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  • Verilife Arlington Heights (Cook County)

    1816 S. Arlington Heights Road

    Arlington Heights, IL 60005

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Expedite Your Medical Cannabis Application

Making you comfortable.

Persons diagnosed with a terminal illness with a life expectancy of six months or less may apply for a medical cannabis registry identification card. There is no application fee.

Qualifying patients (Adults and persons under age 18):

  • Be a resident of the State of Illinois at the time of application and remain a resident during participation in the program
  • Have been diagnosed with a terminal illness with a life expectancy of six months or less
  • Submit a complete application
  • Make sure your physician completes and signs the physician confirmation of diagnosis of terminal illness. 
    • This form must be signed in blue ink
    • The in-person physical examination must take place within 90 days of the application submission date
  • Not hold a school bus permit or Commercial Driver’s License
  • Not be an active duty law enforcement officer, correctional officer, correctional probation officer or firefighter
  • Select a caregiver, if desired (persons under age 18 may have two caregivers)

Download the Terminal Illness Form


Applications cannot be completed online and must be mailed to:

applications_icons-09.pngIllinois Department of Public Health
Division of Medical Cannabis
535 W. Jefferson Street
Springfield, IL 62761-0001

Persons whose diagnosis is no longer terminal after a period of six months and their caregivers may submit an application for a one-, two- or three-year registry identification card.

Questions about terminal illness applications may be emailed to:
dph.terminalill@illinois.gov or call (855) 636-3688

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What are the next steps?

Learn more about the application process and get started.

GET A CARD

Terminally Ill Veterans receiving care at a U.S. Department of Veterans Affairs (VA) Facility

Veterans with a terminal illness can use the Illinois Terminal Illness form, however, no doctor certification is required.

  • Submit a copy of your DD214 showing dates of service and character of service (type of discharge)
  • Provide a copy of your medical records from the VA facility for the last 12 months
  • Complete the Attestation of Terminal Illness (page 6 of the application package).
  • This form must be notarized.

Persons (or their caregivers) whose diagnosis is no longer terminal after a period of six months may submit applications for a three-year registry identification card.

To request an application for a Terminal Illness Registry Identification Card or have any questions about terminal illness application email: dph.terminalill@illinois.gov

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Have Questions? We’ve Got Answers

No matter your level of comfort or knowledge of medical cannabis, we can help answer your questions. Our friendly patient care representatives are happy to talk.

Our hours are 8 a.m. - 4:30 p.m. CST. 

888-493-6066

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This website contains medical cannabis information and is restricted to individuals 21 years of age or older. Please confirm your age and state:

  • IL
  • MA
  • MD

Did you know that most medical marijuana information is state-specific? We have dispensaries in each of the above states, along with state-specific resources for patients. For the best experience, please select a state.