proceed to the 'Physician’s Office' section. Your physician should print their name, address, telephone number, and medical license number. They must also affirm their recommendations regarding your medical cannabis use.
6. Finally, if applicable, complete the 'Primary Substance Abuse/Alcoholism Treatment Provider' section with details from your counselor, ensuring all affirmations are accurately filled out.

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