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NJ Medical Marijuana Program Patient Registration

Posted by NORML NJ on Wednesday, August 8, 2012

Patient Registration Information

Check-Off List for Qualifying Patients/Caregivers

  • Go to and open Patient Registration page
  • Complete required information (as noted by the red asterisk)
  • Enter patient reference number supplied by physician and submit
  • Complete required patient information (as noted by the red asterisk)
  • Enter the Alternative Treatment Center of choice
  • Complete patient certification
  • Complete required caregiver information (if applicable)
  • Click “Save and Continue” and review confirmation page
  • Continue to upload documents for both patient and caregiver (if applicable)

    Required Documents:
    • Patient photograph
    • Proof of Identification-Government Issued Photo ID
    • Proof of current New Jersey residency
    • Caregiver photograph (if applicable)
    • Caregiver government issued ID (if applicable)
    • Caregiver proof of NJ residency (if applicable)

    Optional Documents if applicable:             
    • Proof of government assistance
    • Caregiver proof of government assistance

  • Upload patient and caregiver photograph - Required
    Photograph must be a recent digital photo taken against a white background; the patient/caregiver shall not wear a hat, glasses or any other item that may alter or disguise the overall features of the face; the patient/caregiver face must take up 70 percent of the picture; and a digital photograph must be in JPEG or GIF format, which is the format currently used by most digital cameras.

  • Document 1 - Government issue photo identification
    one of the following:
    • Current NJ digital license
    • Current NJ digital non-driver ID card
    • US passport, current or expired less than 3 years
    • Current US Passport card
    • Valid active duty US military photo ID card
    • US military photo retiree card  

  • Document 2 - Proof of current New Jersey residency - Required (P.O. Boxes NOT Accepted)
    one of the following:
    • Utility or credit card bill issued in the past 90 days that shows your name at your current address
    • Checking or savings account statement from a bank or credit union, issued within the past 60 days
    • Original lease or rental agreement showing your name as the lease or renter
    • Property tax bill, statement or receipt from the past year
    • Any letter or correspondence (including tax bills) received from the IRS or state tax office in the last year
    • First-class mail received from any federal, state or local government agency within the past six months

  • Document 3 – Proof of government assistance - Optional
    one of the following:
    • NJ Medicaid
    • Food Stamp Benefits
    • NJ Temporary Disability Insurance benefits
    • Supplemental Security Income (SSI) benefits
    • Social Security Disability (SSD) benefits

  • Save and continue

  • Download caregiver criminal background check form.  Caregiver is required to complete form and follow the attached instructions

The MMP will review your application and supporting documents.  All applications will be responded to via e-mail with further instructions for finalizing your application.  Approved applicants will be instructed on the MMP e-payment process.

  • Once notified by the MMP of the fee amount, the patient will be prompted to return to the registry homepage and click on payment (you will need your patient reference number) click submit and complete the required information (as noted by the red asterisk). If submitted correctly, you will receive a transaction confirmation number on the last page.

Denied applicants will be provided instructions on amending your application.

Questions regarding this process will be addressed by contacting the MMP Customer Service Unit at (609) 292-0424 or

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