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Medical Marijuana Identification Card Program - Forms
MMIC - Forms Medical Marijuana Program Application/Renewal form (cdph9042) English(PDF, 299KB) Spanish(PDF, 497KB) Written Documentation of Patient's Medical Record (cdph9044) English(PDF, 84KB) Spanish(PDF, 78KB) Denial Appeals Application (cdph9043) English(PDF, 138KB) Spanish(PDF, 130KB)
English(PDF, 299KB)
Spanish(PDF, 497KB)
English(PDF, 84KB)
Spanish(PDF, 78KB)
English(PDF, 138KB)
Spanish(PDF, 130KB)
By Appointment Only: Every Wednesday from 8:30 a.m. - 3:30 p.m.