FORMS

Medical Marijuana has several possible beneficial effects.  Moderate evidence shows that it helps in chronic pain and muscle spasms.  Some evidence suggests its use for reducing nausea during chemotherapy, improving appetite in HIV/AIDS, improving sleep, and improving tics in Tourette's syndrome.  When usual treatments are ineffective or failed Medical Marijuana might be the alternative choice of treatment.  Medical Marijuana has also been helpful in treating multiple other medical conditions, but Ohio has approved the use for Only 22 Medical Conditions.  These are list to the Right.  

It is recommended that marijuana use be stopped in pregnancy. 

If you are currently living with one of the conditions listed below, then you might be eligible for treatment with Medical Marijuana in Ohio. Medical Marijuana is legal in Ohio with a recommendation from a certified physician with a Certificate to Recommend  (CTR)  license.  Before you go to a Medical Marijuana Dispensary a recommendation must be completed and a Medical Marijuana Card issued.

□  AIDS 

□  Amyotrophic Lateral Sclerosis □  Alzheimer’s Disease  

□  Cachexia, Wasting Syndrome

□  Cancer 

□  Chronic Traumatic Encephalopathy  

□  Crohn’s Disease 

□  Epilepsy or Another Seizure Disorder 

□  Fibromyalgia 

□  Glaucoma 

□  Hepatitis C 

□  Multiple Sclerosis 

□  Parkinson’s Disease 

□  Positive Status for HIV 

□  Post-Traumatic Stress Disorder 

□  Sickle Cell Anemia 

□  Spinal Cord Disease or Injury 

□  Tourette’s Syndrome 

□  Traumatic Brain Injury 

□  Ulcerative Colitis 

□  Inflammatory Bowel Disease 

□  Pain that is either chronic and severe or intractable:  Location of Pain___________

       □  Arthritis   □  Chronic Migraines   □  Complex Regional Pain Syndrome

Side effects of medical marijana can include but are not limited to:   Memory loss, Irregular heartbeat, Slower reaction time/inability to concentrate, Poor physical condition, Dizziness, Numbness, Cough/bronchitis/shortness of breath, Impaired vision, Dry mouth, Confusion, Drowsiness/fatigue/abnormal sleep,  Depression, Laryngitis, Low blood pressure, Impairment of motor skills, Agitation, Anxiety/Nervousness, Suppression of immune system, Hunger/Loss of appetite, Paranoia/psychotic symptoms, Dependency, Feelings of euphoria, Sedation, Headache/nausea/vomiting.

Must have payment at time of recommedation consultation in the form of:  Cash, Credit Card, or Money Order     

Initial Visit: $250      10% Reduction for Veterans =$225  Must bring Veteran validation. 

Follow-Up:  $150.  (Veteran is $135)

1.  Please bring Supporting Documents concerning the Qualifying Medical Condition from your   

     Primary Physician and/or Physician caring for your above qualifying medical condition.  This 

     is the information that is used to help make your recommendation.   

     Examples: Physician Notes, X-ray, CT scan, MRI, EMG etc.. or treatments such as Surgery, Injections, 

     Medications, and Therapy etc.  Not bringing documents will delay this recommendation.  

2.  Bring Your Photo ID = Ohio Drivers License, Ohio State ID, Military ID, Passport.  

     Minor Must Have Photo ID.  Ohio State ID  

3.  Can have Up to 2 caregivers and must come to your initial appointment. 

       - Must be over the age of 21 

       - Must Bring Photo ID = Ohio Drivers License, Ohio State ID, Military ID, Passport.  

4.  Must have an Email at time of Visit - this is how you receive your Link from the Ohio Board

     of Pharmacy. You will be unable to register without an email.   

5.  Download and Complete Forms.   Please complete the forms to the best of your ability, all 

      forms will be reviewed at your appointment.  Paperwork can take up to 20-30  complete.  If 

      unable to download arrive 30 minutes early for paperwork.

The Ohio Medical Marijuana Control Program Toll-Free Helpline responds to inquiries from patients, caregivers, and health professionals regarding adverse reactions to medical marijuana, and provides information about available services and additional assistance as needed. To contact the line, please dial: 1-833-4OH-MMCP (1-833-464-6627)

Educational Resources:

http://www.medicalcannabis.com/patients-care-givers/

http://www.medicalcannabis.com/indications/

http://www.medicalcannabis.com/cannabis-science/safety-profile/chronic-use-study/

http://www.MedicalCannabis.com/Science/OpiodSparing/

https://medicalmarijuana.ohio.gov/

https://www.webmd.com/vitamins/ai/ingredientmono-947/marijuana