Application Process

When a patient applies for a Medical Marijuana Identification Card, they must provide all of the following:

  • Completed application

  • Recommendation from their physician stating that the patient has a serious medical condition and that medical use of marijuana would be appropriate

  • Government-issued photo ID

  • Phone or utility bill that includes a current Alameda County address

  • Effective May 2017: $100 fee. Applicants on MediCal will be charged $50.

Once the application is completed, a photo of the applicant will be taken and the physician’s office will be contacted to verify the medical condition information provided. Once all information is verified, a state-issued Medical Marijuana Identification Card will be made available to the patient.

Medical Marijuana Program Application/Renewal Form – DHS 9042 (English)
https://archive.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph9042.pdf

Medical Marijuana Program Application/Renewal Form – DHS 9042 (Spanish)
https://archive.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph9042Spanish.pdf

Written Documentation of Patient’s Medical Records – DHS 9044 (English)
https://archive.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph9044.pdf

Written Documentation of Patient’s Medical Records – DHS 9044 (Spanish)
https://archive.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph9044(sp).pdf

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