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Ge 4. This application is for: Patient Only (Applicant) Primary Caregiver Only SECTION 1 Patient and Primary Caregiver TO BE COMPLETED BY ALL APPLICANTS. Name (last, first, middle initial) Mailing address (number, street) Telephone number ( City State ZIP code ) County of residence Additional contact information Is applicant under 18 years of age? Yes No If yes, complete Section 2 for the parent, legal guardian, or person with legal authority to make medical decisions for minor.

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How to fill out the Renew Mmic Online Form online

This guide provides a clear and supportive step-by-step approach to effectively complete the Renew Mmic Online Form. Whether you are applying as a patient or primary caregiver, these instructions are designed to assist you in navigating the form with ease.

Follow the steps to fill out the Renew Mmic Online Form successfully.

  1. Press the 'Get Form' button to access the online version of the Renew Mmic Form and open it in your preferred editor.
  2. Complete Section 1, which is mandatory for all applicants. Enter the full name (last, first, and middle initial), mailing address, telephone number, county of residence, and indicate if the applicant is under 18 years of age.
  3. If the applicant is a minor, shift to Section 2. Provide the name and contact information of the parent, legal guardian, or authorized person making medical decisions for the minor.
  4. Proceed to Section 3 if applicable. Respond to the question regarding the applicant's capacity to make medical decisions and provide the name and contact details of the individual acting on behalf of the applicant.
  5. If you are a primary caregiver requesting an identification card, fill out Section 4. Include your name, date of birth, mailing address, and telephone number. Document your responsibilities and check your designation as a primary caregiver.
  6. In Section 5, identify the attending physician by providing their name, California medical license number, service mailing address, and office contact details.
  7. Ensure you review all sections completed. Save your changes, and if needed, download, print, or share the filled-out form according to your requirements.

Complete your application for the Renew Mmic Online Form today to access the benefits of the Medical Marijuana Program.

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Do I need a California medical marijuana card? You do not need a medical marijuana identification card (“MMIC”) in order to gain the benefits of Prop. 215. However, a California medical marijuana card offers protection against arrest to patients and their caregivers.

New York medical marijuana certificates are valid for one year.

Call (415) 558-4700 with any questions....How to renew your Medi-Cal coverage Wait for us to contact you about renewing your coverage. ... Update your information. ... If you receive a renewal packet in the mail.

All Patients and/or Caregivers registered with MMCC must renew their registration....Patient/Caregiver Renewal ​Navigate to onestop.md.gov and select "Login". Once you're logged in, select "My Dashboard". Click on your MMCC registration ID number under "My Licenses, Permits, and Registrations" that is up for renewal.

How long is an MMIC valid? The MMIC may be valid up to one year.

Sixty days prior to the expiration date, the Missouri Department of Health and Senior Services (DHSS) sends a license renewal notification to the email address provided in the original medical card application. Renewal applications may be submitted to the registration system one day after receiving the reminder email.

A patient registry identification card is valid for two years.

How long is an MMIC valid? The MMIC may be valid up to one year. A primary caregiver MMIC will expire when the patient's card expires even if it is less than 12 months.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232