Welcome to the MMIC - Forms and Applications

Medical Marijuana Identification Card Program - Forms

MMIC - Forms

Medical Marijuana Program Application/Renewal form (cdph9042)

Written Documentation of Patient's Medical Record (cdph9044)

Denial Appeals Application (cdph9043)

Other Useful Links

Heath and Safety Code Section 11362.77

Appeals Process

Verification of Cardholders

Hours

By Appointment Only: Every Wednesday from 8:30 a.m. - 3:30 p.m.

Contact Us

  • Address(es) Street: 1221 Fulton Street, Office 128, Fresno, CA 93721
  • Phone (Main) (559) 600-3421
  • Fax (559) 600-7605
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