Friday, April 20, 2018

New CA HMDR Application Forms Take Effect

Updated June 28, 2023

The contact phone numbers in the original post changed: 

If you look at the Exemptee application, it states, "If you have any questions, please contact the Home Medical Device Retailer Exemptee Licensing Desk at (916) 650-6500, (800) 495-3232."

---  the original post follows below  ---

New California Home Medical Device Retailer (HMDR) Applications Forms - (click this link)


  • Facility application forms
  • Exemptee application form

If you're looking to submit a facility or Exemptee license application, be sure you're choosing the correct form.  The HMDR home page (at the time of writing) posts the soon to expire "outgoing" forms, and the soon to become effective "incoming" application forms.

If you have questions about which version to submit, you might want to reach out to the HMDR office.  For example, if you look at the new Exemptee application, it states, "If you have any questions, please contact the Home Medical Device Retailer Exemptee Licensing Desk at (916) 341-7354, (800) 495-3232."