Michigan Medicine ID Request and Change Form

Use this form if you are requesting a new or replacement Michigan Medicine Mcard and/or requesting door access to Michigan Medicine facilities. This form is not required to replace damaged cards. 

People who require access to Michigan Medicine and campus access control readers must obtain a Michigan Medicine Mcard, which can be programmed to access both areas. Government photo ID (driver's license, state ID, or passport) will also be required at the time of Mcard issuance. Please read form instructions for additional details.