Booking Your Appointment For Your Medical Marijuana Card in Maryland
Here is the information you will need to schedule your appointment booked with one of our doctors.
Before you book, you will need:
- A Patient ID from the Maryland Medical Cannabis Commission
- Medical History and/or Medical Records
- medical records can be sent to firstname.lastname@example.org or faxed to 937-709-5229
- An email account you readily have access to for appointment confirmation and certification notification emails
- Form of Payment
- Duber Medical accepts all major credit cards
- at this time, we do not accept insurance due to federal laws
Before Your Appointment
Below are instructions on preparing for your appointment with one of our doctors.
To begin the process of obtaining a medical marijuana card in the state of Maryland, a patient must first register to receive a Patient ID. This Patient ID will be used when registering for an appointment with Duber Medical.
To register with the Maryland Medical Cannabis Commission, you will need to submit a patient application directly on their website. This process includes:
- Complete and submit an online application. Visit the MMCC registry (OneStop Portal) and click Create Account under the Patients heading.
- Verify your email address. As soon as you have completed and submitted an online application form, a verification email will be sent to the email address you provided on your application. You must click the verification link in the email message to verify your email account. Without performing this step, your application is not complete and will not be reviewed by the Commission.
- Completed applications will be reviewed by MMCC and you will receive a follow up email advising whether or not your application has been approved. Please retain the approval email for your records. It contains your Username, which you will need to log in to the Patient registry (OneStop Portal), as well as your MMCC Patient ID Number, which your physician will need to issue your written certification for medical cannabis. Once you have a written certification, you will also need to provide your Patient ID Number when visiting a licensed dispensary to purchase medical cannabis.
Once you’ve scheduled and PAID for your medical marijuana virtual consultation, you will receive a confirmation email from Duber Medical with the date, time and doctor you will be seeing, as well as a hyperlink for the video chat.
Please login to the video chat waiting room a few minutes before your appointment. You will enter a virtual waiting room and the doctor will admit you to the video chat when he or she is ready for you. You will have a virtual consultation to discuss your medical history and condition with the doctor and at the end of the appointment, the doctor will indicate whether or not you qualify for medical marijuana.
After Your Appoinment
Once you have had your appointment, here is what to expect and when you will receive your certification.
If you qualify, our doctors will provide a Patient Certification for your Patient ID in the Maryland Medical Cannabis Commission (MMCC) Registry. Once you are certified, you will receive an email from the State of Maryland to login and download a temporary copy of your medical license.
Please allow 7 days for printing from the date you paid for your ID card and 14 days to receive it in the mail. Your card will be mailed to the address in your patient profile.
Please remember that cards are good for one year and must be renewed on an annual basis. We recommend scheduling your renewal appointment about 30-45 days prior to your card expiration to ensure you do not have a lapse in access to your medical marijuana.
How to Become a Caregiver in Maryland
Please visit the Maryland Medical Cannabis Commission’s website to register as a Caregiver for a patient in the MMCC program. Adults must be 21 years or older to serve as a Caregiver.
Caregivers will need to have the following documentation ready to submit a Caregiver application:
- A valid, accessible email account which you are comfortable using in relation to your Maryland Medical Cannabis Caregiver account. The Commission will use this email address as the principal means of communication with you regarding your account and its status.
- Full 9-digit Social Security Number
- An electronic copy of your valid US government-issued photo ID and proof of Maryland address or patient’s treatment at a Maryland medical facility. The file may be either a PDF or image file (.jpg) and no larger than 3 MB in size
Caregiver Registration website: https://mmcc.maryland.gov/Pages/caregivers_regisadult.aspx
Below is the current list of qualifying medical conditions in the state of Maryland:
Anorexia nervosa is an eating disorder characterized by abnormally low body weight and body dysmorphia, a distorted body image. Individuals suffering from anorexia are stuck in a repeating cycle of self-starvation or purging food because they have an extreme fear of gaining weight. Their obsession with their weight, and what they eat disrupts their life and negatively affects their health. This distorted body image also has a negative effect on the person’s self-esteem.
Anorexia is a psychological eating disorder caused by a mix of genetic, environmental, and psychological factors. Anorexia may be associated with a stressful life event, a lack of support, or weight-based teasing that the individual has experienced. A perceived lack of control in one’s life may be a trigger, so an anorexic may assert control in their life through the controlling of food intake. Trying to maintain weight for a sport or activity may be a trigger for athletes that become anorexics. The rising numbers of female patients with anorexia may, in part, also be due to the constant exposure to societal or Hollywood beauty standards which utilize heavy filters, which drive need to achieve an unrealistic ideal of the female body type.
