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Department of Human Services

This information provided by the Office of Community Health and Health Planning.



2008 Application Forms:



 

  1. Basic Facts (pdf)

  2. Confidentiality (pdf) 

  3. Application Instructions (pdf) 

  4. Application to Register for Participation in Medical Marijuana Act Program (pdf)

  5. Attending Physician's Statement (pdf)

  6. Declaration of Person Responsible for A Minor to Participate in Medical Marijuana Program (pdf)

  7. Change Request Form (pdf)

  

 

          En Español

  1. Nuevo Formulario de Solicitud (pdf) 

  2. Formulario de Renovación de Solicitud (pdf) 

  3. Formulario de Solicitud de Cambio (pdf) 


    

 
Page updated: June 11, 2008

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