To recommend cannabis, you must be a practicing physician in good standing with the state board of health. Physicians submit certifications electronically in a system provided by the state health department which can be found here. Certifications must be issued no more than 30 days before the date of the patient's application. Signing this document certifies that you met with and examined the qualifying patient, reviewed the qualifying patient's medical records or medical history, reviewed the qualifying patient's current medications and allergies to medications, discussed the qualifying patient's current symptoms, and created a medical record for the qualifying patient regarding the meeting. Also that you discussed the qualifying patient risks associated with medical cannabis, including known contraindications applicable to the patient, risks of medical cannabis use to fetuses, and risks of medical cannabis use to breastfeeding infants.