There are two types of Anorexia: restriction of how much one eats, and bulimic, where food is binge eaten and then purged. The restrictor individuals starve themselves primarily by limiting their intake of food and missing meals. The unrealistic perception of their body image may also drive them to exercise too frequently. The bulimic individuals induce vomiting to purge any food eaten, use laxatives, as well as appetite suppressants to curb appetite in order to keep their weight in check.
Anorexics are predominantly grossly underweight with respect to their age and gender, but they consider themselves to be fat or overweight. Although men and women of any age can suffer with anorexia, it’s most common in young women and typically starts during adolescence. Youth with anorexia may not meet developmental weight gain milestones so their height and weight will be below normal; and adults will have an uncharacteristically low BMI, Body Mass Index.
The extreme weight loss can create a cascade of physical problems. Long-term starvation depletes the body of its essential nutrients, so the first organ to be affected is the brain. Anorexics may be fatigued, lethargic, and irritable. They may have difficulty sleeping which may lead to erratic thoughts, and an inability to concentrate. After depletion of the body’s fat stores, patients begin to waste as muscle is broken down for energy. The malnutrition will affect growth; therefore, these patients have a frail, thin appearance with thinning hair which may fall out. Hormonal imbalance is common in chronic anorexics, with adolescent girls even missing their period.
The constant vomiting leads to gastroesophageal reflux, persistent stomach discomfort, and bacterial infections. The induced vomiting can erode teeth and the lining of the esophagus causing bleeding. Anorexia may even damage the heart. The starvation can create dehydration, electrolyte imbalances, and irregular heart rhythms which may cause dizziness and fainting spells. Intolerance of cold can be a symptom of low blood pressure common in this disease.
Typical symptoms of those suffering from Anorexia include:
- A refusal to eat or denial of hunger
- Skipping meals
- Developing feeding rituals
- Obsession with food preparation
- Spitting food out after chewing
- Repeatedly stepping on the scale to check weight
- Lying about the amount of food eaten
- Hiding food
How can Medical Marijuana Help Patients with Anorexia Nervosa?
Cannabis may be an effective treatment option for treating the psychological symptoms of Anorexia Nervosa. A study published in the Israel Journal of Psychiatry studied the effects of marijuana on the psychological symptoms of Anorexia Nervosa, and concluded that THC significantly improved self- reported body care, sense of ineffectiveness, and depression.
Research discovered that the endocannabinoid system in women with anorexia and bulimia was significantly underactive. THC, the psychoactive component of cannabis, has many physiological effects on the body, one of which is increased appetite. Cannabis may be used to treat anorexia patients because THC stimulates the brain’s endocannabinoid system to trigger heightened feelings of hunger.
Allison, S., Warin, M., Bastiampillai, T., Looi, J. C. L., & Strand, M. (2021). Recovery from anorexia
nervosa: the influence of women’s sociocultural milieux. Australasian psychiatry: bulletin of
Royal Australian and New Zealand College of Psychiatrists, 29(5), 513–515.
Avraham, Y., Latzer, Y., Hasid, D., & Berry, E. M. (2017). The Impact of Δ9-THC on the Psychological
Symptoms of Anorexia Nervosa: A Pilot Study. Israel journal of psychiatry, 54(3), 44–51.
Cachexia (Wasting Syndrome)
AKA: Wasting Syndrome
Cachexia is a condition in which a patient will undergo excessive weight loss, muscle loss and fat loss. This condition is often secondary to another disease like Anorexia, HIV/AIDS and cancer. Cachexia can occur in elderly patients with no known underlying causes. The effects of cachexia include inability to concentrate, fatigue, depression and overall diminished quality of life.
How can Medical Marijuana Help Patients with Cachexia?
The primary use of Medical Marijuana in treating Cachexia is its ability to stimulate appetite, resulting in increased caloric (food) intake. It can also reduce vomiting and nausea and improve the effects of depression. Higher THC strains of Medical Marijuana will tend to be the best options for treating patients with Cachexia.
