Forms and Applications

Medical Marijuana Identification Card Program - Forms

Fresno County Department of Public Health

1221 Fulton Street, Office 128
Fresno, CA 93721
Phone: (559) 600-3421 Fax: (559) 600-7605
By Appointment Only: Every Wednesday 8:30am - 3:30pm 


Medical Marijuana Program Application/Renewal form (cdph9042)

Written Documentation of Patient's Medical Record (cdph9044)
Denial Appeals Application (cdph9043)