The Physician Certification Form must be completed and signed by a Missouri licensed physician who is active and in good standing to practice medicine or osteopathy pursuant to Missouri law. Physician Certifications must not be issued more than thirty (30) days before the date the patient will apply for a patient identification card or renewal of a patient identification card. At this time, the department is only accepting the Physician Certification as an uploaded document to the patient’s application which can be submitted as early as June 28, 2019.

DHSS Guidance for Certification Appointments NEW

As part of the Physician Certification Form, physicians will be required to attest that certain statements are true. These attestations provide a framework for the certification process and are the primary way in which the department has conveyed the standard of care it expects medical marijuana patients will receive. These expectations can be summarized as follows:

  • In the case of non-emancipated individuals under the age of eighteen, physicians must receive written consent of a custodial parent or legal guardian who will serve as a primary caregiver for the qualifying patient beforecertifying that patient.
  • The physician must meet with and examine the qualifying patient.
  • The physician must review the qualifying patient’s medical records or medical history and the qualifying patient’s current medications and allergies to medications.
  • The physician must have a conversation with the qualifying patient (or the qualifying patient’s custodial parent or legal guardian) about the patient’s current symptoms.
  • The physician must create a medical record for the qualifying patient regarding the meeting and maintain the qualifying patient’s medical record as required in 334.097, RSMo.
  • The physician must have a conversation with the qualifying patient (or the qualifying patient’s custodial parent or legal guardian) about the risks associated with medical marijuana, including any known contraindications applicable to the patient.
  • The physician must have a conversation with the qualifying patient (or the qualifying patient’s custodial parent or legal guardian) about the risks of medical marijuana use to fetuses and to breastfeeding infants, if applicable.
Any physician who falsely attests to these things may be subject to sanctions or penalties under applicable laws and regulations.

For more information regarding physicians and the Physician Certification Form, review 19 CSR 30-95.010 and 19 CSR 30-95.110 which can also be found by using the topics bar at the right-side of the page to navigate to the Rules webpage.