Thursday, July 24, 2014

Michigan Medical Marijuana Certifications and Renewal Forms

Here are the 5 most recent Michigan Medical Marijuana application forms. Please select the one you need and if you have any questions at all please call us at (313) 406-4058

New Application Form

Renewal Application Form

Change Application Form

Minor Application Form

Renewal Minor Application Form

Contact Info

  • Modern Age Medicine
  • 1075 Fort St.
  • Lincoln Park, MI 48146, USA
  • Tel: (313) 406-4058


  • All patient information is completely confidential. We are HIPAA compliant and protect patient privacy at all times..
  • Please call us with any additional question or concerns you might have. (313) 406-4058