MMIC - Application Procedure

Fresno County Department of Public Health
1221 Fulton Street, Office 128
Fresno, CA 93721
Phone (559) 600-3421, Fax (559) 600-7605

By appointment only:
Every Wednesday from 8:30 a.m. - 3:30 p.m.

Fee:

  • $32.00 for Medi-Cal recipients 
  • $63.00 for Non-Medi-Cal recipients

Before scheduling an appointment:

  • Obtain a written recommendation from your physician 
  • Give your physician a signed "Authorization for Release of Medical Records" recipients 
  • Complete an application

Bring to your scheduled appointment:

  • The original written recommendation from your physician
  • A completed application
  • A government-issued picture ID
  • Proof of residency in Fresno County *
  • Application fee
  • The primary caregiver, if any, will need:
  • Completed Section 4 of the application
  • A government-issued picture ID
  • Proof of residency in California *
  • Application fee

A digital photograph of the patient – and the primary caregiver, if any – will be taken during the appointment.

*Proof of residency may consist of the following:

  • A current and valid California motor vehicle driver's license or California Identification Card issued by the California Department of Motor Vehicles (DMV) in their name bearing their current address within the county. This includes DMV’s DL 43 “Change of Address Certification Card.”
  • A current and valid California motor vehicle registration bearing their name and their current address within the county.
  • A current rent or mortgage receipt or utility bill in their name bearing their current address within the county.

After submitting your application:

  • The physician’s license will be verified with the Medical Board of California or the Osteopathic Medical Board of California.
  • The physician’s recommendation will be verified with the physician’s office

The Fresno County Department of Public Health (FCDPH) is required to verify the accuracy of the information in the application and approve or deny the application within 30 days from the date we received the application. The DPH will notify the applicant if any additional information or documentation is required. The applicant will have 30 days from the date of notice to provide the missing information or documentation. If the applicant provides the missing information, the DPH has the remainder of the initial 30-day processing period or 14 days from receipt of the information, whichever is more, to approve or deny the application.

Results of application:

If approved, the following data is submitted to the state:

  • Whether the card is for a patient or a primary caregiver
  • The file containing the digital photograph of the person the cardholder

The MMIC will be available to the applicant within 5 business days from the approval date of the application (35 days total).

If denied, the applicant will be notified of the denial. The applicant will have 30 days from the date of notice to appeal the decision to the California Department of Public Health.

 

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