Best Practice for State program

Reports from Minnesota  

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Medical Cannabis Print Materials and Forms

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Print Materials

• Minnesota Medical Cannabis Program: A Guide for Patients

  • Printable version (PDF)

• You're Registered with the Program...Now What?: A Guide for Patients - II (PDF)

• Minnesota Medical Cannabis Program: Health Care Practitioner Navigator I: Your Role & Responsibilities(PDF)

• Health Care Practitioner Navigator II: Register Yourself and Certify Patients (PDF)

• Caregivers' Companion: A Guide for Patients' Parents, Legal Guardians and Designated Caregivers (PDF)

• Public Safety Professionals' Primer (PDF)

Order Minnesota Office of Medical Cannabis Tri-Fold Brochures for use in your Office/Clinic/Department

• Order Minnesota Office of Medical Cannabis Tri-Folds

• MDH has set up a way for you to order brochures for your practice, office or department free of charge with Flaire Print Communications, Inc. If you do this, you will be working directly with Flaire Print Communications, Inc., not MDH. We’re are doing this in the hope that it is convenient, not as an endorsement of Flaire Print Communications, Inc.

• We can also provide you with electronic copies of the brochures, if you’d like to have them printed elsewhere.

Forms

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• Designated Caregiver Background Check Informed Consent Form (PDF)

• Patient Email and Acknowledgment Form (PDF)

• Unauthorized Medical Cannabis Possession Report (Interactive PDF)

• Note: Browsers using a PDF viewer other than Adobe Reader may not display this document correctly. For more information, see Change Browser Settings to Use Forms (PDF).

• Unauthorized Medical Cannabis Possession Report (PDF)

• Firefighters, paramedics, emergency medical technicians and licensed peace officers must complete this form to report an instance where an unauthorized individual is found to be in possession of medical cannabis.

• MN Office of Medical Cannabis Complaint Form (Interactive PDF)

• Note: Browsers using a PDF viewer other than Adobe Reader may not display this document correctly. For more information, see Change Browser Settings to Use Forms (PDF).

• MN Office of Medical Cannabis Complaint Form (PDF)

• Use this form to report knowledge of a suspected violation of rules and/or statutes governing the Minnesota Medical Cannabis Program.

Completed forms may be mailed to: Office of Medical Cannabis PO Box 64882 St Paul, MN  55164-0882

Acknowledgment/Consent/Disclosure Documents

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• Health Care Practitioner Patient Certification Acknowledgment (PDF)

• Health Care Practitioner Registration Acknowledgment (PDF)

• Parent or Legal Guardian Acknowledgment/Consent/Disclosure (PDF)

  • Fillable version (PDF)

• Patient Tennessen Notice and Acknowledgment (PDF)

• Patient Information Document (PDF)

• Caregiver Acknowledgment/Consent/Disclosure (PDF)

• Pharmacist Acknowledgment/Consent/Disclosure (PDF)

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