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Caregiver Application Information

Adult Patient Caregiver Designation Form

Minor Patient Caregiver Designation Form

What is a medical marijuana caregiver license?

A medical marijuana caregiver license allows an individual designated by a patient -- or a minor patient’s parent(s) or legal guardian(s) -- to assist the patient with the purchase, application, and administration of medical marijuana. This license will be in the form of an identification card that can be used to prove that an individual is a license holder. This card will contain the caregiver’s name, photo, date of birth, city and county of residence, the type of license, the date the license expires, the caregiver’s unique medical marijuana license number, and the unique medical marijuana license number of the patient.

How long does my caregiver license last? 

Caregiver licenses are valid up to the expiration date of the associated patient’s license, not to exceed two years. Additionally, the patient has the right to withdraw his or her designated caregiver at any time. When this happens, the caregiver license will be invalidated.

How do I apply?

Applications will be collected through an online system. This system will be available at omma.ok.gov by August 25, 2018. You will need a valid email address to login to this system. This email address will be used to send you notices once you create an account.

The patient must submit a Physician Recommendation Form that includes certification of his or her need for a caregiver in order for a caregiver to submit an application. Caregivers of adult patients must submit the Adult Patient Caregiver Designation Form that is signed by the patient or, if applicable, the adult patient’s legal guardian. Parent/legal guardian caregivers of minor patients must submit the Minor Patient Caregiver Designation Form. Minor patients may have up to two designated caregivers who are parents or legal guardians.

What information do I need to provide in the application?

You need to supply the following unexpired, valid information in your application for a caregiver license:

  • Your full name
  • Your residence and mailing address
  • Your date of birth
  • Your telephone number and email address
  • Your signature
  • The name of the patient who has designated you as his or her caregiver
  • If available, the patient license number of the patient who has designated you as his or her caregiver

What documentation do I need to provide in the application?

You need to supply the following unexpired, valid documentation in your application for a caregiver license:

  • Proof of Oklahoma residency (digital copy of one of the following):
    • Oklahoma driver’s license
    • Oklahoma identification card
    • Oklahoma voter identification card
    • A utility bill for the calendar month preceding the date of application, excluding cellular telephone and internet bills
    • A residential property deed to property in the State of Oklahoma
    • A current rental agreement for residential property located in the State of Oklahoma
  • Proof of identity (digital copy one of the following):
    • Oklahoma driver’s license
    • Oklahoma identification card
    • U.S. passport or other photo identification issued by the U.S government
    • Tribal identification card approved for identification purposes by the Oklahoma Department of Public Safety:
      • United States Bureau of Indian Affairs identification card or a Oklahoma tribal photo identification cards: Muscogee (Creek) Nation of Oklahoma, Kiowa, Comanche, Apache of Oklahoma, Absentee Shawnee, Cheyenne-Arapaho, Choctaw, Delaware, Caddo Nation of Oklahoma issued on or after Jan. 9 2008
  • A clear, color, full face digital photograph
  • Adult Patient Caregiver Designation Form signed by the patient (or, if applicable, the patient’s legal guardian) or Minor Patient Caregiver Designation Form signed by the minor patient’s parent(s) or legal guardian(s)

How much does the application cost?

There is no application fee for caregiver licenses.

What happens after I apply?

Once you submit your application, it will be reviewed by OMMA staff. If it is deemed complete and meets all requirements, program staff will mail you an approval letter with your identification card within 14 days of your application submission date.

If your application is incomplete due to unclear or missing information or documents, you will receive email correspondence stating the reason(s) it is incomplete. You will be able to log back in to your account to fix these issues. Your submission date is the date you provide a complete application.

If your application is reviewed and denied because you do not meet all the requirements, you will be mailed a denial letter stating the reason(s) for denial within 14 days of submission.

Who will check my license identification card?

You should show your medical marijuana identification card and another form of identification any time you purchase medical marijuana at a dispensary on behalf of the patient or anytime you take marijuana to a processor to be made into a concentrate form at a processor on behalf of the patient. Law enforcement may also require that you show your identification card to prove that you are licensed.