The Pennsylvania Department of Health (DOH) continues working on the implementation of Act 16 of 2016 which created Pennsylvania’s Medical Marijuana Program. In order to prepare for the process of registering physicians who would like to participate in the Medical Marijuana Program, the DOH would like to collect information from the Pennsylvania licensed physicians who plan to register. Please take a few minutes to respond to this survey. Your responses may not remain confidential. Thank you!

Question Title

* 1. Are you interested in participating as a recommending practitioner in Pennsylvania's Medical Marijuana Program?

Question Title

* 2. Do you hold a valid, unrevoked Pennsylvania medical license?

Question Title

* 3. In what type of environment do you work?

Question Title

* 4. Are you a general practitioner?

Question Title

* 5. If you practice within a specialty, please list the specialty.

Question Title

* 6. In which Pennsylvania county or counties do you practice?

Question Title

* 7. Are you aware of Act 16's 4-hour training course that physicians are required to complete before participating in the Medical Marijuana Program?

Question Title

* 8. If you would like to receive updates on the program, please provide an email address.

Question Title

* 9. Please use this space to provide any additional comments you may have for the Office of Medical Marijuana.

Thank you for your feedback.

T