New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter XIII - Medical Use of Marihuana › Part 1004 - Medical Use of Marihuana › Section 1004.4 - Designated caregiver registration

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A certified
				patient's designation of a designated caregiver shall not be valid unless and
				until the proposed designated caregiver successfully applies for and receives a
				designated caregiver registry identification card.
(b) A facility or natural person selected by
				a certified patient as a designated caregiver may apply to the department for a
				registry identification card or renewal of such card on a form or in a manner
				determined by the department. The proposed designated care giver shall submit
				an application to the department which shall contain the following information
				and documentation:
(1) For a proposed
				designated caregiver that is a natural person, the individual shall submit:
(i) the applicant's full name, address, date
				of birth, telephone number, email address if available, and
				signature;
(ii) if the applicant
				has a registry identification card, the registry identification
				number;
(iii) a nonrefundable application fee of
				fifty ($50) dollars, provided, however that the department may waive or reduce
				the fee in cases of financial hardship as determined by the
				department;
(iv) a statement that
				the applicant is not the certified patient's practitioner;
(v) a
				statement that the applicant agrees to secure and ensure proper handling of all
				approved medical marihuana products;
(vi) acknowledgement
				that a false statement in the application is punishable under section
				210.45 of the
				penal law;
(vii) proof that the
				applicant is a New York State resident, consisting of a copy of either:
(a) a
				New York State issued driver's license; or
(b) a New York State
				non-driver identification card;
(viii) If the
				documentation submitted by the applicant in accordance with paragraph (vii) of
				this subdivision does not contain a photograph of the applicant or the
				photograph on the documentation is not a true likeness of the applicant, the
				applicant shall provide one recent passport-style color photograph of the
				applicant's face taken against a white background or backdrop. The photograph
				shall be a true likeness of the applicant's appearance on the date the
				photograph was taken and shall not be altered to change any aspect of the
				applicant's physical appearance. The photograph shall have been taken not more
				than thirty (30) days prior to the date of the application. The photograph
				shall be submitted in a form and manner as directed by the department,
				including as a digital file (.jpeg).
(ix) Identification of
				all certified patients for which the applicant serves, has served or has an
				application pending to serve as a designated caregiver and a statement that the
				applicant is not currently a designated caregiver for five current certified
				patients, and that he/she the applicant has not submitted an application which
				is pending and, if approved, would cause the applicant to be a designated
				caregiver for a total of five current certified patients;