Glaucoma is an eye disease that results in damage to the optic nerve causing vision loss. Glaucoma can be broken down into two different types. Open-angle, which is the most common type, is caused when the drainage angle for fluid within the eye remains open. This type of glaucoma happens over time and does not cause pain. Peripheral vision will begin to decrease followed by central vision resulting in blindness if left untreated. Closed-angle glaucoma can happen gradually or without warning. This type of glaucoma can cause severe pain, blurred vision, redness, dilated pupils and nausea. The risk factors include age, family history and prolonged steroid use. Higher eye pressure has been shown to be connected to an increase in the tendency to develop glaucoma as well. Glaucoma is the second leading cause of blindness.
How can Medical Marijuana Help Patients with Glaucoma?
Several studies have shown smoking marijuana can result in a decrease in eye pressure. This is precisely the purpose of prescription medications given to those who suffer from glaucoma. This makes medical cannabis a wonderful adjunct to traditional medicine or useful in cases where patients cannot tolerate traditional treatment. The studies have shown the decrease in eye pressure can last on average 3 to 4 hours. Future studies are looking at the effectiveness of edible forms to reduce eye pressures for longer durations. Even further down the road will be research to understand what elements of medical cannabis result in the reduction of eye pressure.
Epilepsy and Seizure disorders
Epilepsy is a seizure disorder – the severity of the condition can vary.
Epilepsy is a seizure disorder; the severity of the condition can vary from patient to patient. A seizure occurs in a patient when the body experiences an abnormal electrical storm in the brain. This electrical storm causes the individual to experience changes in consciousness and sensation. It manifests outwardly in a number of different ways including small eye flickers on the mild end to full body convulsions on the more severe end.
How can Medical Marijuana Help Patients with Epilepsy and Seizure disorders?
THC and CBD, cannabinoids abundant in marijuana, exert their effects on both central and peripheral nervous systems. CBD specifically has shown promise in early research studies to have anti-seizure potential.
Multiple Sclerosis (MS) (or Severe Muscle Spasms)
A degenerative disease of the central nervous system
Multiple Sclerosis (MS) is a degenerative disease of the central nervous system affecting the brain, spinal cord, and nerves. Symptoms of MS vary in range from a single symptom to multiple symptoms and mild in intensity to severe. Symptoms can include pain, fatigue, muscle stiffness or spasms, tremors, inflammation, depression, loss of muscle coordination or bladder control.
MS is an autoimmune disease in which the body’s own immune system attacks the protective covering called myelin, that insulate nerve fibers. This myelin sheath enables the brain to communicate with the rest of the body by allowing electrical impulses to travel along the nerve fibers quickly and efficiently. When myelin is damaged, electrical impulses or communication from the brain to the body is slowed or blocked causing MS symptoms.
How can Medical Marijuana Help Patients with Multiple Sclerosis (MS)?
Much of the data or research collected on the effects of medical marijuana on MS symptoms come from patient surveys, self-reported assessments and observational studies. Two active compounds found in medical marijuana that have been studied in the management of MS include tetrahydrocannabinol (THC) and cannabidiol (CBD). According to a study published in American Academy of Neurology among patients from the University of Rochester MS Center, results found majority of subjects found medical marijuana helpful in managing symptoms such as spasticity and pain. The study also reported more than half the subjects felt their quality of life improved with the use of medical marijuana. Another promising study published in 2016 in European Neurology studied patients with treatment-resistant MS spasticity. Real-life data from the study confirmed that adding THC:CBD oromucosal spray was an effective and well-tolerated treatment option for those patients.
Post-Traumatic Stress Disorder (PTSD)
Post-Traumatic Stress Syndrome
A mental health disorder that develops after you experience a traumatic, life-threatening, or highly stressful event.
Post-traumatic stress disorder (PTSD) is a mental health disorder that develops after you experience a traumatic, life-threatening, or highly stressful event. Examples include sexual assault, war, death of someone close, or a natural disaster. This is an anxiety disorder that can make it difficult to function to have a “normal” life. It can last from months to years effecting social relationships, the ability to work and carry out daily tasks like going to the grocery store. Common symptoms include overwhelming feelings of fear, sadness, anger, hopelessness, or irritability, nightmares, negative outbursts, and being on guard.
In PTSD, the part of the brain responsible for the “flight-or-fight” response, called the amygdala, becomes overactive. Its job is to heighten our senses to be ready to act during perceived threat. Another part of the brain that assesses the threat and brings the “flight-or-fight” response down when there is no actual threat is called the prefrontal cortex, and it becomes under-active.
How can Medical Marijuana Help patients with PTSD?
