Tower Grove South · St. Louis

Two Steps to Your Missouri Card

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.

MD / DO / NPCan Certify You
3 YearsPatient Card Validity
$28.14State Card Fee
From Tower Grove South

The short version

Everything you need to know before you book.

Book an Appointment
  • Certification from an MD, DO, or nurse practitioner
  • Missouri has named qualifying conditions, plus physician discretion
  • A state Patient ID card is required before you can purchase
  • Once issued, your card is valid for 3 years
  • Up to 6 ounces per month once certified
Nearest Dispensary

Root 66's South Grand location sits directly in Tower Grove South itself — no need to cross into another neighborhood once you're certified.

Getting There

South Grand and Gravois Road both cut through the area, so most of the neighborhood is a short drive from a licensed dispensary.

How This Works

Your visit, then your card

1

Complete your evaluation

A Missouri-licensed practitioner meets with you by telehealth — a genuine medical visit, not a form to fill out.

2

File with the state

Your certification goes to Missouri's Complia portal. From there, you have 30 days to complete your own card application.

3

Carry your card

Once DHSS approves it, your digital Patient ID card is good for 3 years — and it's what the dispensary will actually ask to see.

Patient Experiences

How the visit actually goes

★★★★★

I appreciated that they explained the card application clearly instead of making it sound like certification alone was the finish line.

Katie H.
★★★★★

Fast, professional, and the practitioner actually listened. Would recommend to anyone nearby.

Derek W.
Common Questions

Before you book, know this

Based on official DHSS program rules.

Can I shop at a dispensary right after certification?

Not quite yet. The certification is your ticket to apply for the state Patient ID card — and it's the card, once issued, that a dispensary checks before selling to you.

What counts as a qualifying condition?

Missouri names several specific ones — cancer, epilepsy, HIV/AIDS, and psychiatrist-diagnosed PTSD among them — and lets a certifying practitioner add any other chronic or debilitating condition using their own judgment.

Is an in-person visit ever required?

Generally no. As long as the evaluation is a real medical encounter and not just a form, a video or audio telehealth visit with a licensed practitioner typically satisfies Missouri's requirement.

What's the state's fee for the card itself?

$28.14 as of the current DHSS fee schedule, which adjusts annually. Your telehealth provider's evaluation fee is billed separately from that.

When do I have to renew?

Every three years. That's a notably longer cycle than most states require.

Does Missouri residency matter?

Not anymore. Missouri removed its residency requirement, so where you officially live doesn't affect your eligibility to apply.

Which providers are allowed to certify patients?

MDs, DOs, and nurse practitioners licensed in Missouri. Physician assistants are not included among Missouri's authorized certifiers.

Is there a monthly purchase limit?

Yes, 6 ounces per month by default, though a practitioner can note a higher amount directly on your certification if clinically appropriate.

Conditions & Symptoms

What tends to come up in these visits

Not medical advice — just common ground for the conversation with your practitioner.

Would ongoing back or joint pain qualify?

Missouri's list covers chronic conditions involving severe, persistent pain, similar to what's associated with multiple sclerosis. Your practitioner reviews your specific history to decide if it fits.

Does a PTSD diagnosis from a therapist count?

Missouri's rule is specific here: the diagnosis has to come from a state-licensed psychiatrist to count under the named list. Worth bringing any documentation you have to your visit.

Is depression or anxiety covered?

Missouri's psychiatric-disorder category isn't limited to PTSD specifically. Whether a given diagnosis clears the bar comes down to your practitioner's clinical judgment during the visit.

What about insomnia or general sleep trouble?

It's not one of Missouri's named conditions, but it's a frequent topic in these conversations and can sometimes be addressed under a practitioner's broader discretion. Mention it directly at your visit.

My diagnosis isn't anywhere on the official list — now what?

That doesn't automatically rule you out. Missouri lets practitioners certify other chronic or debilitating conditions beyond the named list — ALS, Crohn's disease, and hepatitis C have all qualified this way in practice. It's an individual clinical decision, not a second published list.

Worth Knowing

The neighborhood context

From Oak Hill to Tower Grove South

The neighborhood was originally called Oak Hill, after the Russell family estate built on land once known as Prairie des Noyers. The Russells later discovered coal on the property — a detail most residents today have never heard.

A Historic District Worth a Walk

Tower Grove Heights, on the National Register of Historic Places, sits just south of Tower Grove Park within the neighborhood — brick homes on stately blocks that trace back to a real estate boom over a century ago.

The First Concrete Road in Missouri

Gravois Road, which cuts through the neighborhood's southeast corner, has a surprisingly deep history — a trail to a salt spring in 1804, later a ferry road, and in 1914, the first road in Missouri ever paved with concrete.

Two Distinct Commercial Strips

South Grand anchors the eastern edge with a well-known cluster of ethnic restaurants, while Morganford Road on the west side has seen its own wave of reinvestment since 2000 — new restaurants, bars, and a neighborhood grocery focused on local food.

Not Limited to Local Residents

This site is centered on Tower Grove South, but Missouri's certification process is the same everywhere in the state — and since residency isn't required at all, it doesn't even matter if you live here.

Tower Grove South, St. Louis: An Overview

From Farmland to a National Historic District

Tower Grove South was originally Oak Hill, the Russell family's country estate on former agricultural common fields, before an influx of German immigrants in the 1850s and the arrival of streetcar lines built it into a dense residential neighborhood. Bounded by Arsenal, South Grand, Chippewa, and Kingshighway, the neighborhood includes the Tower Grove Heights Historic District and sits directly south of the 289-acre Tower Grove Park. For medical cannabis access, Tower Grove South residents follow the same statewide Missouri process as anywhere else.

A Certification Is Only Half the Process

Missouri doesn't treat a physician certification as sufficient on its own. After an MD, 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 DHSS's Complia portal. Dispensaries check for that card specifically, not the certification itself.

A Real List, With Room Beyond It

Missouri names specific qualifying conditions — including cancer, epilepsy, HIV/AIDS, and psychiatrist-diagnosed PTSD — while also giving practitioners discretion to certify other chronic or debilitating conditions on a case-by-case basis. Full detail is maintained at the Missouri DHSS medical marijuana program page.

Official Missouri Resources

DHSS — How to ApplyOfficial program information
Qualifying Medical ConditionsOfficial list and criteria
DHSS Cannabis Program HomeDivision of Cannabis Regulation
Links go to official Missouri Department of Health and Senior Services sources only. Verify current details at health.mo.gov.

Ready when you are.

Book your visit, and we'll guide you through the state card step too.

Book Your Visit