How can a patient withdraw from the program?

You must complete the Withdrawal 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 There is no fee to withdraw from the MMMP.

The MMMP will send written notice that a patient’s registration status has been withdrawn. Upon receipt of the written notice, the patient is instructed to destroy the registry identification card. If the patient has a caregiver, the MMMP sends the caregiver written notice that his or her caregiver registry identification card is no longer valid.