A patient younger than 18 has stricter rules than an adult. Two providers certify, a parent or legal guardian gives permission and serves as caregiver, and the patient cannot enter a dispensary without that caregiver.
Who certifies
The Commission says pediatric patients must be certified by two Certifying Health Care Providers, one of whom must be a pediatrician or pediatric specialist(masscannabiscontrol.com).
The regulation says a Qualifying Patient who is younger than 18 years old may receive a Written Certification when two Massachusetts licensed Certifying Physicians diagnose a debilitating Life limiting Illness, at least one being a board certified pediatrician, pediatric subspecialist, oncologist, neurologist or family physician(state regulation).
The physicians may also certify a Qualifying Patient who is younger than 18 years old who has a Debilitating Medical Condition that is not a Life limiting Illness if they determine that the benefits of the medical use of Marijuana outweigh the risks(state regulation).
For that case the regulation requires a discussion with the parent or legal guardian, their written consent, and documentation of the rationale in the medical record and the Written Certification(state regulation).
This page does not say which conditions qualify. The providers decide.
The parent or guardian
The regulation requires an attestation from a parent or legal guardian granting permission for the child to register with the Commission(state regulation).
If the Qualifying Patient is younger than 18 years old, that Qualifying Patient must have a designated Personal Caregiver, who shall be his or her parent or legal guardian(state regulation).
The Commission says parents who enroll a child must receive certifications from two Certifying Healthcare Providers in Massachusetts, then submit a pediatric application, which is available online(masscannabiscontrol.com).
At the dispensary
The regulation says Qualifying Patients younger than 18 years old do not have to have a separate means of identification to enter a treatment center (MTC)(state regulation).
A Qualifying Patient younger than 18 years old cannot enter a treatment center (MTC) without their Caregiver(state regulation).
A visiting nurse, personal care attendant or home health aide may serve as a second Personal Caregiver to patients younger than 18(state regulation).
Short answers
How many providers certify a patient under 18?
Two. One must be a pediatrician or pediatric specialist(masscannabiscontrol.com).
Who is the caregiver for a patient under 18?
For a Qualifying Patient younger than 18 years old, the patient's parent or legal guardian, who must be the designated Personal Caregiver(state regulation).
Can a patient under 18 go into a dispensary alone?
No. A Qualifying Patient younger than 18 years old cannot enter a treatment center (MTC) without their Caregiver(state regulation).
Can a pediatric patient apply online?
The Commission says the pediatric application is available online(masscannabiscontrol.com).
Advanced Dispensary in Peabody
Advanced Dispensary in Peabody is being built and has no opening date.
Sources
- "Cannabis Control Commission, Register as a New Patient" (masscannabiscontrol.com, read November 5, 2026): "Pediatric patients must be certified by two Certifying Health Care Providers, one of whom must be a pediatrician or pediatric specialist."
- "935 CMR 501.010, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "A Qualifying Patient who is younger than 18 years old and has been diagnosed by two Massachusetts licensed Certifying Physicians, at least one of whom is a board certified pediatrician, pediatric subspecialist, oncologist, neurologist, or family physician, with a debilitating Life-limiting Illness, may receive a Written Certification"
- "935 CMR 501.010, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "the physicians may certify a Qualifying Patient who is younger than 18 years old who has a Debilitating Medical Condition that is not a Life-limiting Illness if those physicians determine that the benefits of the medical use of Marijuana outweigh the risks."
- "935 CMR 501.010, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "This shall include a discussion of the potential negative impacts on neurological development with the parent or legal guardian of the Qualifying Patient, written consent of the parent or legal guardian, and documentation of the rationale in the medical record and the Written Certification."
- "935 CMR 501.015, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "an attestation from a parent or legal guardian granting permission for the child to register with the Commission"
- "935 CMR 501.015, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "If the Qualifying Patient is younger than 18 years old, that Qualifying Patient shall have a designated Personal Caregiver, who shall be his or her parent or legal guardian."
- "Cannabis Control Commission, Parent Caregivers" (masscannabiscontrol.com, read November 5, 2026): "Those interested in enrolling their child in the Medical Use of Marijuana Program (Program) must receive certifications from two Certifying Healthcare Providers in Massachusetts who are registered with the Program, then submit a pediatric application, which is now available online ."
- "935 CMR 501.140, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "Qualifying Patients younger than 18 years old do not have to have a separate means of identification to enter an MTC."
- "935 CMR 501.140, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "A Qualifying Patient younger than 18 years old cannot enter an MTC without their Caregiver."
- "935 CMR 501.002, Cornell Legal Information Institute" (law.cornell.edu, read November 5, 2026): "A visiting nurse, personal care attendant, or home health aide providing care to a Registered Qualifying Patient may serve as a Personal Caregiver, including as a second Personal Caregiver to patients younger than 18 years old."