Medically reviewed by Dr. Cheryl Bugailiskis, MD, CURT registered physician
Last medically reviewed: September 25, 2026
TEXAS MEDICAL MARIJUANA CARD ONLINE
Meet with a Texas-licensed physician registered with the Compassionate Use Program from home. Same-day appointments are available, and if you’re approved, your prescription is entered into CURT immediately after your visit. No physical card required.
Same-day appointments available
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The Process
Getting medical marijuana in Texas is different from states that issue a physical medical marijuana card. You don’t apply for a card or wait for one to arrive in the mail. Instead, you meet with a physician registered with the Texas Compassionate Use Program, and if you’re approved, your prescription is entered into CURT. You do not need to register yourself with CURT.
Your physician reviews your medical history and qualifying condition, discusses your symptoms and current treatment context, and determines whether low-THC cannabis is medically appropriate under the Texas Compassionate Use Program.
PRICE
A Texas medical marijuana evaluation with PrestoDoctor costs $149.99 for new patients and $129.99 for renewals. Texas does not charge patients a state registration fee.
If your physician does not approve you, you will not be charged.
Renewal
PrestoDoctor offers online renewal evaluations for Texas patients who need a new physician evaluation.
Our current renewal price is $129.99.
To help avoid a lapse in access, PrestoDoctor recommends scheduling your renewal before your current prescription expires.
Log into your PrestoDoctor account, or sign up as a renewal patient if it's your first time with us.
Meet with a Texas-licensed physician by secure video. Your physician reviews your current medical situation and determines whether to approve a new prescription.
If your physician approves the renewal, your updated prescription is entered into the Compassionate Use Registry of Texas (CURT).
⚠️ Switching From Another Physician? If another physician currently has an active patient relationship with you in CURT, that physician may need to terminate the relationship before a new physician can enter a prescription for you.
Qualifying Conditions
Texas allows physicians registered with the Compassionate Use Program to prescribe low-THC cannabis to permanent Texas residents who have qualifying medical conditions and meet the program’s other requirements.
Your physician must determine whether medical use of low-THC cannabis is appropriate and whether the potential benefit outweighs the risk for your particular circumstances.
Texas law also provides a separate pathway for certain medical conditions being treated through an approved research program.
Texas Eligibility Quiz
Take our free eligibility quiz — no signup required.
Only a physician can make the final medical determination.
Yes. Texas HB 46 added chronic pain as a qualifying medical condition effective September 1, 2025.
For purposes of the Texas Compassionate Use Program, HB 46 defines chronic pain as pain associated with a chronic pathological process that causes continuous or intermittent severe pain for more than 90 days, is not relieved by certain treatment approaches, and for which THC is a viable method of treatment.
A diagnosis of chronic pain does not automatically guarantee eligibility. Your physician will review your condition and determine whether you meet the program requirements and whether medical use of low-THC cannabis is appropriate for you.
You don't need a stack of medical records to get started. Have these items ready for your online appointment:
Government-Issued Photo ID required
Have a valid government-issued photo ID available. If your ID does not show your current Texas address, have additional proof of Texas residency available if needed.
Last 5 Digits of Your SSN required
The last five digits of your Social Security number are used to help verify your patient record when filling your prescription through a licensed Texas dispensing organization.
Camera-Enabled Device required
Your evaluation takes place online by video, so you'll need a smartphone, tablet, or computer with a working camera, microphone, and reliable internet connection.
Medical Records optional
Medical records are not required to get started with your PrestoDoctor evaluation. If you have records that help explain your diagnosis, symptoms, previous treatment, or medical history, you may have them available for your physician to review. Your physician may request additional information when needed to make a medical determination.
CURT stands for the Compassionate Use Registry of Texas. It's the state registry where participating physicians enter medical cannabis prescriptions and licensed dispensing organizations verify a patient's active prescription. Texas does not issue a physical medical marijuana card. Your prescription is recorded electronically in CURT, so there's no card to carry or wait for in the mail.
Your CURT information is confidential by law. Patient-identifying information in CURT is protected from public disclosure, and access is limited under Texas law for authorized program purposes, including verification of patient status and prescriptions.
House Bill 46 expanded the Texas Compassionate Use Program. The changes took effect September 1, 2025. Key changes include:
🗓 EFFECTIVE SEPTEMBER 1, 2025
10 mg
Maximum THC per dosage unit
1 gram
Maximum total THC in a package, container, or pulmonary-inhalation device
90 days
Supply per prescription, with up to four 90-day refills
Once your prescription is active in CURT, you can contact a licensed Texas dispensing organization to fill it. You do not need a separate Texas medical marijuana card or state registration. Bring your government-issued photo ID and be prepared to provide the information the dispensary uses to verify your CURT record.
