Download the appropriate form(s) below for registration. All of them use the free Adobe Acrobat Reader software.
- Registration Packet (Includes forms for the patient, caregiver, and health care professional)
- Mental Health Care Provider Form (Required for patients applying with PTSD)
- Cardholder Change/Request Form (This form is for patients to change dispensaries, update their information, or request a new ID card.)
- Dispensary Selection Information (This document contains information provided by the dispensaries to assist applicants designating a dispensary)