Get Approved in Minutes

Apply for Your Puerto Rico Medical Marijuana Card Online

  • A medical card allows you to buy cannabis legally in Puerto Rico.
  • See a healthcare provider on your schedule.
  • Pay only $99 for your appointment — and get your money back if not approved!

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How to Get a Puerto Rico Medical Card Online

  1. 1

    Register Online with Leafwell

    Register with Leafwell and speak to a healthcare provider licensed in Puerto Rico. The cost for your appointment is $99, and you must be 21.

  2. 2

    Discuss Medical Marijuana with Your Doctor

    Your Leafwell healthcare provider will ask you questions based on your medical history and decide if the medicinal use of marijuana is the best option for you. You’ll also discuss your cannabis product preferences.

  3. 3

    Get Approved by Leafwell and Apply

    If approved, your healthcare provider will submit your medicinal cannabis recommendation details directly to the state and upload a copy to your Leafwell account within 48 business hours.

    From there, you must complete an online application for an Adult Patient (Paciente Adulto) card and pay the $25 fee. If you’re a military veteran, you qualify for a reduced fee with the submission of a valid D-14 Form.

    Applications are reviewed within 15 days.

  4. 4

    Receive Your Puerto Rico Medical Card

    Once approved, you will receive a notification from the Puerto Rico government. From there, you can download your “voucher” (aka medical card). You won’t receive a physical Adult Patient Card.

Trusted By 300k+ Patients

Dr. Robert Ford

They do a great job! Very professional and understanding. It's an amazing deal when you renew your medical card with them as well. Very happy with their service.

Luis Oquendo

Very patient and helpful with my needs. Doctor call me back very quickly and made me feel like I was talking to my family doctor. I will definitely recommend anyone who need it.

Leesha M.

This year was the third time I've re-certified using Leafwell & I love it. They have flexible telemedicine appointment times and dates, and I appreciate how they offer promotions periodically via email and dispensaries for discounted re-certifications. I've seen Dr. Kantha the past two times - she's been prompt, familiar with my chart when she hops on the call, and very kind. The process is always quick and seamless. I usually recommend Leafwell to anyone seeking an initial certification or re-certification.

Tammy Berry

They made it so easy! Not once did I feel overwhelmed during our call! Thank you so much!!

Alexandria Jones

Amazing ! Educated me about my disease, was very thorough and nice !

Susan Stevens

Leafwell is very good way to for your card they're very nice and caring they care about your health and the doctor I saw was amazing.

Nichole Berounsky

Best experience ever so easy and such professional and helpful doctor

Selina Thompson

Leafwell makes it very easy to understand the med card renewal process and does it well, extremely happy with the quick service I received with my telehealth call

Benefits of Having a Medical Card in Puerto Rico

Recreational cannabis is still illegal in Puerto Rico. In 2015, Governor Padilla signed an executive order to discourage prosecuting people caught in possession of 6 grams or less of cannabis. However, purchasing and possessing marijuana without a medical card in Puerto Rico is still risky and can land you in legal trouble.

The only way you can buy cannabis legally is with a medical marijuana card. The card not only offers you access to the island’s medical marijuana program, but it also protects you against legal penalties and discrimination. According to Puerto Rico Law 15-2021, employers cannot discriminate against registered medical cannabis patients.

Patients with medical cards are allowed a daily amount of 8 grams of THC (in edible or concentrate form) or 28 grams (1 ounce) of cannabis flower. If you are found in possession of marijuana without a medical card, you could receive a felony conviction, a fine of up to $5,000, and up to five years in jail.

Eligibility Requirements

Puerto Rico residents with at least one qualifying medical condition can apply for a medical marijuana card. You must be at least 21 years old and a legal resident of Puerto Rico. Before you can apply for a card with the Puerto Rico Department of Health, you’ll need to consult with a doctor and get certified.

Can Minors Get a Medical Card in Puerto Rico?

Yes, minors in Puerto Rico can acquire a medical card. However, they’ll require a parent,  guardian, or caregiver to represent them during the application process. The parent or caregiver will also be responsible for purchasing any medical cannabis and providing it to the minor in their care.

Note that the Puerto Rico medical marijuana program refers to caregivers as Authorized Companions. They have to be at least 21 years old.


Minors who require medical marijuana treatment are required to apply for a card through a parent or legal guardian. Legal adults who can’t handle the application process on their own can be represented by a caregiver. Parents or caregivers (Authorized Companions) have to be at least 21 years old.

If applying as a caregiver, you’re required to submit a Certification of Criminal Records and a clear copy of your official ID with the application. Approved Authorized Companions can then purchase medical cannabis legally on behalf of their patient.

What You’ll Need to Apply

  • Identification documents. You need to show a Puerto Rico driver’s license or photo ID to prove that you’re a resident of Puerto Rico.
  • Medical records. These may include medical notes from a primary physician or specialist and bloodwork or radiographic evidence (optional).

When applying for a medical card on behalf of a minor, you’ll have to provide official identification and a Certification of Criminal Records.


Leafwell charges a $99 consultation fee for approved applications. The DOH also charges a $25 fee to apply for a medical cannabis license using their online portal.

