A video visit with a Missouri-licensed physician or nurse practitioner. If you're certified, we'll walk you through the state Patient ID card that comes next.
A quick summary before you book.
Book an AppointmentRoot 66's South Grand location sits just north in Tower Grove South, an easy trip from Dutchtown along the same corridor that anchors the neighborhood's own shopping strip.
South Grand and Meramec Street both run directly through the area, keeping most of Dutchtown within a short drive of a licensed dispensary.
An MD, DO, or nurse practitioner evaluates you by telehealth — a real medical encounter, not a questionnaire.
Your certification is submitted to Missouri's Complia portal. You then complete the state application within 30 days.
Once approved, your digital card is valid for 3 years and is what a dispensary actually checks at purchase.
Explained the state card step clearly upfront, so nothing caught me off guard at the dispensary.
Doctor was straightforward and didn't rush the visit. Appreciated that.
Sourced from Missouri DHSS's own guidance.
Not in Missouri. Your certification is what lets you apply for the state Patient ID card — but it's the card itself, not the certification, that a dispensary actually checks before selling to you.
Missouri does name specific conditions — cancer, epilepsy, HIV/AIDS, and psychiatrist-diagnosed PTSD among them — but a certifying practitioner can also approve any other chronic or debilitating condition using their own clinical judgment.
In most cases, yes. What matters is that the evaluation is a genuine medical encounter rather than a quick questionnaire — beyond that, video or audio with a licensed practitioner generally satisfies the requirement.
DHSS charges $28.14 for a patient or caregiver ID card as of the current fee schedule, adjusted annually. Whatever your telehealth provider charges for the evaluation itself is separate.
Every three years — one of the longest renewal cycles of any state medical cannabis program in the country.
No. Missouri dropped its residency requirement, so applying doesn't depend on where you're officially based.
An MD, DO, or nurse practitioner licensed and in good standing in Missouri. Physician assistants are not permitted to issue certifications under this program.
Standard allowance is 6 ounces a month, though a practitioner can authorize a higher amount directly on your certification if warranted.
This is background reading, not guidance — your practitioner makes the actual call.
It's one of Missouri's named categories, specifically conditions causing severe, persistent pain like those tied to multiple sclerosis. Your practitioner still has to confirm it fits your situation during the actual evaluation.
It might. Missouri's list is specific that PTSD has to be diagnosed by a state-licensed psychiatrist to count as a named qualifying condition. Bring whatever documentation you have and raise it directly with your practitioner.
Missouri's category for psychiatric disorders isn't limited to PTSD alone. Whether a particular diagnosis clears the bar is ultimately a clinical decision your practitioner makes case by case.
Sleep issues aren't called out by name in Missouri's list, but they come up often in these conversations and can sometimes fall under a practitioner's broader discretion. It's worth raising at your visit either way.
Not necessarily. Missouri gives practitioners room to certify other chronic or debilitating conditions beyond the named list — hepatitis C, ALS, and Crohn's disease are examples that have qualified this way. It comes down to individual clinical judgment, not a second hidden checklist.
Dutchtown takes its name from a mispronunciation of "Deutsch" — German — reflecting its 19th-century roots as the hub of St. Louis's South Side German community. St. Anthony of Padua's soaring spires still tower over the neighborhood as a symbol of that history.
The 17-acre Marquette Park sits at the heart of the neighborhood, home to a historic 1917 recreation center, a public pool, tennis courts, and open green space — a genuine gathering point rather than just a pass-through park.
Since the 1990s, Dutchtown has rapidly diversified, with substantial Black, Latino, and Asian immigrant communities alongside its original German character — often described as a microcosm of St. Louis itself.
Century-old brick bungalows, townhouses, and flats line Dutchtown's blocks, with "Downtown Dutchtown" — a strip of shops along Meramec Street — anchoring the area between South Grand and Compton.
This site is centered on Dutchtown, but Missouri's certification process is identical no matter which part of the state you're in — and since residency isn't required at all, you don't even have to be a Missouri resident to apply.
Dutchtown — named for a mispronunciation of "Deutsch" — was once the center of St. Louis's South Side German community, built up around Marquette Park and anchored by the towering spires of St. Anthony of Padua Catholic Church. One of the largest and most densely populated neighborhoods in the city, it has diversified rapidly since the 1990s into a genuinely mixed community. For medical cannabis access, Dutchtown residents follow the same statewide Missouri process as anywhere else.
Unlike states where a certification alone is sufficient, Missouri requires a second step: after a physician, DO, or nurse practitioner issues a certification under Article XIV of the Missouri Constitution, the patient must separately apply for a state Patient ID card through the Department of Health and Senior Services' Complia portal. Only the card — not the certification alone — is what a licensed dispensary checks at the point of sale.
Missouri's qualifying conditions list includes cancer, epilepsy, HIV/AIDS, PTSD (diagnosed by a psychiatrist), and chronic conditions causing severe pain or muscle spasms, among others. Practitioners also have discretion to certify other chronic or debilitating conditions not specifically named. Full detail is maintained at the Missouri DHSS medical marijuana program page.
Your certification is the beginning of the process — not the end of it.
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