Application

All patients and legal representatives must complete an application.

Download Application

Along with the application you must submit

A copy of your Florida driver license, Florida identification card, or other proof of residency.

A $75 check or money order (application fee) made out to Florida Department of Health.

A passport-style, color photograph (2x2 inches in size) taken within the 90 days immediately preceding application.

Children

If you are applying for a child under the age of 18, you must also include:

1. A designated legal representative.
2. A Compassionate Use Registry Identification Card Legal Representative Application.
3. A copy of the parent’s or designated legal representative’s proof of residency.

Download Legal Representative Application

Mail

Application packets should be mailed to:

Office of Medical Marijuana Use 
PO Box 31313 
Tampa, FL 33631-3313

Questions? Call (800) 808-9580, Monday-Friday, 8am-5pm