Many patients have reported medical marijuana to help in PTSD. According to an article published by Alcohol and Drug Abuse Institute at University of Washington, anecdotal and case-reports showed evidence marijuana decreased flashbacks, nightmares, anxiety and hyperarousal in PTSD. A recent trial showed canniboids, an active compound found in medical marijuana, lowered the amygdala’s response and increased the prefrontal cortex response to threat. Other research has noted participants re-experienced the trauma decreased and had less avoidance of situations that reminded them of the trauma. These continued reports make medical marijuana an effective treatment for PTSD.
Severe or Persistent Muscle Spasms
Medical Marijuana As An Alternative Treatment
The Ohio, Pennsylvania, Missouri and Oklahoma Medical Marijuana programs all recognize Spasticity as a qualifying condition for medical marijuana treatment. Emerging research suggests that many patients with conditions such as Cerebral Palsy (CP) or Multiple Sclerosis (MS) might consider cannabis to help relieve symptoms related to spasticity; it’s thought that medical marijuana might calm muscle spasticity.
What is Spasticity?
Spasticity is a condition associated with damage to the brain, spinal cord or motor nerves, or neurological conditions. Spasticity is increased, involuntary, velocity-dependent muscle tightening that causes resistance to movement. The condition is typically a result of insult to the central nervous system or motor neurons. It may occur as a primary condition such as with degenerative conditions or as a result of secondary causes such as spinal cord injury, trauma to the brain, or inflammatory conditions such as multiple sclerosis.
Spasticity can range from mild feelings of muscle tightness to painful, uncontrollable spasms of extremities, often in the legs, around the joints, and in the lower back. Spasticity patients may experience symptoms such as:
- Abnormal posture
- Carrying a shoulder, arm, wrist, and finger at an abnormal angle due to muscle tightness
- Exaggerated deep tendon reflexes (knee-jerk or other reflexes)
- Repetitive jerky motions, especially when touched or moved
- Pain or deformity of the affected area of the body
Spasticity may also affect speech. Severe, long-term spasticity may lead to contracture of muscles. This can reduce range of motion or leave the joints bent.
Severe Chronic or Intractable pain
Pain or related symptoms lasting more than 3 months.
Any condition that results in pain, or related symptoms, that lasts more than 3 months may be considered a qualifying condition under chronic pain. The intensity of the pain as well as other symptoms resulting from the painful condition such as anxiety, depression and sleeplessness can be considered in the overall assessment by our physicians when conducting a patient interview. Furthermore, the cause of the chronic pain condition can be fairly broad and can include the following commonly encountered “head to toe” every day problems:
Migraines, tension headaches, cluster headaches
Muscle strains, herniated disks, and arthritis related conditions
Labral tears, rotator cuff injuries, arthritis related conditions
Rib and muscle injuries, chronic pain secondary to pulmonary and respiratory issues, heartburn and acid reflux
Muscle or tendon injuries, prior broken bones, Carpal Tunnel Syndrome, any type of arthritis, vascular disease and Reynaud’s Syndrome/Disease.
Inflammatory bowel disease, hernias, prior organ injuries or surgeries involving the liver, spleen or kidneys, mesenteric ischemia, Herpes Zoster and shingles
Pelvic Pain: Male
Kidney stones, Varicoceles, Prostrate related pain, testicular pain, inguinal hernias, pelvic nerve compression and SI joint pain
Pelvic Pain: Female
Menstrual cramps, Polycystic Ovarian Syndrome (PCOS), Endometriosis/Endometritis, Pelvic Congestion Syndrome, pain during sexual intercourse, Pelvic Inflammatory Disease, pelvic nerve compression and SI joint pain
Hip and Knee pain or prior injuries, muscle or tendon strains, pulls, or tears, any broken bones, vascular pain secondary to poor circulation, Charley horse and cramps that become painful while walking or at night, restless leg syndrome
Peripheral or diabetic neuropathy, sciatica, shingles, Lyme’s Disease, Multiple Sclerosis, Parkinson’s, Epilepsy and Seizure disorders
Any Cancer or Surgical Related Pain
Any pain from cancer or surgical procedures
Foot and Ankle
Any type of tendon or bone injury, plantar fasciitis, Achilles tendon injury, bunions, ankle sprains and strains, prior foot surgeries, burning pain secondary to diabetic neuropathy
How Medical Marijuana Helps Patients with Chronic Pain
Medical Marijuana helps to control or block the pain associated with the possible causes listed above. If you have one or more of these Chronic Pain conditions, you may qualify for treatment with medical marijuana.
Schedule your appointment today with our doctors!