Individuals intending to serve as a registered caregiver to patient participants of the Mississippi Medical Cannabis Program.Individuals with an economic interest (as defined by the rules and regulations developed by the MS State Department of Health and MS Department of Revenue) in a prospective medical cannabis business entity.Individuals applying for the required work permit for employment by a licensed medical cannabis establishment.Who is required to have a background check?.Completed and notarized affidavit (see LINK above).Typed or written document stating your legal name and when fingerprints were submitted/mailed to MSDH Fingerprint Unit: EXAMPLE: “I (full name) have submitted my fingerprints to the MMCP on this date (enter date of submission).”.Use this code on the fingerprint card that says “reason fingerprinted: MC4200015 MSDH Fingerprint Unit, 143B Lefleur’s Square, Jackson, MS 39211 either in person or by mailYour local law enforcement office should be able to assist you with your fingerprints.Fingerprint cards must be submitted either in person or by mail to: *Fingerprinting is required as part of the finger-background check.Digital Photo *Please see photo requirements in General Requirements” section of checklist* (see below for information regarding photo requirements).Proof of state of residency (just attach your DMV Issued ID).Caregiver Authorization/Patient Authorization Form (see button below).Chronic, terminal or debilitating disease or medical condition, or its treatment, that produces one or more of the following: cachexia or wasting syndrome, chronic pain, severe or intractable nausea, seizures, or severe and persistent muscle spasms, including, but not limited to, those characteristic of multiple sclerosis or any other serious medical condition or its treatment added by the Mississippi Department of Health, as provided for in Section 9 of the MS Medical Cannabis Act.Pain refractory to appropriate opioid management. ![]() Acquired Immune Deficiency Syndrome (AIDS).
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