How to Get a Medical Marijuana Card in Texas

If you're living with certain medical conditions and are considering cannabis as a treatment option, here’s a clear breakdown of how to get started.

5/2/20252 min read

How to Get a Medical Marijuana Card in Texas
How to Get a Medical Marijuana Card in Texas

While Texas doesn't issue traditional medical marijuana cards like some other states, residents still have legal access to low-THC cannabis through the Texas Compassionate Use Program (CUP). If you're living with certain medical conditions and are considering cannabis as a treatment option, here’s a clear breakdown of how to get started.

What Is the Texas Compassionate Use Program?

The Compassionate Use Program allows qualified patients to legally use low-THC cannabis (0.5% THC or less) for medical purposes. Unlike other states, Texas does not provide a physical ID card. Instead, patients are registered in a secure online database managed by the state.

Step-by-Step Guide to Getting Medical Marijuana in Texas

1. Check If You Qualify

First, you need to have a qualifying medical condition. Some of the approved conditions include:

Epilepsy

Multiple Sclerosis (MS)

Autism

ALS (Amyotrophic Lateral Sclerosis)

Incurable neurodegenerative diseases

PTSD

Cancer

Chronic pain (in certain cases)

You must also be a permanent Texas resident.

2. Find a CUP-Registered Doctor

Only physicians who are registered with the Compassionate Use Registry of Texas (CURT) can prescribe low-THC cannabis. You can find a list of these doctors online or by asking your primary care provider for a referral.

3. Get a Medical Evaluation

During your appointment, the doctor will review your medical history and symptoms. If they believe cannabis is a suitable option, they will enter your prescription into the state’s registry system.

4. Get Registered in the CURT System

Once your doctor adds you to the CURT system, you're officially authorized to purchase low-THC cannabis from a licensed dispensary. You don’t need to carry a physical card—your information is already stored securely online.

5. Fill Your Prescription at a Licensed Dispensary

You can now contact one of Texas’s licensed dispensaries, such as Texas Original Compassionate Cultivation or Fluent. Some offer delivery services, making the process even more convenient.

Benefits of the Texas Program

  • No card needed: Everything is digital, reducing paperwork and wait times.

  • Easy access: Once you’re registered, you can get prescriptions refilled as needed.

  • Doctor supervision: You’ll receive professional guidance for dosage and product type.

Final Thoughts

Getting access to medical cannabis in Texas is simpler than you might think—as long as you meet the requirements and connect with the right doctor. With no physical card needed and a fully digital registration process, the state’s Compassionate Use Program provides a secure and legal way to explore cannabis as a treatment option.

FAQs

Do I need a medical marijuana card in Texas?
No. Texas does not issue medical marijuana cards. Instead, patients are registered in the Compassionate Use Registry of Texas (CURT) by an approved physician.

Can I use recreational marijuana in Texas?
No. Recreational marijuana is still illegal in Texas. Only low-THC cannabis is allowed for medical use under CUP.

Is low-THC cannabis effective?
Many patients have found relief using low-THC products for conditions like epilepsy, PTSD, and chronic pain. It’s best to consult a CUP-registered doctor to see if it may work for your condition.