Licensing and Regulatory Affairs
A caregiver must complete the Program Withdrawal Form. The form includes instructions and lists the supporting documentation the caregiver must submit with the form. The form can be found on our website at www.michigan.gov/mmp. There is no fee to withdraw from the MMMP.
The MMMP will send the caregiver written notice that his or her registration status has been withdrawn. Upon receipt of the written notice, the caregiver is instructed to destroy his or her registry identification card. The MMMP will issue the caregiver’s patient(s) a new registry card without a designated caregiver.