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What Doctors Look For Before Approving Medical Cannabis

Sarah Green by Sarah Green
September 9, 2025
in News
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What Doctors Look For Before Approving Medical Cannabis
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In states where medical cannabis is legal, patients need a recommendation from a qualified healthcare provider to access it. This process follows strict guidelines to determine eligibility for cannabis treatment. If you’re seeking cannabis certification in Sandy, UT, knowing what doctors look for can help you prepare and streamline the approval process.

Medical History and Qualified Conditions

A doctor will first review your medical history. Not all conditions qualify for medical cannabis in Utah, which has a specific list of approved conditions.

A doctor will first review your medical history. Not all conditions qualify for medical cannabis in Utah, which has a specific list of approved conditions.

Some of the most common qualifying conditions include:

  • Chronic pain lasting longer than two weeks
  • Cancer
  • HIV/AIDS
  • PTSD (Post-Traumatic Stress Disorder)
  • Epilepsy or other seizure disorders
  • Crohn’s disease or ulcerative colitis
  • Multiple sclerosis
  • Terminal illnesses with less than six months of life expectancy

Doctors will request a medical history and may ask for documents like imaging, treatment notes, or prescriptions. They confirm the diagnosis and ensure traditional treatments have been tried or considered before recommending cannabis.

Current Symptoms and Daily Functioning

Physicians evaluate diagnosed conditions and how symptoms impact daily life. Patients often need to show that current treatments aren’t managing symptoms effectively or are causing side effects.

For example:

  • A patient with chronic back pain may describe ongoing discomfort that interferes with work or sleep.
  • A veteran with PTSD might experience severe anxiety or nightmares that remain unresolved despite therapy and prescription medications.

Doctors evaluate symptoms to determine if cannabis could improve quality of life. This ensures patients receiving certification genuinely need alternative care.

Doctors evaluate symptoms to determine if cannabis could improve quality of life.

Risk Factors and Potential Contraindications

Another important step is assessing the patient’s health and any risks that might make cannabis unsuitable. While it can help many, it’s not for everyone.

Doctors will evaluate:

  • History of substance abuse or addiction
  • Mental health disorders such as schizophrenia
  • Heart conditions that may be aggravated by cannabis
  • Possible interactions with existing medications

A physician will weigh the benefits and risks, especially for patients with complex health conditions. They also ensure cannabis won’t worsen existing issues or interact dangerously with medications.

Willingness to Follow a Treatment Plan

Approval is not a free pass to use cannabis without structure. Doctors expect patients to be responsible in how they approach this form of treatment.

They may look for signs that the patient:

  • Understands how to use cannabis properly (e.g., dosage, form of consumption)
  • Is open to follow-up appointments and tracking progress
  • Will comply with state laws and regulations
  • Will not misuse or share their medication

Providers educate patients on available products—tinctures, topicals, capsules, or vaporizers—and how to safely include them in a treatment plan.

Legal Documentation and State Registration

When a doctor determines a patient qualifies for medical cannabis, they must complete state-required documentation by submitting a recommendation through the state’s electronic system. The patient then applies online and pays a fee to get their medical cannabis card. The doctor’s role is limited to certification, while the state decides whether to issue the card. Many cannabis clinics help patients navigate this process, ensuring paperwork is accurate and submitted on time.

Ongoing Monitoring and Renewal

Medical cannabis certification is not a one-time event. Doctors often require follow-up visits to assess how well the treatment is working and to monitor for any adverse effects.

Medical cannabis certification is not a one-time event.

During these check-ins, they may ask:

  • Are symptoms improving?
  • Is the dosage effective?
  • Are there any unwanted side effects?
  • Has your condition changed since your last visit?

Patients should be prepared to renew their cannabis certification regularly, usually once a year, depending on state laws and their doctor’s recommendations.

Conclusion

Getting approved for medical cannabis isn’t just about asking for a recommendation—it’s a guided medical process based on trust, transparency, and thorough evaluation. Doctors who provide cannabis certifications follow strict standards to ensure patient safety and legal compliance. Understanding what doctors evaluate can improve your chances of approval and set the stage for a successful wellness journey.

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