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This information provided by the Office of Community Health and Health Planning.
2006 Application Forms
Please note: Download the entire packet or select the desired form or section from the list below. You may also review the Application Instructions before making your selection.
 Complete Application Packet (pdf)
Includes:
- Basic Facts (pdf)
- FAQs - Frequently Asked Questions (pdf)
- Confidentiality (pdf)
- Application Instructions (pdf)
- NEW Application to Register for Participation in Medical Marijuana Act Program
(pdf)
- RENEWAL Application to Register for Participation in Medical Marijuana Act Program
(pdf)
- NEW Attending Physician's Statement
(pdf)
- RENEWAL Attending Physician's Statement
(pdf)
- Declaration of Person Responsible for A Minor to Participate in Medical Marijuana Program
(pdf)
- Change Request Form
(pdf)
En Español
- Nuevo Formulario de Solicitud (pdf)
- Formulario de Renovación de Solicitud (pdf)
- Formulario de Solicitud de Cambio (pdf)
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