THE DPH MEDICAL MARIJUANA PATIENT ID CARD IS VOLUNTARY
BENEFTIS
The Application process for the DPH ID Card is now offered ON-LINE.
Patients have the option to apply in-person at their County Department of Public Health Office. An appointment is required.
THE APPLICATION PROCESS
A completed application package will consist of the following:
1. A copy of Application/Renewal (CDPH-9042) (3 pages)
2. A copy of Acknowledgment Form (2 pages)
3. A copy of Physician Attestation
4. A copy of Medical documentation (Dr’s Recommendation Letter) or Written Documentation of Patient’s Medical Records (CDPH-9044)
5. Proof of Los Angeles County Residency
(Copy of current rent agreement or mortgage, DMV registration, or recent
utility/phone bill within 1-2 months. P.O. Box address is NOT acceptable)
6. Proof of Identity
(A clear color copy of valid California Department of Motor Vehicles (DMV) driver
license, identification (ID) card or other valid government-issued photo ID card)
7. Copy of Medi-Cal or Los Angeles County or No Cost/Low cost Health Care
Program card (Call Medical Marijuana Staff find out if you’re eligible)
8. A clear color Photo taken within a month: Passport-Style photograph (No Selfie
Photo, ad must be take on an off-white background)
9. Application Fee (Non-refundable)
Acceptable form of payments is Money order or Cashier’s Check (NO Personal
Check, Cash, or Debit/Credit Card)
Make payable to “County of Los Angeles”.
**NOTE:
All the documents and application will not be returned.
Complete and signed application, along with required documents and fee may be
mailed to:
Environmental Health Headquarters
5050 Commerce Drive
Baldwin Park, CA 91706
Attention: Medical Marijuana Program
Should you have any questions, please feel free to contact the Medical Marijuana Program at (866) 621-2204.
If you would like assistance with the DPH ID Card Application, please Contact Us.
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