What We Will Need
From You:

Download and fill out 3 simple forms: 

Return the completed forms to M4-C:
Via Fax:  (810)496-0073
Or
Via United States Postal Service
     Mitchell A. Cohn, D.O. @ M4-C
     P.O. Box 1217
     Okemos, Michigan  48805-1217

THAT’S IT!  … We’ll take it from there.

We’ll use these documents to obtain the necessary medical records, perform a pre-visit record review, and contact you regarding setting up an appointment, if appropriate.


If you have trouble dowloading the forms, please contact us via email at support@M4-C.com or via telephone at (517)376-3229

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Michigan Mobile Medical Marihuana Certifications, PLLC 
P.O. Box 1217, Okemos, Michigan 48805
Telephone: (517)376-3229
Email: info@M4-C.com