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0% found this document useful (0 votes)
3 views10 pages

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Uploaded by

stickynickel83
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Online Patient Application

and Renewal Walkthrough


Applying for your medical cannabidiol registration card online may result
in faster approval, and more efficient communication.

The following slides show the steps to apply online at :


https://idph.my.salesforce-sites.com/IowaReg

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Step 1: Download and print the Health Care
Practitioner Certification Form, and bring it with
you to your certifying provider.

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Step 2: Image upload and payment
preparation
Before you apply online, please prepare the following documents for
upload:

 The Health Care Practitioner Certification Form- this can be scanned as one page or a
photo/scan of each of the three pages

 Your photo ID (Iowa driver's license or non-operator state ID) - this can be a scan or
photo of the front only

 Proof for reduced fee (if applicable)- this can be a scan of your actual card or award letter

 Be prepared with payment info using debit, credit or e-check

Note: There are known issues with Internet Explorer as a browser, we recommend chrome,
safari, or edge as your browser

After completing these steps you are ready to start your application!

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Step 3: Go to https://hhs.iowa.gov/omc and
click “Online Patient Registration.”

4
Step 4: Select if you are a new or renewing
patient.

 If you are renewing, you will be asked to provide your registration


number and email address.Your registration number can be found on
your previous card.You will want to use the same email you used the
previous year.

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Step 5: Fill out the online application.

 Please make sure you double check for errors with your name, date
of birth, and driver’s license number before submission.

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Step 6: Upload the required documents.
 The document upload buttons are further down on the adult
patient application. Click the “choose file” buttons to select and
upload your file.

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Step 7: Electronically sign the attestation.
 Once you click submit, an attestation statement will appear. Enter
the same email you used on the application, and check the box to
complete the electronic signature.

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Step 8: Complete your payment.
 After signing the attestation and submitting you’ll be directed to this
payment screen

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Step 9: When your application is reviewed the
patient will receive an email stating they are
either approved or pending information.

 If Approved, the patient will receive an approval email with their


valid digital card attached as a PDF.

 If Pending Information, the patient will receive an email stating


which items are missing, and they use the link in that email to either
upload missing items or complete their payment.

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