Department of Health Services

• Completed MMIC Application/Renewal form - CDPH 9042. For applicants with a caregiver, the caregiver section must also be completed.
• Proof of identity. This can be a valid California Department of Motor Vehicles (DMV) driver's license or identification (ID) card, or other valid government-issued photo card.
• Proof of residency. This can be a current and valid DMV motor vehicle registration, current rental or mortgage agreement, or utility bill. This proof must have patient's name bearing current physical address.
• Written documentation from your physician or form CDPH 9044 recommending the use of medical marijuana as appropriate for one or more serious medical condition.
• Your physician’s name, contact information, and California medical license number.
• Non-refundable application fee of $100.00 (or $50.00 for Medi-Cal beneficiaries; Medi-Cal card required).
  

For primary caregivers, the following documents must be submitted at the time of the appointment:

• Completed MMIC Application/Renewal form - CDPH 9042.
• Proof of identity. This can be a valid Department of Motor Vehicles (DMV) driver's license or identification (ID) card, or other valid government-issued photo card.
• Proof of residency. This can be a current and valid DMV motor vehicle registration, current rental or mortgage agreement, or utility bill. This proof must have the caregiver's name bearing current physical address. For caregivers with multiple patients, proof of residency must be a Sacramento County address.
• Non-refundable application fee of $100.00 (or $50.00 for Medi-Cal beneficiaries; Medi-Cal card required).
• The caregiver must be accompanied by the patient at the time of the appointment.

• Completed MMIC Application/Renewal form - CDPH 9042.
• Written documentation from your physician or form CDPH 9044 recommending the use of medical marijuana as appropriate for one or more serious medical condition.
• Proof of identity. This can be a valid California Department of Motor Vehicles (DMV) identification card (ID), student photo ID card, or other valid government-issued photo ID card. 
• Parent(s) proof of residency. This can be a current and valid DMV motor vehicle registration, current rental or mortgage agreement, or utility bill. This proof must have the parent's name bearing current physical address within the county.
• Non-refundable application fee of $100.00 (or $50.00 for Medi-Cal beneficiaries; Medi-Cal card required).
• Proof of emancipation; non emancipated minors must be accompanied by a parent or guardian at the time of the appointment.