Texas medical marijuana card, in short: You can get certified online. You’ll need permanent Texas residency and one of 13 qualifying conditions — including chronic pain, PTSD, cancer, epilepsy and traumatic brain injury. A Leafwell telehealth evaluation is $99 and Texas charges no state fee. Texas issues no physical card: your physician enters your prescription into the CURT registry.

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Medical Marijuana Card

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The key benefits of a medical marijuana card in Texas
Access to dispensaries
No minimum age — minors qualify with a guardian
Higher possession

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3 easy steps to get your TX medical card
- 1
Sign up
Register with Leafwell on any device and consult with a licensed medical marijuana doctor in minutes.
- 2
Get approved
Once approved, your doctor will submit your details to the Compassionate Use Registry of Texas (CURT).
- 3
Shop product
Go to your local dispensary and show your photo ID: they will verify your patient status via CURT.
- 1
Sign up
Register with Leafwell on any device and consult with a licensed medical marijuana doctor in minutes.
- 2
Get approved
Once approved, your doctor will submit your details to the Compassionate Use Registry of Texas (CURT).
- 3
Shop product
Go to your local dispensary and show your photo ID: they will verify your patient status via CURT.
Medical marijuana patients save more with Leafwell.
Get your money back if not approved.

Leafwell telehealth evaluation (new and returning patients)
$99
State fees
$0
What are the requirements for a medical card in Texas?
Patients must be a permanent Texas resident and have a qualifying medical condition. There is no minimum age — minors qualify through a parent or legal guardian. The following medical conditions may qualify you for the Texas Compassionate Use program:
- Amyotrophic lateral sclerosis (ALS)
- An incurable neurodegenerative disease (e.g., Parkinson’s, Alzheimer’s, Huntington’s)
- Autism
- Cancer
- Chronic pain
- Crohn’s disease or other inflammatory bowel disease
- Epilepsy
- Multiple sclerosis (MS)
- Terminal illness or a condition treated with hospice care
- PTSD
- Seizure disorders
- Spasticity
- Traumatic Brain Injury (TBI)

