Before completing these forms, you must save them to your computer. Once completed, resave and email as an attachment to DMVA-Apply-MYCA@michigan.gov:
- Special Power of Attorney for Authorization of Medical Care, Medication Information & Medical Department Patient Information
Print, have completed by appropriate individual, scan and email as an attachment to DMVA-Apply-MYCA.com. This must be completed on MYCA Form
The Physical is to be completed by a medical provider.
The Medical History Questionnaire is to be completed by parent/guardian. Applicant must also sign.