Pickup and delivery options vary by dispensing organization and location.
Testimonials & Reviews
PrestoDoctor Physicians
PrestoDoctor physicians serving Texas patients are licensed by the Texas Medical Board and registered with the Texas Compassionate Use Program.
Dr. Bugailiskis completed residency training through the University of Illinois in Chicago and is board-certified in pediatrics. She has completed the Clinical Cannabinoid Medicine Curriculum developed by the Society of Cannabis Clinicians.
Texas law and program information reviewed against current Texas statutes and DPS/DSHS guidance.
Why Telemedicine?
PrestoDoctor provides online medical marijuana evaluations to eligible Texas residents statewide.
Your appointment takes place by secure video, so you can meet with your physician from home without traveling to an in-person clinic.
FAQs
No. Texas does not issue a physical medical marijuana card. Instead, a physician registered with the Compassionate Use Program enters your prescription into the Compassionate Use Registry of Texas (CURT).
You start by checking whether you may qualify as a permanent Texas resident with a qualifying medical condition. You then complete an online evaluation with a Texas-licensed physician registered with the Compassionate Use Program. If your physician approves you, the prescription is entered into CURT.
No. Patients do not register themselves with CURT. Your physician enters your prescription into the registry if you are approved.
We recommend calling the dispensary before visiting to ensure that your prescription is visible and you are able to get your medication.
Have a government-issued photo ID, proof of Texas residency if needed, and the last five digits of your Social Security number available. You'll also need a camera-enabled device for your online video appointment. Medical records are not required to get started, but relevant records may be helpful for your physician to review.
The Texas Compassionate Use Program includes conditions such as epilepsy, seizure disorder, multiple sclerosis, spasticity, ALS, autism, cancer, incurable neurodegenerative disease, PTSD, chronic pain, traumatic brain injury, Crohn's disease or other inflammatory bowel disease, and terminal illness or hospice or palliative care. Your physician must determine whether you meet the program requirements and whether medical use is appropriate.
Not as a standalone qualifying condition. Anxiety itself is not one of the conditions specifically listed under the Texas Compassionate Use Program. PTSD, however, is a listed condition, and anxiety symptoms may be part of a broader medical condition that a physician evaluates.
Texas law lets a physician ask the Department of State Health Services to report to the Legislature that low-THC cannabis may benefit a condition that is not listed, supported by medical evidence such as peer-reviewed research. A request does not add the condition to the program.
Yes. HB 46 added chronic pain as a qualifying medical condition effective September 1, 2025. Texas defines chronic pain using specific clinical and duration requirements, so having pain for more than 90 days alone does not automatically guarantee eligibility. Your physician makes the final determination.
PrestoDoctor charges $149.99 for new patients and $129.99 for renewals. Texas does not charge patients a separate state registration fee. Under PrestoDoctor's money-back guarantee, you are not charged if your physician does not approve you.
Same-day appointments are available. If your physician approves you, your prescription is entered into CURT immediately after your appointment. The timing for dispensary verification and fulfillment can vary.
Yes. Texas requires patients in the Compassionate Use Program to be permanent residents of Texas.
No. Texas does not accept out-of-state medical marijuana cards as a substitute for a Texas CUP prescription. Patients must meet the Texas program requirements and have a prescription entered into CURT by a participating physician.
Texas law does not impose a blanket minimum age for low-THC cannabis prescriptions.
PrestoDoctor currently serves adult patients age 18 and older. Additional guardian requirements may apply to patients under 18.
Yes. A patient's legal guardian can pick up the patient's prescribed low-THC cannabis from a licensed dispensing organization. The guardian must be documented in CURT and provide identification and the patient's required information for verification, including the patient's last name, date of birth, and last five digits of their Social Security number.
No. Texas requires patients to obtain low-THC cannabis through licensed dispensing organizations rather than growing it at home.
No. Texas law excludes smoking from the definition of medical use. Other administration methods, including certain physician-prescribed forms of pulmonary inhalation, are governed by the program's current rules.
Yes. Texas permits medical use of low-THC cannabis through the Compassionate Use Program for patients who meet the applicable requirements. A physician registered with the program must prescribe it, and the prescription is entered into CURT.
DISCLAIMER: PrestoDoctor physicians are CURT-registered and follow all Texas Department of Public Safety (DPS) regulations under the Texas Compassionate Use Act (TCUA) and HB 46. Recommendations are for clinical low-THC cannabis use only. We do not provide services for recreational use.
