Medical Cannabis Program Print and Mail Applications

You will need the following materials:

Click the hyperlinks below to print the application paperwork

A completed application, including:
- Patient Application
- Health Care Professional Verification Form
- Caregiver Application (if applicable)
A $50 check or money order, made out to the Vermont Medical Cannabis Program
- To make a cash payment, email the medical program (CCB.Med@vermont.gov) to schedule an appointment.
- The CCB may not be able to accommodate walk-in cash payments.
Access to a working email account to submit your digital photo
- Printed photos will not be accepted.
- A photo of your driver's license will not be accepted.
A valid Vermont driver's license or non-driver ID

Printed applications should be mailed to:

Cannabis Control Board
Attn: Medical Program
89 Main Street
Montpelier, VT 05620-7001