Patient Applications

All patients must submit an “Application for Registry Identification Card for Qualifying Patients” in addition to the “Physician Written Certification Form” that our doctors must submit to the Illinois Department of Public Health. Our staff will explain the patient application process and will ensure that every one of our patients submits a complete application along with all other items that are required by the state, which include:

  • Proof of residency
  • Proof of identity
  • Proof of age
  • 2X2 photograph of qualifying patient
  • UCIA fingerprint consent form
  • Excluded offense waiver, if applicable
  • Selection of medical cannabis dispensary zone
  • State’s application fee

If you need any assistance with filling out your application, or would like to speak to an advocate, please contact us. We will make sure that the application process is simple and stress free for all of our patients.

Application Documents

Instructions for Patient Application.pdf

Instructions for Patient Application.pdf

Patient Application Form

Patient Application Form

Fingerprint Consent Form

Fingerprint Consent Form 080814

Caregiver Application

Caregiver Application Form

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About THC

The Healing Clinic is a full service Medical Marijuana Patient Advocacy center. We are a group of doctors and medical marijuana Patient Advocates here to serve Chicago and the surrounding areas. Our goal is to be one of the best cannabis clinics in Chicago, and to faithfully serve the growing patient population in Illinois.

medical marijuana Chicago

Contact THC

1443 W Belmont Ave, Chicago, IL 60657
Highland Park
332 Skokie Valley Rd #104, Highland Park, IL 60035
3235 Vollmer Rd #139, Flossmoor, IL 60422
(312) 890-6113
(844) 249-5580

Business Hours

Highland Park: Monday-Thursday 8am -6pm, Friday 10am-6pm, Saturday 8am-3pm
(Closed Sundays and Wednesdays)

Belmont: Monday-Wednesday 10am-6pm, Friday 10am-6pm, Saturday 8am-3pm
(Closed Thursdays and Sundays)

Flossmoor: Monday-Wed 8am-3pm , Saturday 8am-3pm
(Closed Thursdays, Fridays and Sundays)


Located in Chicago / Highland Park / Flossmoor