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Ohio Medical Marijuana Doctors

Medical Marijuana Recommendations from the Comfort of Your Home

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100% Money-back Guarantee If You Don't Qualify!

Compassionate Marijuana Doctors Serving Ohio

Getting Started


DocMJ makes getting a recommendation for medical marijuana from a compassionate and qualified physician easy and affordable. All DocMJ physicians, in addition to being licensed doctors, have an active Certificate to Recommend (CTR) from the State Medical Board of Ohio and are authorized to permit qualified patients to receive medical marijuana from an approved dispensary.

Making an appointment is easy and can be done conveniently with telemedicine. Through the DocMJ website, patients make an appointment at a time that fits their schedule. Based on a private meeting with the medical marijuana certified physician, patients receive their recommendation for medical marijuana, if they qualify. Patients will be entered into the registry and, in some cases, can purchase medical marijuana the same day.

Customer Reviews

Christian AriasChristian Arias ★★★★★ Shannon SeawellShannon Seawell ★★★★★ Dr. Zelikovsky is one of the most knowledgeable, compassionate, experienced medical cannabis doctors out there! I have become a better and stronger person due to her care!Response from the ownerHello Shannon! That's wonderful to hear! Dr. Zelikovsky is indeed dedicated to providing knowledgeable and compassionate care to her patients. It's great to hear that her expertise has had such a positive impact on your well-being. If you have any further feedback or need assistance, feel free to reach out. Thank you for sharing your experience! Luis RiosLuis Rios ★★★★★ Dr Rosado and his staff were very professional, kind, and compassionate. The initial exam was quick and easy. Thank you, Dr Rosado and your staff for a wonderful experience. I would recommend any MMJ patient to come here.Response from the ownerHello Luis! Thank you for your kind words about Dr. Rosado and his staff. We're delighted to hear that you had a positive experience during your visit. Your recommendation means a lot to us, and we appreciate you taking the time to share your feedback. Thank you for choosing DocMJ! Anthony FloydAnthony Floyd ★★★★★ Response from the ownerHello Anthony! Thank you for the 5-star review! If you ever need assistance in the future, don't hesitate to reach out. We're here to help! Jennifer JonesJennifer Jones ★★★★★ Response from the ownerHey there, Jennifer! Thank you for the 5-star review! If you have any further feedback or if there's anything else we can assist you with, please feel free to let us know. We appreciate your support! Ponce TatPonce Tat ★★★★★ Response from the ownerHello! Thank you for taking the time to leave us a 5-star review! We sincerely appreciate you for being a DocMJ patient! PQ KCIPQ KCI ★★★★★ Extremely nice manner. Very polite. A joy to speak with. Always says the right thing. Wish he was my gpResponse from the ownerHello! Thank you for your wonderful feedback! We're thrilled to hear that you had such a positive experience and found our manner extremely nice and polite. Your satisfaction is our priority, and we're here to provide support and care whenever you need it. While we may not be your GP, we're grateful for the opportunity to assist you. Morgan ThompsonMorgan Thompson ★★★★★ Dr. Rosado and his team are so great! They care about you, and he takes the time to answer questions and help you figure out what's best for you. And the telemed option for renewing is perfect for my busy schedule with work!Response from the ownerHello Morgan! We're delighted to hear about your positive experience with Dr. Rosado and our team! It's our priority to provide care that's both compassionate and personalized, ensuring all your questions are answered and that we help find the best options for you. We're glad the telemedicine option suits your busy schedule, making your renewal process convenient and straightforward. Thank you for choosing us for your care! Bobby DotsonBobby Dotson ★★★★★ Dr. Batts is great. Don't to earth and easy to talk with. Really pays attention to each individual patient needsResponse from the ownerHello Bobby! We totally agree with you! We're so happy you enjoyed your experience at our Orlando office. Thank you so much for your nice comments about Dr. Batts! We'll be sure to let him know how much you appreciated his assistance. Thank you for being a DocMJ patient! StephenStephen ★★★★★ Dr. Rosado is always a good listener and very empathetic.Telemedicine made it possible for me to have my follow-up appointment. I had knee surgery a week prior to my appointment and unable to drive.I've been a DocMJ patient for years without any problems.Response from the ownerHello Stephen! We're delighted to hear about your positive experience with Dr. Rosado! Providing attentive and empathetic care is our priority, and we're glad he could assist you effectively. Thank you for choosing DocMJ! vicki Impocovicki Impoco ★★★★★ Highly recommend Dr. Zelikovsky.Response from the ownerHello Vicki! Thank you so much for taking the time to let us know! We love Dr. Zelikovsky! Thank you for choosing DocMJ! GjS ThreeFourSevinOneOneGjS ThreeFourSevinOneOne ★★★★★ Understood my unique pain issue and was compasionate. Gave me advice for taking various doses.Response from the ownerHello! We're thrilled to hear about your positive experience! Understanding your unique pain issue and providing compassionate care is our priority. We're glad we could assist you effectively and provide advice on various doses. Thank you for choosing DocMJ! Jacob TurnerJacob Turner ★★★★★ Everyone is very helpful and compassionate, and Dr Rosado is very knowledgeable!Response from the ownerHello Jacob! We're thrilled to hear about your positive experience! Providing helpful and compassionate care is our priority, and we're glad our team, including Dr. Rosado, could assist you effectively. Thank you for