The Physician Certification Form must be completed and signed by a Missouri licensed Physician or Nurse Practitioner who is licensed to practice in their respective fields and must be in good standing.
A certifying physician must have a current license to practice medicine or osteopathy. Practice of medicine or osteopathy means practice by persons who hold a physician and surgeon license pursuant to Chapter 334, RSMo, including those who are admitted to practice in Missouri by reciprocity pursuant to §334.043, RSMo.
A nurse practitioner must have a current Missouri or compact RN license, maintain national certification in a population focus, and be recognized by the Missouri State Board of Nursing as an advanced practice registered nurse.
As part of the Physician Certification Form, it is recommended that physicians and nurse practitioners review the DHSS Guidance for Certification Appointments, found below, as they will be held to this standard for continued participation in the Missouri Cannabis Regulatory Program.
Once an electronic physician certification form is submitted on behalf of the qualifying patient, the patient must then use their own registry account to submit a new or renewal patient application.
Physician Certification Forms must be submitted with the patient application within 30 days of the certifying physician/nurse practitioner’s signature date on the submitted electronic form.
Physician certifications forms must be submitted electronically by the certifying physician/nurse practitioner within their approved account in the department’s secure electronic registration system. For information on how to establish a physician/nurse practitioner account and to submit an electronic physician certification form on behalf of qualifying patients, visit Certifying Physician/Nurse Practitioner Information.