The person providing certification is usually a physician (M.D. or D.O.), who confirms that you have a qualifying condition—a health problem with symptoms that could, hypothetically, be alleviated by cannabis. You’ll probably need it in writing, but some states allow oral consent.

Other health care professionals who can certify in certain states include physician assistants, nurse practitioners, registered nurses, naturopaths, dentists, podiatrists, and nurse midwives. Some states also require a registered pharmacist to be at dispensaries to advise people on the appropriate cannabis preparation and delivery method for their qualifying conditions. You don’t necessarily have to get certified by your usual doctor. In fact, most primary care providers in the United States don’t offer this service. But you can also find physicians who specialize in providing access to medical cannabis. You may see them referred to as “marijuana doctors” or “medical marijuana clinics.”

Registration
States require you to be on an official list, or registry, as a certified medical cannabis user. You may be required to obtain a physical card. Or you may need to be added to a database that medical cannabis providers can check. You will probably pay a fee for registration, typically good for one year.


Caregiver access
Medical cannabis laws allow you to designate a primary caregiver. This person is an adult who acts as an intermediary to buy, deliver, and/or administer medical cannabis to certified patients. A caregiver can also grow the cannabis, or help the patient to do it. It can be a family member or friend, but is often a home health care provider or other medical professional.

Where you buy it
Some states allow privately run, for-profit cannabis dispensaries— brick-and-mortar facilities where a certified patient or caretaker can enter and buy products. You generally need to prove that you are certified to enter.

In other states, only nonprofit dispensaries are permitted. Or the state may allow people to obtain medical cannabis from nonprofit “collectives” in which multiple patients band together to produce and provide cannabis to themselves.

Some states allow patients to cultivate a limited number of cannabis plants for medical use.

State laws vary on how much cannabis you can possess at any given time. They may specify either actual ounces of products, an amount to last a certain period (often one month), or a limited number of living plants in cultivation.
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