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For in-store pickup and statewide delivery Shop Online or call 844.878.5438.
For in-store pickup and statewide delivery Shop Online or call 844.878.5438.
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Application

All patients and legal representatives must complete an application.

Download Application

Along with the application you must submit

  1. A copy of your Florida driver license, Florida identification card, or other proof of residency.
  2. A $75 check or money order (application fee) made out to Florida Department of Health.
  3. A passport-style, color photograph (2x2 inches in size) taken within the 90 days immediately preceding application.
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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

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Mail

Application packets should be mailed to:

Florida Department of Health
ATTN: Office of Compassionate Use
4052 Bald Cypress Way
Tallahassee, FL 32399