Marijuana Request Form
  • Marijuana and Medication Lock Bag Request Form

    This is a request form to fill out for those who wish to receive a free marijuana/medication lock bag from the health department. After completing this form you will be contacted on where to pick up your lock bag within 48 hours.
  • PLEASE NOTE: This is only available for Montcalm and Clinton County residents.

  • Format: (000) 000-0000.
  • Please note: This is only available for Montcalm and Clinton County residents at this time. 

  • Should be Empty: