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Patients with terminal or debilitating medical conditions may, under their healthcare practitioner’s care, benefit from the medical use of marijuana.
Terminal or debilitating medical condition means a condition severe enough to significantly interfere with the patient’s activities of daily living and ability to function, which can be objectively assessed and evaluated and limited to the following:
Cancer, human immunodeficiency virus (HIV), multiple sclerosis, epilepsy or other seizure disorder, or spasticity disorders.
Intractable pain, limited for the purpose of this chapter to mean pain unrelieved by standard medical treatments and medications.
Glaucoma, either acute or chronic, limited for the purpose of this chapter to mean increased intraocular pressure unrelieved by standard treatments and medications.
Crohn’s disease with debilitating symptoms unrelieved by standard treatments or medications.
Hepatitis C with debilitating nausea or intractable pain unrelieved by standard treatments or medications.
Diseases, including anorexia, which result in nausea, vomiting, wasting, appetite loss, cramping, seizures, muscle spasms, or spasticity, when these symptoms are unrelieved by standard treatments or medications.
Chronic renal failure requiring hemodialysis.
Posttraumatic stress disorder.
Traumatic brain injury.
Humanitarian compassion necessitates that the decision to use marijuana by patients with terminal or debilitating medical conditions is a personal, individual decision, based upon their healthcare practitioner’s professional medical judgment and discretion.

No. Healthcare practitioners may authorize the use of marijuana for any patient, regardless of age, as long as it is medically appropriate under the law and the profession’s standard of care per RCW 69.51A.030.

Your healthcare practitioner will give you the form during your medical appointment.

Your healthcare practitioner determines the expiration date based on your treatment plan (refer to line item 12 of the form). Depending on your treatment plan, an authorization may be good for up to a year after issuance for an adult patient who is eighteen years of age or older and up to six months after issuance for a qualifying patient less than eighteen years of age – RCW 69.51A.030.
If the patient has a designated provider, the healthcare practitioner will issue two identical authorizations with the same issue and expiration dates; one for the patient and one for the designated provider, regardless if patient is a minor.

The form is yours to keep in a safe place at home. Do not mail or fax it to the Department of Health. A valid authorization allows an adult patient (age 18 and older) to grow up to four marijuana plants within their domicile (pending no further restrictions); and/or register into the Medical Marijuana Authorization Database to receive a medical marijuana card and benefits.