How to get a medical marijuana card

1. See an Alabama physician certified by the Board of Medical Examiners and registered with AMCC, in person in Alabama
2. Your doctor enters your recommendation in the AMCC patient registry
3. Create an account on the AMCC portal and apply for your card
4. Pay the $50 fee ($40 for a virtual card)

$50 for a physical card, $40 for a virtual card; annual renewal is the same $50/$40.

1. See an Arizona physician who fills out the ADHS Medical Marijuana Physician Certification form
2. Apply online with ADHS, uploading your Arizona ID, a recent photo and the signed patient attestation
3. Pay the $150 fee ($75 if you receive SNAP)
4. Download your registry card from the ADHS online portal once approved

$75 with proof of current SNAP participation; renewal costs the same as a new card.

1. Get a written recommendation from a California physician
2. Optional: book an in-person appointment at your county health department's medical marijuana card program
3. Bring your recommendation, ID and proof you live in that county, and pay the county fee (no more than $100)
4. Pick up your county-issued state ID card, usually within 35 days

No separate state fee.

Whether a card pays for itself, and the patient perks, are in our California medical card guide.

1. See a Colorado MD or DO in person, who enters your certification in the Medical Marijuana Registry
2. Apply online with the CDPHE Medical Marijuana Registry using your Colorado driver's license or ID
3. Pay the $52 application fee (fee waiver for low-income applicants)
4. Get approved, usually in 1 to 3 business days for complete online applications

Non-refundable, charged on every application (effective Oct.

1. See a Connecticut-licensed physician, APRN or PA who certifies your qualifying condition (they start your application)
2. Create a BizNet account and finish the online patient application
3. Upload your photo ID and proof of Connecticut residency (no state fee)
4. Get your registration certificate, then shop at a dispensary or hybrid retailer

No state fee for patients or caregivers since July 1, 2023 (was $100).

1. See a Delaware-licensed MD, DO, APRN or PA who signs your certification (age 65+ can self-certify)
2. Apply online or by mail to the Office of the Marijuana Commissioner
3. Upload your Delaware driver's license or state ID and pay $50 (1 yr), $75 (2 yr) or $100 (3 yr)
4. Get your registry card (a mobile ID card is also offered)

$50 for 1 year, $75 for 2 years, $100 for 3 years, non-refundable.

1. See a qualified Florida physician in person; they enter your certification in the Medical Marijuana Use Registry
2. Log in to the Registry with the credentials emailed to you and upload a photo and proof of Florida residency
3. Pay the $75 card fee
4. Approval averages about 10 business days; renew every year

$75 processing fee for initial and renewal cards; online payments add a $2.75 convenience fee.

1. See a Georgia-licensed physician who certifies your qualifying condition
2. Your doctor uploads you to the DPH Medical Cannabis Patient Registry
3. Pay the $30 fee when DPH emails you payment instructions
4. Get your card by UPS mail

$30 per card (plus $3.75 service fee if paid online; no service fee by money order).

1. See a certifying physician or APRN (in person or telehealth) who files an electronic certification
2. Register online in the DOH patient registry and upload your ID
3. Pay the $36.88 fee for a 1-year 329 card
4. Download your digital 329 card after the approval email (typically 3-5 business days)

$35.00 DOH fee + $1.88 admin fee for 1 year; eligible chronic-condition renewals can buy 3 years for $108.63.

1. Get a written certification from an Illinois certifying health care professional (exam may be by telemedicine)
2. Register online through the IDPH Medical Cannabis Patient Program portal
3. Pay $50 for a 1-year card ($100 for 2 years, $125 for 3 years)
4. Print or download your card from your online account

1 yr $50, 2 yr $100, 3 yr $125; reduced fee $25/$50/$75 (eligibility not stated on the IDPH fee page).

Whether a card pays for itself, and the patient perks, are in our Illinois medical card guide.

1. Have an Iowa-licensed health care practitioner complete the Health Care Practitioner Certification Form
2. Apply online through the Iowa HHS patient portal and upload your documents
3. Pay the $100 registration fee ($25 reduced)
4. HHS reviews within about 7 days; the card lasts 1 year

$25 if you receive Social Security disability, SSI, Medicaid, or (per the 2026 HHS form) show veteran status.

1. Visit an authorized medical cannabis practitioner in person for a written certification
2. Apply for a registry ID card on the Patient & Caregiver Registration portal within 60 days
3. Pay the $25 fee
4. Get your card electronically and show it with photo ID at a licensed dispensary

$25 nonrefundable application fee.

1. See a Louisiana-licensed authorized clinician (physician, nurse practitioner or medical psychologist)
2. The clinician sends your recommendation directly to a licensed retailer (marijuana pharmacy)
3. Buy at that retailer with your ID; no state card or state fee

No state fee; Louisiana does not issue a patient card.

