Get Your Missouri Medical Marijuana Card

3 documents needed to apply for a Missouri medical marijuana card

1. Medical Marijuana Recommendation
   Once approved, your licensed medical marijuana doctor will submit your medical marijuana recommendation directly to the state. Then, you can register with the Missouri Medical Marijuana Program.
2. Proof of Identity
   You will need a government-issued photo ID, such as a driver’s license, state ID card, passport, or any other form of government-issued ID. You will also need to provide your full social security number.
3. Medical Records (Minors Only)

During your onboarding with Leafwell, you may upload medical records supporting your qualifying condition(s). Minor patients must provide medical records to be eligible for a Missouri medical card.

Next steps after approval

Congratulations on getting approved for your medical certification.

Per state regulations, you must complete the state side of your application within 30 days of your Leafwell recommendation.

Here’s a guide to what you need to do next.

Before getting started, have the following ready:

• Valid government-issued photo ID (Driver’s License, State ID, or Passport)
• Digital passport-style photo taken within the last three (3) months
• Credit or debit card

Getting your Missouri medical marijuana card:

The state recommends using Google Chrome to complete your application.

How to renew your card

Here’s everything medical marijuana patients in Missouri need to know about the process for renewing a med card:

1. Sign in to Leafwell or register as a renewal patient if you’re new to Leafwell.
2. Speak to a licensed medical marijuana doctor online.
3. Once approved, the doctor will submit your certificate details directly to the state.
4. Log into the Missouri Medical Marijuana Program to complete the state renewal application and pay the state’s fee.
5. After submitting your application, you will receive a confirmation email from the state with an application reference code/application ID number.
6. Once approved, immediately download your new card from your registry portal.

For more information or to begin the renewal process today, check out our Missouri renewal page.

Next steps after renewal

Congratulations on getting approved for renewal. Now you’ll need to complete your renewal application within 30 days.

If you have let your state card expire, you must register as a NEW patient, not a renewal.

Renewing your Missouri medical marijuana card:

1. Log into the registry portal: https://mo-public.mycomplia.com/
2. Click Create New Application and then select Patient Renewal.
3. Click Patient Renewal from the drop-down menu.
4. Click Create Application.
5. Select your license number from the License Number drop-down and click Save.
6. Fill out the General Information section with your First Name, Last Name, Date of Birth, Social Security Number, Email, and Phone Number.
7. Click Save & Next.
8. Complete the Contact Information section and then click Save & Next.
9. Click on the Physician/Condition Information tab.
10. Under Recommendation Type, click the drop-down, and select Electronic Certification.
11. A green box will appear to the right labeled View Available Certifications. Click the green box.
12. A pop-up will appear listing all available physician certifications linked to the applicant’s Social Security number and date of birth. Choose the electronic form and click Update. The information submitted by the certifying physician will auto-populate into the application.
    1. Note: Once the electronic form is selected and appears in the application, applicants must click Save & Next to continue completing the application.
    2. Applicants submitting an electronic physician certification form with their patient application are not required to submit an upload of their form. This category on the Documents tab will disappear when an electronic form is attached to an application.
13. If a tan box appears indicating that No Physician Certification was found, either the physician has not submitted an electronic form or the information submitted with the electronic form is incorrect.
    1. To correct the errors, please contact Leafwell first to determine if the error is within the electronic form or account, then contact the Department.
14. Click on the Questions tab and answer all listed questions. Click Save & Next.
15. Move on to the Documents tab and upload all required documents.
16. Go to the Review tab to verify that all the application requirements have been completed. If you see a red “”X,”” navigate to the appropriate tab to complete the missing information. You will not be able to submit your application until all requirements are met.
17. Click the Pay & Submit button at the bottom of the page to submit your application and make your payment.
18. After payment has been completed, you will receive a confirmation email with an application reference code/application ID number, which means that your application has been submitted and is in the application queue.
    1. If you did not receive a confirmation and the application shows an “”open”” status in the application portal, the application has not been submitted.
    2. The state department has 30 days to process applications — all applicants will be contacted via email when their application is processed
19. Once your application is approved, you can access and download or print your digital card from your account.

Legal limitations for MO cardholders

Here are some critical Missouri medical marijuana laws to know:

• Cannabis cultivation is legal with an optional cultivation license.
• Patients can not drive or operate other motor vehicles under the influence of marijuana, even with a medical card.
• Medical marijuana patients can purchase up to six ounces of marijuana every 30 days.
• Patients cannot consume marijuana in public places (defined as public or private property open to the general public), such as:
  • Sidewalks
  • Streets
  • Bridges
  • Parks
  • Schools
  • Businesses

Note: Amendment 3, approved by Missouri voters during the November 2022 election, legalized recreational marijuana use in the state and provided additional benefits for medical marijuana cardholders.

One of these benefits is the addition of employment protections to prevent discrimination against medical cannabis patients who use cannabis during non-work hours away from the worksite.

However, these protections don’t apply if cannabis is used at work or if the employee is impaired by cannabis while working.

Other benefits afforded to patients with a valid patient identification card are higher possession limits. The possession limits for recreational marijuana buyers, for instance, is 3 oz. Patients can possess up to 6 oz, per state medical marijuana regulation.

Recreational cannabis is also taxed more, at 6% plus local sales tax. By comparison, medical marijuana products are only taxed at 4%.

How to become a caregiver in Missouri

Missouri defines a caregiver as someone at least 21 years old, responsible for managing a qualified patient’s well-being, and designated by the qualifying patient on their application for a medical cannabis ID card.

Caregivers are authorized to purchase, possess, and — with a valid cultivation license — cultivate marijuana on behalf of the qualified patient.

Patients can designate up to two caregivers, and caregivers can have up to six licenses for separate patients.

To apply as a caregiver, you must complete an application with the Missouri Department of Health and Senior Services. You must be listed on the patient’s authorization form as well.

The fee for a caregiver application is $26.50.

Minor patient information

According to the Missouri Department of Health and Senior Services, a custodial parent or legal guardian must serve as the minor patient’s licensed caregiver.

A parent or legal guardian consent form is required as proof of consent for a minor’s medical use of marijuana and must be submitted with the minor patient’s registration application.

Can I use my Missouri medical card in other states?

Missouri does not have medical marijuana reciprocity. It does, however, have legal protections in place for out-of-state patients. Recreational cannabis is also legalized for adults 21 and older.

According to the Department of Health and Senior Services, individuals with equivalent out-of-state medical cannabis ID cards will not be arrested or sanctioned under Missouri law for possessing marijuana less than the limit for Missouri patients.

The following states and territories recognize a Missouri patient identification card:

• Arizona
• Arkansas *
• Delaware
• Hawaii *
• Louisiana
• Maine
• Michigan (at the dispensary’s discretion)
• Nevada
• New Hampshire
• New Jersey *
• New Mexico
• Oklahoma *
• Puerto Rico
• Rhode Island
• U.S. Virgin Islands *
• Utah * (up to two 21-day periods in a calendar year)
• Washington, D.C.

*Visitors must complete a visiting patient application process with the state program.