OMMP Application | OMMP Forms | Portland Alternative Clinic Inc

All necessary forms can be obtained at http://public.health.oregon.gov/DiseasesConditions/ChronicDisease/MedicalMarijuanaProgram/Pages/forms.aspx. They include:

1.     Confidentiality

2.     Application to OMMP and Instructions (pdf)

3.     Attending Physician’s Statement (pdf)

4.     Declaration of Person Responsible for A Minor to Participate in Medical Marijuana Program (pdf)

5.     Change Request Form (pdf)

En Español

1.     Nuevo Formulario de Solicitud (pdf)

2.     Formulario de Renovación de Solicitud (pdf)

3.     Formulario de Solicitud de Cambio (pdf)

The Medical Marijuana Clinic in Portland Serving the Medical Marijuana Community