N.J. Admin. Code § 13:35-7A.4 - Certification requirements
(a) Prior to
issuing a certification for the medical use of marijuana, the physician shall
have conducted a comprehensive medical history and physical examination of the
patient to determine whether the patient suffers from a debilitating medical
condition that qualifies the patient to receive marijuana pursuant to
N.J.S.A.
24:6I-3.
(b) The certification shall be signed and
dated by the physician and shall attest to the physician's authorization for
the patient to be registered with the Department of Health and Senior Services
for the medical use of marijuana. If authorized by the Department of Health and
Senior Services, the certification shall be electronically transmitted to the
Department of Health and Senior Services. The certification shall include the
following information:
1. Physician name,
address and telephone number;
2.
Physician license number and CDS registration number;
3. Patient name, address, telephone number
and date of birth;
4. If
applicable, caregiver name, address, telephone number and date of
birth;
5. Diagnosis of debilitating
medical condition; and
6. Any other
information required by the Department of Health and Senior Services by
rule.
(c) Prior to
issuing a certification for the medical use of marijuana for a minor patient, a
physician shall:
1. Obtain written
confirmation from a physician trained in the care of pediatric patients and
from a psychiatrist, establishing that, in their respective professional
opinions, following review of the minor patient's medical record or examination
of the minor patient, the minor patient is likely to receive therapeutic or
palliative benefits from the medical use of marijuana to treat or alleviate
symptoms associated with his or her debilitating medical condition. If the
certifying physician is trained in the care of pediatric patients, he or she
shall only be required to obtain written confirmation from a psychiatrist;
and
2. Explain the potential risks
and benefits of the medical use of marijuana to the minor patient and to a
parent, guardian or person having legal custody of the minor patient. Such
explanation shall be documented in the minor patient's medical record.
Notes
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