Medical Marijuana Reciprocity

Although state medical marijuana markets across America have different policies and frameworks, some states allow the use of out-of-state cards. This is called medical marijuana reciprocity.

Puerto Rico’s medical marijuana program accepts medical cards from out-of-state patients. Visitors who would like to purchase medical cannabis can also apply for a card. The following states have medical marijuana reciprocity laws and may accept or recognize a Puerto Rico medical marijuana card:

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

States that have recreational cannabis for adults 21 and older but do not accept out-of-state cards include:

Where to Buy Medical Marijuana in PR

Once you’ve received your medical cannabis license, you can purchase medical-grade marijuana at any of the 200-plus cannabis dispensaries in Puerto Rico.


Cultivation is illegal in Puerto Rico. Penalties for growing marijuana include up to 12 years imprisonment and a fine of up to $20,000.

Puerto Rico Medical Marijuana Laws to Know

Medical cannabis became legal in Puerto Rico in 2015. Since then, Puerto Rico fleshed out its medical marijuana program, which allows patients to purchase up to a 30-day supply of cannabis. Smoking marijuana is banned, but edibles and concentrates are legal with a medical card.

Recreational cannabis distribution, use, and possession are banned. The law also prohibits the use of cannabis near nurseries, schools, parks, hospitals, and federal buildings.

Due to medical cannabis reciprocity laws, cardholders from the U.S. may be able to purchase cannabis from Puerto Rican dispensaries. Furthermore, Puerto Ricans may be able to purchase cannabis from U.S. states.


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Frequently Asked Questions

How much does a Puerto Rico Medical Marijuana certificate and card cost?

An online consultation for a Puerto Rico medical marijuana card costs $99 with Leafwell. Patients will also pay a separate $25 application fee to the Puerto Rico Department of Health.

Here’s an overview of the fees:

  • $99 Initial certificate from Leafwell
  • $99 Renewal certificate from Leafwell
  • $25 State application fee*
    (Reduced fees are available for Veterans with a D-14 form.)

The consultation fee includes a one-year certification, and you’ll only be charged if approved. Plus, now you can sign up with a friend and each save 10% on your consultation with Leafwell.

*State fees are not included with Leafwell fees and are paid directly to the state.

What medical conditions qualify for a medical marijuana card in Puerto Rico?

The following conditions may qualify you for a medical marijuana card (Adult Patient Card) in Puerto Rico:

What do I need to know about applying for my medical marijuana card in Puerto Rico online?

With Leafwell, applying for a Puerto Rico medical marijuana card online is simple. Here’s what to expect:

  1. Register with Leafwell and speak to a healthcare provider licensed in Puerto Rico. Consultations cost $99, and you’ll only be charged if approved.
  2. Get approved, and your provider will submit your certification to the state and upload a copy of your state registration to your Leafwell account within 48 business hours.
  3. Apply for an Adult Patient (Paciente Adulto) card with the Puerto Rico Medicinal Cannabis Program and pay a $25 application fee. The state takes 15 days to review applications.
  4. You will receive a notification on the state platform once your application is approved. Then, you can then download your voucher (aka medical card) and purchase medicinal cannabis from a licensed dispensary.
How old do I have to be to apply for a medical marijuana card in Puerto Rico?
Can I be/have a caregiver for a medical marijuana patient in Puerto Rico?

Yes, the Puerto Rico medical marijuana program allows for caregivers, but they are called Authorized Companions instead of caregivers.

Caregivers of children under 18 may access medical cannabis in Puerto Rico for their children as long as both parents or guardians are in agreement.

Caregiver Requirements:

  • At least 21 years old and a resident of Puerto Rico.
  • A valid form of ID (driver’s license, passport, or out-of-state ID).
  • Caregiver’s Certification of Criminal Records expedited by the PR police department (no longer than 3 months).
  • Caregivers can also be patients. They can possess the permitted amount to use and must separate each patient’s amount/product.
  • $44.95 nonrefundable fee.

Here’s how the caregiver process works:

  1. The patient will need to submit their state application (Paciente Adulto) first.
    1. If the patient is a minor, complete a Paciente Mendor de Edad application.
      1. The parent must provide a valid form of ID for the minor (birth certificate or passport) and themselves. If the parent is a minor, they have to provide a copy of a marriage certificate or proof of emancipation; otherwise, they cannot become a caregiver.
      2. The parent or legal guardian must also provide a written statement that explains the reason(s) why the minor needs medical cannabis and two recommendation letters from two different medical providers. At this time, Leafwell can only provide one of the two recommendations needed to apply.
  2. Once the patient’s application has been submitted, the caregiver must complete a caregiver application (Licencia Acompañante). The caregiver will need the patient’s SSN to link their account to the patient’s.
  3. When the caregiver’s application is approved, they will receive an Authorized Companion ID Card (Identificación de Acompañante Autorizado).
How do I apply for the state cannabis program in Puerto Rico?

Your healthcare provider will submit your details directly to the Puerto Rican government if you’re approved for a medical recommendation. They will also upload a copy of your state registration details to your Leafwell account for your records. From there, you must complete an online application for the Adult Patient card and pay a $25 fee. You qualify for a reduced fee if you’re a military veteran. The Puerto Rican government takes 15 days to review applications and you will get a notification on the official platform once approved.