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Online Application Resources
To apply online:
- You must be a patient without a caregiver and create a secure online account.
- Your physician must have an online account.
- Follow the instructions to apply for a Patient Only Registry Card
To renew online:
- You must be a patient without a caregiver (or willing to remove your caregiver at renewal) and create a secure online account.
- Your physician must have an online account.
- You must follow the instructions to Link to you existing record.
- Follow the instructions to Renew a Patient Only Registry Card
To submit an amendment online:
- You must be a patient and create a secure online account.
- You must follow the instructions to link to your existing record.
- You must follow the instructions to submit an amendment.
ONLINE INSTRUCTIONS:
- Create a secure online account (patient without caregiver)
- Apply for Patient-Only Registry Card online (patient without caregiver)
- Link to your Existing Record
- Renew Patient Only Registry Card
- Request Replacement Card
- Name and/or Address Change
- Remove Caregiver
- Withdraw from MMMP