Submit Caregiver Profile

Complete this form to join our directory as a Caregiver. We manually approve all listings to ensure they meet our community standards and Michigan legal requirements. Your private contact information is for internal use only and will not be shared publicly.

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Legal Registered Name *

First

Last

Please enter your full legal name as it appears on your Michigan Medical Marihuana Program (MMMP) registration. This information is required for identity verification purposes only.

Display Name *

Enter the name you would like displayed on your public caregiver listing. This does not need to be your legal name.

Password *

Create a password that you will use to access your Caregiver Profile once your submission is approved. Must be 8 characters long.

County Bio &

Contact Email *

Email

Confirm Email

Provide a contact email for administrative review. This information is used only for verification and communication and is not displayed publicly.

Patient Slots Available *

Enter the number of patient slots you currently have available. This information reflects current availability and may be updated later. [0-5]

County Serviced *— Select Choice —Alcona CountyAlger CountyAllegan CountyAlpena CountyAntrim CountyArenac CountyBaraga CountyBarry CountyBay CountyBenzie CountyBerrien CountyBranch CountyCalhoun CountyCass CountyCharlevoix CountyCheboygan CountyChippewa CountyClare CountyClinton CountyCrawford CountyDelta CountyDickinson CountyEaton CountyEmmet CountyGenesee CountyGladwin CountyGogebic CountyGrand Traverse CountyGratiot CountyHillsdale CountyHoughton CountyHuron CountyIngham CountyIonia CountyIosco CountyIron CountyIsabella CountyJackson CountyKalamazoo CountyKalkaska CountyKent CountyKeweenaw CountyLake CountyLapeer CountyLeelanau CountyLenawee CountyLivingston CountyLuce CountyMackinac CountyMacomb CountyManistee CountyMarquette CountyMason CountyMecosta CountyMenominee CountyMidland CountyMissaukee CountyMonroe CountyMontcalm CountyMontmorency CountyMuskegon CountyNewaygo CountyOakland CountyOceana CountyOgemaw CountyOntonagon CountyOsceola CountyOscoda CountyOtsego CountyOttawa CountyPresque Isle CountyRoscommon CountySaginaw CountySt. Clair CountySt. Joseph CountySanilac CountySchoolcraft CountyShiawassee CountyTuscola CountyVan Buren CountyWashtenaw CountyWayne CountyWexford County

Select the Michigan county you are based in. Listings are organized by county to support local visibility.

Areas of Focus

Optional description of the areas or types of support you focus on as a caregiver. Please keep this informational and non-medical.

Caregiver Bio

Optional short bio for your public caregiver listing. This should be factual, non-promotional, and free of medical or sales claims.

No Sale or Distribution *

• I understand that this platform does not facilitate the sale, transfer, or distribution of cannabis or related products, and listings may not be used to advertise sales.

No Medical Claims *

• I understand that caregivers may not provide medical advice, make medical claims, or guarantee treatment outcomes through this listing.

Caregiver Attestation & Acknowledgment *

• I confirm that I am a registered caregiver under the Michigan Medical Marihuana Program (MMMP) and all information provided is accurate to the best of my knowledge and understand that all applications are subject to manual review prior to approval. I understand that contact information is collected for administrative and review purposes only and will not be displayed publicly.

Date of Submission *

Submit