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)
Other Useful Links Heath and Safety Code Section 11362.77 Appeals Process Verification of Cardholders
By Appointment Only: Every Wednesday from 8:30 a.m. - 3:30 p.m.