1. See a Maine medical provider who can certify you for medical cannabis
2. Get your written certification (state tamper-resistant paper or a digital image of it)
3. Carry the certification with your photo ID; no state registration or card is needed
4. Buy from a registered dispensary or registered caregiver

No state fee: patients do not register with the state; voluntary patient registry cards were repealed (PL 2023, c.

1. Register online with the Maryland Cannabis Administration through Maryland OneStop
2. After MCA approval, see an MCA-registered provider for a written certification
3. Print your free paper ID card or order the $25 plastic card
4. Show photo ID plus your card or patient ID number at a dispensary

No patient registration fee in COMAR 14.17.21; the optional plastic ID card is $25 (waived for Maryland Medicaid and VA Maryland Health Care System enrollees).

1. Visit a Certifying Healthcare Provider registered with the program; you get a PIN by email
2. Register online in the Medical Use of Marijuana Online System (MMJOS) with the PIN
3. Upload your ID and proof of Massachusetts residency (no state fee)
4. Print your temporary card and shop at a Medical Marijuana Treatment Center; the plastic card arrives in 1 to 3 weeks

No state registration fee.

1. Get a certification from a Michigan-licensed MD or DO (telemedicine allowed)
2. Apply online at michigan.gov/mmp (by mail if you have a caregiver) with proof of Michigan residency
3. Pay the $40 state fee
4. Get your registry card, good for 2 years

$40 application fee for new and renewal cards; the physician certification must be signed within 6 months of applying.

1. Get certified by a Minnesota health care practitioner (MD/DO, PA or APRN); video visits are allowed
2. Use the enrollment email to apply online within 90 days of certification
3. No state fee
4. Enrollment lasts 3 years

No state enrollment fee: Minn.

Whether a card pays for itself, and the patient perks, are in our Minnesota medical card guide.

1. See a registered practitioner in person for your initial certification
2. Apply online with the Mississippi Medical Cannabis Program
3. Pay the $25 fee
4. Print your electronic card

$25 nonrefundable fee; $15 for Medicaid participants; waived for disabled veterans and disabled first responders with documentation.

1. Get a certification from a Missouri MD, DO or nurse practitioner (telemedicine allowed)
2. Apply in the online registry within 30 days of the certification
3. Pay the $28.92 state fee
4. Download and print your patient ID card, good for 3 years

$28.92 for new or renewal patient ID card (fee schedule current July 2026 to June 2027, adjusted yearly by CPI); $57.83 if adding home cultivation.

Whether a card pays for itself, and the patient perks, are in our Missouri medical card guide.

1. Get a written certification from a Montana-licensed MD or DO (in person or by telemedicine)
2. Apply online through the Department of Revenue TransAction Portal (TAP) within 60 days of the certification
3. Pay the $20 fee
4. Print your temporary card from TAP and carry it until your card arrives

$20 for a new or renewal registration; $10 replacement card; no reduced fee listed.

1. Have a licensed healthcare provider sign the Attending Healthcare Provider Statement
2. Register in the DPBH online portal and upload your Nevada driver's license or ID
3. Pay $50 for a 1-year card or $100 for a 2-year card
4. Use your approval letter right away; the card is mailed in 7 to 10 business days

$50 for a 1-year registration or $100 for a 2-year registration (term set by your provider).

1. Get an in-person exam and written certification from a NH-licensed provider
2. Send the patient application within 6 months of the certification, with proof of NH residency
3. Pay the $50 state fee
4. Get your registry ID card and buy at an Alternative Treatment Center

$50 initial or renewal application (same for minor and guardianship patients); $10 replacement card; no renewal fee when the provider extends a certification.

1. See an NJ-registered healthcare practitioner (in person or by telemedicine)
2. Get your Authorizing Practitioner Statement with your reference and registry ID numbers
3. Register in the NJ-CRC patient portal with proof of NJ residency and a recent photo
4. Pick a free digital card or a $10 physical card

Digital card is free; a physical card costs $10.

1. See a NY certifying healthcare provider in person or by telehealth
2. Get certified; you are registered automatically with no state fee
3. Bring your signed certification (paper or on your phone) plus photo ID to a medical dispensary

No state fee to register as a patient or caregiver (the old $50 fee is gone); the provider may charge for the visit.

Whether a card pays for itself, and the patient perks, are in our New York medical card guide.

1. Get a written certification from a North Dakota-licensed physician, PA or nurse practitioner
2. Create an account and apply online in the state's BioTrackTHC registry
3. Upload your ND ID and photo and pay the $40 fee
4. Get your registry card (good for 2 years)

$40 non-refundable application fee for a 2-year card (statute caps it at $40); no reduced fee found.

