Update Caregiver Profile

Use this form to submit changes to your Caregiver Profile. Only complete the portions that you would like to update after the required account confirmation.

Private contact details are not displayed publicly. All submissions are reviewed manually. Submission does not guarantee approval or public listing. Updates will not be reflected immediately upon submission.

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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 display name currently shown on your caregiver listing. This helps us locate the correct profile to review your update request.

Contact Email *

Email

Confirm Email

Provide the email address associated with your caregiver submission. This is used only for administrative review and follow-up and is not displayed publicly.

Password *

Please enter the password used to complete your original Caregiver Profile.

Display Name

Enter the display name you would like your Caregiver Profile updated to. This is how the public will see your profile.

Patient Slots Available

Enter how many patient slots you have available only if the availability of your patient slots has changed. Leave blank if there is no update. [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 your county only if it has changed. Listings are organized by county to help improve local visibility.

Areas of Focus

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

Slots Acknowledgment Serviced

Caregiver Bio

Optional updated bio for your public caregiver listing. This section should be general, factual, and non-promotional.

OTHER

Please use this box for any questions or concerns regarding your Caregiver Profile.

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