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With Leafwell, you'll be matched up with a highly knowledgeable, empathetic, licensed medical marijuana doctor.
2 things you need to apply
You'll need to provide the following to apply for a Texas med card:
1
Proof of Identity
You will need a government-issued photo ID, such as a Texas driver’s license or state ID card. You can also use a US passport or out-of-state ID. The last five digits of your Social Security number are also required for registration in the Compassionate Use Registry of Texas (CURT).
2
Medical Marijuana Recommendation
Once approved, your medical cannabis doctor will enter your details into the Compassionate Use Registry of Texas (CURT), and you may purchase legal medical cannabis.
Next steps after approval
After you’ve spoken to a Leafwell physician and been approved for the Texas Low THC program, you don’t need to do anything.
The next steps are for your physician — they will enter your details in their physician profile within the Compassionate Use Registry of Texas, known as CURT.
Once your details have been entered, you can purchase medicine from a licensed dispensary. You’ll need to present your valid ID to the dispensary so they can access CURT and confirm that you’re a valid patient in the state.
How to renew your card
Need to renew your Texas medical marijuana card? Here’s everything you need to know.
- Sign in to Leafwell or register as a renewal patient if you’re new to Leafwell.
- Speak with a Texas-licensed healthcare provider online and get approved.
- Your provider will enter your details into the Compassionate Use Registry of Texas (CURT). As a reminder, no physical cards or certificates are issued.
- Go to your local dispensary and show your photo ID. The employees there will verify your patient status in CURT.
Please note: If you are seeing a new physician, you must request that your previous physician terminate the relationship in CURT before your appointment.
Legal restrictions for cardholders
The Texas Compassionate Use Act was enacted in 2015. This Act required the Texas Department of Public Safety to establish a secure registry of physicians who treated epilepsy. This was done to facilitate prescribing low-THC cannabis to patients with epilepsy for whom low-THC cannabis may be especially effective.
In 2019, the list of qualifying conditions for cannabis treatment expanded to include epilepsy, terminal cancer, MS, ALS, seizure disorders, and incurable neurological disorders. PTSD was added in 2021. On September 1, 2025, chronic pain, inflammatory bowel diseases, traumatic brain injuries, and end-of-life patients in palliative or hospice care were also added.
HB 46 also raised the cap from 3 to 15 licensed dispensing organizations and authorized satellite storage locations. Three dispensing organizations are dispensing today — Fluent, Texas Original and goodblend — and the Department of Public Safety has said it will license up to 12 more. A newly licensed organization cannot dispense until DPS grants final approval, so access across the state will improve gradually rather than all at once.
Other important Texas cannabis laws include:
- Recreational Use Illegal: Possession of up to two ounces is a Class B misdemeanor carrying up to 180 days in county jail and a $2,000 fine. A driver’s license suspension is no longer automatic for a first offense — since SB 181 took effect in 2023 a court may order one only if it makes a written finding that the suspension is in the interest of public safety, and the period is 90 days. Some municipalities apply more lenient penalties.
- No Physical Card: There are no cards in Texas. All you need to do is enter your nearest dispensary and they will be able to cross-reference your ID with the CURT system where they can verify that you are a certified patient.
- No Smokables Allowed: Texas permits a range of non-smokable medical cannabis products: oils, tinctures, capsules, lozenges, gummies, topicals and lotions, patches, and suppositories. As of September 1, 2025, HB 46 also allows non-smoked inhalation using nebulizers, inhalers, or vaporizers that are approved by the Texas Department of State Health Services and directed by your prescribing physician. Smoking medical marijuana remains prohibited in Texas.
- CBD and Delta-8: Hemp-derived CBD products are legal in Texas without a prescription, provided the product contains no more than 0.3% delta-9 THC by dry weight. Delta-8 THC is not legal in Texas. The Texas Department of State Health Services classifies delta-8 and certain other tetrahydrocannabinols as Schedule I controlled substances, and those restrictions have been back in force since July 31, 2026, after the Texas Supreme Court upheld the department’s scheduling authority.
- Cultivation is Illegal: Since cannabis flower is not legal for medical patients, card holders cannot legally grow marijuana in Texas.
How to become a caregiver
Caregiver Requirements:
- At least 18 years of age.
- An eligible patient must be a permanent Texas resident.
- Caregivers must show proof of ID and the patient’s last name, date of birth, and the last five digits of their social security number when purchasing.
- A legal guardian must show proof of identification to the dispensing organization.
Caregiver Registration (Leafwell):
- Patients must provide the full name of their caregiver plus the last five digits of the caregiver’s social security number.
Can I use my card from another state in Texas?
Texas doesn’t have medical marijuana reciprocity with any state. Medical cards obtained in other states cannot be used in Texas.
Reciprocity does not work in the other direction either. Texas does not issue a medical marijuana card, certificate or ID — your physician enters your prescription into the CURT registry, and a Texas dispensing organization verifies you there against your photo ID. Because there is no Texas-issued credential to present, states that accept out-of-state medical cannabis patients cannot accept a Texas one. Maine, for example, publishes an approved visiting-patient list that requires state-issued documentation; Texas is not on it.
If you are travelling, treat cannabis as illegal at your destination unless you separately qualify as a patient there. Never carry Texas-dispensed product across a state line — that is a federal offense regardless of either state’s law.
Minor patient information
People under 18 with a qualifying condition can get a med card in Texas. However, a minor can only apply through a parent or legal guardian under the compassionate use program.
To register a minor patient in Texas a parent or legal guardian can be entered in CURT by the physician. The full name and last five (5) digits of the caregiver’s social security number is required to apply.
FAQs
Find answers to commonly asked questions about medical marijuana in Texas.
Can you get a medical card online in Texas?
How often do I need to renew my Texas medical marijuana prescription?
Does Texas have medical marijuana certificates, recommendations or cards?
What medical marijuana is legal in Texas?
Will I be added to a public database once I have my medical marijuana prescription in Texas?
How do I buy medical cannabis in Texas?
Can you smoke marijuana in your home in Texas?
What is the penalty for bringing marijuana into Texas?
Is Delta 9 legal in Texas?
Can you grow THCA in Texas?
Are there recreational marijuana dispensaries in Texas?
What disqualifies you from getting a medical card in Texas?
What are the requirements for a medical card in Texas?
How much does a medical card cost in Texas?
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