Costs and Fees

The clinic visit fee to obtain a physician certification on a department-approved form ranges from $100 to $150.

Once all required information and documentation are submitted, the patient will need to pay the non-refundable state application fee of $150 or the reduced fee of $75 for patients on Supplemental Nutrition Assistance Program (SNAP) (formerly known as food stamps) with a MasterCard or Visa credit card, debit card, or a pre-paid card to complete the application.

Standard Rate


Clinic Visit: $150
AMMP Application: $150




Clinic Visit: $150
AMMP: $75

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