Medical Marijuana Physician | Marquette, MI | Escanaba, MI | Houghton, MI | Iron Mountain, MI
                                                                                                                                                                                                                                            Copyright 2011.  MMMRC Clinics.  All Rights Reserved.

To save time, download & print the following MMMRC Clinics patient forms.  Bring them,
along with your medical records, to your appointment.  If you do not have your medical
records in your possession, fill out and drop of the Authorization to Release Medical
Records form to your regular physician, clinic, practitioner, or hospital.  They will FAX or
mail us a copy of your records.  

  • Patient Demographic Form

  • Authorization to Release Medical Records

  • Medical Marijuana - Risks & Benefits Statement

  • MMMRC Patient Attestation & Acknowledgement

Online Resources