The application for a Cannabidiol Registration Card will be found here following the effective date of the legislation and publication of the rules which will implement the program. The application will be made available through this web site as a fillable PDF file.
NOTE: If you are interested in being notified via email or U.S. Postal Service when the application has been posted here, please use the Contact Us function here or by clicking on the Contact Us below the blue line at the bottom of this page to send the Iowa Department of Public Health your name, phone number, email address or U.S. Postal mailing address with the subject 2360 APP.
Complete Section I - PATIENT INFORMATION
If the patient is under 18 years of age, complete Section II - PRIMARY CAREGIVER INFORMATION. Print the file.
Make one copy of the valid state-issued identification card for the patient and each listed primary caregiver.
Obtain a written recommendation from the patient’s neurologist in Section III - NEUROLOGIST RECOMMENDATION
Application for a Cannabidiol Registration Card requires a written recommendation from the patient’s neurologist. The applicant must send or take the application form and the required copies of the valid state-issued identification cards to the treating neurologist’s office where Section III can be completed. The neurologist who has examined and treated the patient suffering from intractable epilepsy must provide, but has no duty to provide, the written recommendation for the patient’s use of cannabidiol.
Mail the completed application and copies of valid state-issued identification card to the Iowa Department of Public Health.
The completed application, containing the neurologist’s written recommendation, and the required copies of the valid state-issued identification card(s), must be mailed to the Iowa Department of Public Health by the neurologist or an authorized person from the neurologist’s office. The address for mailing the application will be included on the last page of the application form.
Upon review and verification of the information contained in the application, Iowa Department of Public Health staff will mail a notification of approval to the patient, primary caregiver(s) and recommending neurologist. If the application is incomplete or otherwise does not meet the requirements, the Department will mail a notification of denial to the patient, primary caregiver(s), and recommending neurologist.
Questions about the Application Process?
Questions related to the application process may be directed to the Iowa Department of Public Health by calling 515-281-5616. All calls will be returned within 48 hours of receipt during regular office hours, Monday through Thursday, 8:00am - 4:30pm. Calls received on Fridays will be returned the following week.