New Patient Certification Process Payment for Services (Disability)

Call us to see if you
qualify: 248-932-6400
Fax: 248-932-6362

New Patient Certification Process Payment for Services (Disability)

New Patient Certification Process Payment for Services (Disability)

Get Certified Today

Fill Out & eSign the Medical Release Form to Start Your Certification Process:

First Name:
Last Name:
Phone:
E-mail:

Certification RENEWALS

Fill Out & E-Sign Our Renewal Form.

Medical History

Click here to complete the medical history before your appointment.

Ailments

(Per the Michigan Medical Marijuana State Statutes)

If you suffer from any of the following conditions, you could benefit from the use of medical marijuana:

PLEASE MAIL ALL MEDICAL RECORDS TO THE SOUTHFIELD OFFICE

MMMCC Southfield

29877 Telegraph Road, Building 2 Suite 303
Southfield, MI 48034
Phone: 248-932-6400
Fax: 248-932-6362
Email: info@mmmcc.net
Map & Directions

MMMCC Grand Rapids (New)

1444 Michigan NE
Grand Rapids, MI 49503
Phone: 616-452-0899
Fax: 616-608-0551
Email: info@mmmcc.net
Map & Directions

MMMCC Gaylord

1349 S Otsego Rd/Old 27
Gaylord, MI 49735
Phone: 989-705-9991
Fax: 989-705-9992
Email: info@mmmcc.net
Map & Directions