Section 36-2804.02 - Registration of qualifying patients and designated caregiversA. A qualifying patient may apply to the department for a registry identification card by submitting: 1. Written certification issued by a physician within the ninety days immediately preceding the date of application.3. An application, including: (a) Name, mailing address, residence address and date of birth of the qualifying patient except that if the applicant is homeless no address is required.(b) Name, address and telephone number of the qualifying patient's physician.(c) Name, address and date of birth of the qualifying patient's designated caregiver, if any.(d) A statement signed by the qualifying patient pledging not to divert marijuana to anyone who is not allowed to possess marijuana pursuant to this chapter.(e) A signed statement from the designated caregiver, if any, agreeing to be the patient's designated caregiver and pledging not to divert marijuana to anyone who is not allowed to possess marijuana pursuant to this chapter.(f) A designation as to who will be allowed to cultivate marijuana plants for the qualifying patient's medical use if a registered nonprofit medical marijuana dispensary is not operating within twenty-five miles of the qualifying patient's home.B. The application for a qualifying patient's registry identification card shall ask whether the patient would like the department to notify him of any clinical studies needing human subjects for research on the medical use of marijuana. The department shall notify interested patients if it is notified of studies that will be conducted in the United States.Caution: 1998 Prop. 105 applies