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Qualifying Minor Patient Application Instructions
Initial Patient Registration
- Minor caregivers can register to the Illinois Cannabis Tracking System (ICTS) at https://etk.icts.illinois.gov/etk-icts-prod/login.request.do and select MCPP Patient Registration.
- To register, the minor caregiver must complete all the information and click Register.
- Once the minor caregiver successfully completes the registration process, an email notification will be sent with a temporary password.
- The minor caregiver will be asked to change the password with the first log-in. Hover over My Account and click on Password.
- Change the password and click Save.
Starting MCPP Minor Patient Application
- New Applicants: Select + New MCPP Patient Registration to begin. If you are not sure which program to apply for, talk to your health care provider before starting the application.
- Select “I am applying on behalf of my minor child” from the drop-down menu.
- Answer No to the terminal illness question and select a one-year, two-years, or three-years term card from the Timeframe drop-down menu. For fees, refer to this table.
Note: If your child has been diagnosed with a terminal illness or disease by a health care provider, refer to the Qualifying Terminal Minor Patient Application instructions.
- In the minor Patient Information section, complete the required fields marked with an asterisk and upload the required documents. Verify the minor patient information is correct, and all required documents are uploaded before you click Save at the bottom of the page.
- After clicking Save, proceed to the MCPP Patient Caregiver tab to add a caregiver.
Note: By law, Qualifying Minor Patient Applications must have at least one caregiver who is a parent or legal guardian.
Starting MCPP Minor Caregiver Application
- To add a caregiver, go to the MCPP Patient Caregiver tab and select + New to begin the caregiver application. Before adding a caregiver, make sure to answer Yes to the caregiver question in the Patient Application section. For Minor Qualifying Patient Applications, there is no cost for the first caregiver.
Note: A patient can have a maximum of three caregivers.
- In the Caregiver Information section, complete the required fields marked with an asterisk. Upload the required documents based on your responses. If you answer Yes to the photo affidavit, click on the Photo Affidavit link to download the form, complete the form, and then upload the form. If you answer No, upload a photo of the caregiver (must be in JPEG format). These steps will have to be completed for each caregiver added.
Note: The photo must not be a picture of the caregiver(s) driver’s license, state ID card, or government issued passport.
- For the caregiver proof of identity, click on the dropdown box and select the Identification Type (state driver’s license, state ID card, passport, or other). You will be required to upload a document for proof of identification. Based on your selection, you will be required to upload a document for proof of residency or/and answer the proof of residency question: “Does the address on your driver’s license/state ID match the address listed on the application?”
- If you select state driver’s license for the identification type, you will be required to select the state of issuance from the dropdown list. If you select IL, you will be required to enter the driver’s license number and answer the proof of residency question: “Does the address on your driver’s license/state ID match the address listed on the application?” If you answer No to this question, you will be required to upload a document for proof of residency. If you select other state driver’s license, you will be required to upload a document for proof of residency.
- If you select IL state ID card for the identification type, you will be required to answer the proof of residency question: “Does the address on your driver’s license/state ID match the address listed on the application?” If you answer No to this question, you will be required to upload a document for proof of residency.
- If you select passport for the identification type, you will not be required to answer the proof of residency question: “Does the address on your driver’s license/state ID match the address listed on the application?”. However, you will be required to upload a document for proof of residency.
- If you select other for the identification type, you will not be required to answer the proof of residency question: “Does the address on your driver’s license/state ID match the address listed on the application?” However, you will be required to upload a document for proof of residency. This option is only available to individuals without any of the above-mentioned proof of identification documents.
Note: Approval of alternative forms of identification is up to the Illinois Department of Public Health’s discretion.
- If you select state driver’s license for the identification type, you will be required to select the state of issuance from the dropdown list. If you select IL, you will be required to enter the driver’s license number and answer the proof of residency question: “Does the address on your driver’s license/state ID match the address listed on the application?” If you answer No to this question, you will be required to upload a document for proof of residency. If you select other state driver’s license, you will be required to upload a document for proof of residency.
- After completing the Caregiver Identification section, answer the question “Is this caregiver the parent of the minor qualifying patient?” If you answer Yes, no documents will be required to be uploaded in this section. If your name is not listed on the birth certificate, you will need to upload the appropriate documentation by clicking Browse.
- If you answer No to the question “Is this caregiver the parent of the minor qualifying patient?”, you will need to answer the question “Is this caregiver the legal guardian of the minor qualifying patient?” If you answer Yes, you will need to upload legal guardianship documentation.
- If you answer No to the question “Is this caregiver, the legal guardian of the minor qualifying patient?”, you will need to state a reason why the individual shall be a caregiver for this minor.
- In the Caregiver Consent Upload section, click on Click Here to download the Caregiver Consent Form. Once the form has been completed, proceed to upload the completed document, and click Save.
Note: Before you click Save, verify the information is correct and the required caregiver documents have been uploaded.
- After you have completed the required fields, uploaded all required documentation, and verified the information is correct, click Save at the bottom of the page. Once you have added all your caregivers, click on the MCPP Patient Registration tab and click Continue to continue the application process.
Health Care Provider Certification Upload
- To add a health care provider certification, click on the Provider Certification tab and click + New.
NOTE: Health care provider’s certifications are only valid for 90 days from the date of in-person/telemedicineexamination. Minor qualifying patients require two health care provider’s certifications (recommending and reviewing certification).
- For the Minor Qualifying Patient application, two health care provider certifications are available to select in the drop-down box. Both certifications must be selected to proceed with the application process. Once you have selected both health care provider certifications, click Save.
Note: The health care provider certifications will only be available to upload for the minor patient once the health care providers have submitted their certification. If no certification is available to upload, contact your health care provider
Application Payment
- To make a payment, go to the Payment tab and click + New.
- Select Click Here to Pay to finalize the application. After the payment is submitted, you will receive an email notification.