Download HMDR License Application FormsFor California Home Medical Device Retailers (HMDR)
There is a CDPH HMDR webpage that links to the current application forms for both the firm license application(s) needed by each individual facility location where home medical devices (prescription Rx devices and non prescription devices) will be sold, leased or rented when ordered by a physician or other prescriber.
The application for the HMDR Exemptee is also linked on the webpage for firms who wish to sell prescription Rx devices such as respiratory equipment, medical oxygen and other equipment identified as dangerous or legend devices under California law.
These forms can be filled out online using the Adobe reader but must be printed out, signed and returned to the license desk to complete the license application process.
CDPH Home Medical Device Retailer (HMDR) Certificates and Licenses
You might also be interested in:
The California Exemptee Certification Class - CDPH-accepted training for home medical device retailer (HMDR) Exemptee license applicants