I have an active patient registry identification card and I recently divorced/married/changed my name. How do I update my name on my registry card? How much is the fee?

Prior to your renewal period (more than 60 days before your card is due to expire):
You must complete the Change Name or Address Form. The form includes instructions and lists the supporting documentation you must submit with the form. The form can be found on our website at www.michigan.gov/mmp.

Change Name or Address Form fee:

  • $10 (the $10 fee covers all changes requested and all updated registry cards).

During your renewal period (less than 60 days before your card is due to expire):
Submit an application with the required supporting documents and documentation of your legal name change. The MMMP Application Packet can be found on our website at www.michigan.gov/mmp.

Application fees:

  • Patient fee: $60
  • If designating a caregiver, include an additional $25 caregiver fee.