For Physicians: How to Become a CURT-Registered Prescriber in Texas
Are you a Texas-licensed physician interested in prescribing low-THC cannabis through the Compassionate Use Program? The Texas Department of Public Safety (DPS) administers physician registration through the Compassionate Use Registry of Texas (CURT).
Eligibility Requirements
Licensure Requirements:
To prescribe low-THC cannabis in Texas, you must:
- Hold an active, unrestricted license to practice medicine in Texas issued by the Texas Medical Board
- Be licensed as an MD (Medical Doctor) or DO (Doctor of Osteopathic Medicine)
- License must be in good standing with no disciplinary actions
- Hold an active DEA registration
- Not have had a DEA registration revoked or suspended
Important: Texas currently limits prescribing authority to MDs and DOs. Nurse practitioners, physician assistants, and other providers cannot prescribe low-THC cannabis.
CURT Registration Process
Step 1: Access the CURT Portal
Visit the Texas Department of Public Safety's CURT registration portal through their website.
Step 2: Create Your Physician Account
Register with your:
- Texas medical license number
- DEA registration number
- National Provider Identifier (NPI)
- Practice location information
- Contact information
Step 3: Complete CURT Training
Texas requires physicians to complete training on:
- Texas Compassionate Use Act (Chapter 169, Texas Occupations Code)
- Texas Health and Safety Code provisions
- CURT system operation and prescription entry
- Qualifying conditions and patient evaluation
- Low-THC cannabis pharmacology and dosing
- Record-keeping requirements
Step 4: Agree to Program Terms
Acknowledge your understanding of:
- Scope of the Compassionate Use Program
- Prescribing limitations (1% THC max)
- Patient eligibility requirements
- Documentation and compliance requirements
Step 5: Registration Approval
DPS reviews applications and approves qualified physicians. Once approved, you can begin entering prescriptions in CURT.
Prescribing Low-THC Cannabis in Texas
Once registered with CURT, you can prescribe low-THC cannabis:
Prescription Requirements:
- Establish Physician-Patient Relationship: Conduct a thorough evaluation (in-person or telehealth)
- Confirm Qualifying Condition: Verify the patient has a qualifying condition
- Determine Treatment Appropriateness: Conclude that low-THC cannabis is appropriate treatment
- Document in Medical Record: Maintain comprehensive documentation
- Enter Prescription in CURT: Include:
- Patient information
- Qualifying condition
- Product recommendations (optional)
- Prescription duration
- Refill information
Texas Prescribing Features:
- Telehealth Permitted: Evaluations can be conducted via secure video
- Prescription Duration: Physician determines appropriate duration
- Low-THC Products Only: All products must contain 1% THC or less
- Dispensing Limits: Patients purchase from licensed dispensing organizations
Physician Documentation Requirements:
For each prescription, maintain records documenting:
- Diagnosis of qualifying condition
- Rationale for low-THC cannabis treatment
- Other treatments attempted (if applicable)
- Patient evaluation findings
- Prescription details entered in CURT
Legal Protections for Texas CUP Physicians
Texas law provides protections for registered physicians:
- Cannot be disciplined by the Texas Medical Board solely for prescribing low-THC cannabis to qualifying patients
- Protected from criminal prosecution for good-faith prescriptions
- May charge reasonable fees for evaluations
Important Restrictions:
Physicians are prohibited from:
- Prescribing to patients without qualifying conditions
- Prescribing products exceeding 1% THC
- Having a direct financial interest in a licensed dispensing organization
- Prescribing to themselves or immediate family members
Resources for Texas Physicians
- Texas Department of Public Safety - CURT: dps.texas.gov
- Texas Medical Board: tmb.state.tx.us
- Texas Osteopathic Medical Association: txosteo.org
- Texas Medical Association: texmed.org
- Texas Compassionate Use Act: Texas Occupations Code Chapter 169
Benefits of Becoming a CURT-Registered Physician
- No Registration Fee: Free to register with CURT
- Help Underserved Patients: Many Texans with qualifying conditions lack access to registered physicians
- Telehealth Permitted: Evaluate patients remotely
- Growing Program: Texas continues to expand qualifying conditions
- Professional Fulfillment: Provide legal therapeutic option for patients with serious conditions