1. See a physician with an Ohio certificate to recommend (in person or telehealth)
2. Your physician enters you in the Patient & Caregiver Registry
3. Log in from the registry email and finish your registration (no state fee)
4. Shop at a licensed Ohio dispensary with your registry card and photo ID

No state fee: the Division of Cannabis Control says there is no activation or renewal cost for state registration (the old $50/yr fee was cut to $0.01 in March 2024, then removed).

Whether a card pays for itself, and the patient perks, are in our Ohio medical card guide.

1. Get the OMMA recommendation form signed by an Oklahoma physician (MD, DO or podiatrist)
2. Apply online with OMMA within 30 days, with photo, ID and proof of Oklahoma residency
3. Pay the $100 fee ($20 with Medicaid, Medicare or 100% disabled veteran status)
4. Get approved in about 14 business days; the approval email works as ID at dispensaries

$100 plus $4.30 card processing fee; reduced to $20 plus $2.50 with proof of Medicaid (SoonerSelect) or Medicare enrollment, or 100% disabled veteran status.

Whether a card pays for itself, and the patient perks, are in our Oklahoma medical card guide.

1. See your attending provider (MD, DO, PA, nurse practitioner, naturopath and others) for an exam and an Attending Provider Statement
2. Apply online at ommpsystem.oregon.gov within 90 days of the provider's signature, with proof of Oregon residency
3. Pay the $200 fee (less with SNAP, OHP, SSI or veteran status)
4. Print your 30-day receipt, which works as your card until the card arrives

$200 standard; $60 SNAP; $50 OHP; $20 SSI or U.S.

1. Register on the Department of Health Medical Marijuana Registry with your PA driver's license or state ID
2. See a DOH-approved practitioner (in person or live phone/video) to get certified
3. Pay the $50 ID card fee
4. Get your card by mail and shop at a PA dispensary

$50 per year; free for people on Medicaid, PACE/PACENET, CHIP, SNAP or WIC, and waivable through the Medical Marijuana Assistance Program (MMAP).

1. Get a written certification for a qualifying condition from a licensed practitioner
2. Apply to the Rhode Island Department of Health with your certification and proof of RI residency
3. No state fee to apply or renew
4. Get your photo registry card and buy at a compassion center

No fee for patient or caregiver application, registration or renewal since Dec 1, 2022 (RIGL 21-28.6-5(d)).

1. See a South Dakota-licensed physician, PA or APRN for an in-person exam and certification
2. Open the application link the state emails you after your provider certifies you
3. Upload your ID and photo and pay the $75 fee ($20 low-income)
4. Get your card by mail (about 2-4 days review, 4-10 days mailing)

$75 standard; $20 low-income (household income under 130% of federal poverty level, with proof); extra $20 for a two-part card if cultivating.

1. Create a Utah ID and EVS account and submit your medical cannabis application
2. Meet in person with a qualified medical provider, who submits your certification in the EVS
3. Pay the card fee by the emailed instructions
4. Download your card from the EVS and meet a medical cannabis pharmacist before your first purchase

Patient card fee was $15 in FY 2025 per the Utah Legislative Fiscal Analyst; HHS then reduced resident patient registration fees in the FY 2026 fee schedule, so the current amount is unverified.

1. Have your own provider (MD, DO, PA, APRN or naturopath licensed in VT, NH, MA or NY) complete the Healthcare Professional Verification Form
2. Create an account at ccb.vermont.gov/med-forms and fill out the registry application
3. Upload an ID-quality photo and your Vermont driver's license, and pay the $50 fee
4. Get your patient ID card by mail (decision within 30 days)

$50 non-refundable fee with each initial or renewal application.

1. See a participating practitioner (in person or by live video)
2. Get your written certification, digital through the CCA Portal or printed; no state registration needed
3. Bring the certification and your government ID to a licensed dispensary

No state fee and no patient registration.

1. Adults 21+ self-certify; ages 18 to 20 get a recommendation number from a healthcare practitioner
2. Apply at MyABCA.DC.gov with photo ID (DC residents add proof of DC residency)
3. DC residents get a free temporary digital registration right away, then a 2-year registration after review
4. Non-residents 21+ pick a 30 to 365 day registration ($10 to $100)

Free for DC residents; non-residents pay $10 to $100 depending on the length chosen.

1. Get certified by a physician registered with the Office of Medical Cannabis (in person or online)
2. Apply in the OMC online portal with a photo, ID and proof of West Virginia residency
3. Pay the $50 fee (hardship waiver available)
4. Download your digital card once approved (review within 30 days)

$50 for new and renewal applications; fee waiver for financial hardship (income below 200% of the federal poverty level).