Colorado: Department of Public Health and Environment, Colorado Medical Marijuana Registry

Colorado.gov

Colorado Department of Public Health and Environment

Colorado Medical Marijuana Registry

The Colorado Medical Marijuana Registry

Forms

ALERT: Effective January 1, 2012, the application fee changes to $35.

Downloadable Forms:
New user-friendly forms are available through the Medical Marijuana Registry in both printable PDF format and writeable Microsoft Word 2007 format. As the Registry updates forms, they will be posted on the website. Please check back frequently for updates.

Medical Marijuana Registry Forms
Form #	Form Name	PDF	Word*
MMR1001	Application for Registration Card (Adults, 18 and older)	1001.pdf	1001.dot
MMR1002	Medical Marijuana Registry Card Application for Patients Under 18 Years of Age	1002.pdf	1002.dot
MMR1003	Change of Patient Records	1003.pdf	1003.dot
MMR1004	Report of Lost, Stolen or Damaged Registry Card	1004.pdf	1004.dot
MMR1005	Request for Patient Information	1005.pdf	1005.dot
MMR1006	Voluntary Caregiver Registration	1006.pdf	1006.dot
MMR1007	Request to Surrender Registry Card	1007.pdf	1007.dot
MMR1008	Removal from Voluntary Caregiver Registry	1008.pdf	1008.dot
MMR1009	Caregiver’s Patient Limit Waiver	1009.pdf	1009.dot
MMR1010	Request for Fee Waiver/Tax-Exempt Status	1010.pdf	1010.dot
MMR1011	Change of Homebound Status	1011.pdf	1011.dot

Tips for Successful Submissions
The Medical Marijuana Registry frequently returns application packets and forms due to easily preventable mistakes. Click here for a checklist to help you avoid delays in application or forms approval.

Using Microsoft Word 2007 writeable forms
All files in the WORD column above are Microsoft Word 2007 template files. These forms download directly onto your computer. The forms are content protected to allow access only to areas that are writeable. Please use the TAB button on your keyboard to move from section to section. Data entered into the forms does not save on the Registry’s website. If you need to return to a form, we recommend saving it on your computer.

Obtain the latest Word Viewer if you do not have Microsoft Word installed on your computer.