choosing DocMJ! Erin StitesErin Stites ★★★★★ Dr Batts is easy to deal with and understanding.Response from the ownerHello Erin! Thank you so much for your nice comments about Dr. Batts! We'll be sure to let him know you appreciated his assistance. Thank you for being a DocMJ patient! Cindy MarsellaCindy Marsella ★★★★★ Dr Batts is a terrific doctor that allows teleconferences.Response from the ownerHello Cindy! We're thrilled to hear that you had a positive experience with Dr. Batts! Thank you for highlighting his excellent care and expertise. Your satisfaction and well-being are our priorities, and we're glad we could provide you with top-notch service. Thank you for choosing DocMJ! Noreen LevittNoreen Levitt ★★★★★ Dr. Batts and the whole Team at DocMJ are terrific - I highly recommend them!!Response from the ownerHey there, Noreen! We sincerely appreciate you taking the time to share your nice words for Dr. Batts and his staff! We'll be sure to let them know how much you appreciated their service. joel mittlemanjoel mittleman ★★★★★ I enjoyed my follow up MJ Dr. Zelikovsky MJ appointment .She was very informative and answered all of my questions in a straight forward way .ThanksResponse from the ownerHello Joel! We're thrilled to hear that you had a positive follow-up appointment with Dr. Zelikovsky! Providing informative and straightforward answers to your questions is important to us, and we're glad she could assist you effectively. Thank you for choosing DocMJ! Sir RonanSir Ronan ★★★★★ Posting on behalf of my wife, as she was the patient. Clean, organized, professional, kind, understanding, & caring; are some of the many nice things I have to say about my visit. Ty Dr Batts for helping us on our journey to a better place!Response from the ownerHello Ronan! Thank you for sharing your wife's positive experience! We're delighted to hear that she found our clinic clean, organized, and professional, and that Dr. Batts provided kind, understanding, and caring service. We're committed to supporting our patients on their journey to better health, and we appreciate the opportunity to assist you both. Thank you for choosing DocMJ! Brad BarnettBrad Barnett ★★★★★ Dr's are great. Been using them since day 1 without any problemResponse from the ownerHey there, Brad! We're thrilled to hear that you've had a great experience with our doctors since day one! Providing reliable and effective care is our priority, and we're grateful for your continued trust in our services. Thank you for choosing DocMJ! Andrew MisiekAndrew Misiek ★★★★★ Very welcoming and knowledgeable overall good experienceResponse from the ownerHello Andrew! We're delighted to hear about your positive experience with us! Providing a welcoming and knowledgeable environment is our goal, and we're glad we could meet your expectations. Thank you for choosing DocMJ! Brianna BagentBrianna Bagent ★★★★★ Another great follow-up appointment via telephone, even with minor Internet/phone connection issues (probably on my end) it was still a fast and easy appointment. I am truly thankful to Dr. Rosado for having patience, understanding, and for being a good doctor! Thanks!Response from the ownerHello Brianna! We're delighted to hear that your follow-up appointment with Dr. Rosado went well, despite minor connectivity issues. Your feedback is appreciated, and we're glad that Dr. Rosado provided you with patience, understanding, and excellent care. Thank you for choosing DocMJ! Jean Gagne-BlombergJean Gagne-Blomberg ★★★★★ I am not a fan of Telehealth visits in certain circumstances and my semi annual visit with the docs in The Villages location is one of those cases. Today was an exception because of, any number of those things that inevitably mess stuff up, I returned home almost two weeks early from a trip. I realized it would be some time before the scheduled appointment on 2/29. Called the number in hopes of grabbing an earlier date and it happened that there was a telehealth appointment available in a just hours away. Awesome! Had a little technical issue but i own that one; was otherwise easy and, Dr Rosado was patient enough to wait for the fix, still having enough left over to take a genuine interest in my wellbeing. Thank you, Dr Rosado! Honorable mention goes to Drs' Nutinsky and Rothman whom I have had the privilege of being cared for by in the past!!By the way, my next visit will be an 'in person' visit. I'm face to face person. And as I told Dr Rosado at end of our time, 'I like YOU better than the image!'Response from the ownerHello Jean! Thank you for sharing your experience! We're glad we could accommodate your appointment and that Dr. Rosado provided excellent care, even through technical issues. We understand the value of face-to-face visits and appreciate your feedback. We'll ensure your next visit is in-person. We're grateful for your trust in our team and look forward to continuing to provide you with exceptional care! Nancy Lehmann McKenzieNancy Lehmann McKenzie ★★★★★ I've been using DocMJ for quite some time now. The scheduling is easy and the doctors are very personable and make you feel at ease. And now that you can do telehealth it couldn't be more simpleResponse from the ownerHello Nancy! We're thrilled to have been able to serve you for quite some time now! Making scheduling easy and providing a comfortable experience with our personable doctors is what we strive for. We're glad to hear that our telehealth option has made things even simpler for you. Thank you for choosing DocMJ and for your continued trust in our services! Richard JenkinsRichard Jenkins ★★★★★ Wonderful experience from start to finish!Response from the ownerHello Richard! We're thrilled to hear that you had a wonderful experience from start to finish! Your satisfaction is our priority, and we appreciate your kind words. Thank you for choosing our services, and if you ever need anything in the future, don't hesitate to reach out. We're here to help! Shaz ZShaz Z ★★★★★ Response from the ownerHello Shaz! We're overjoyed to receive your 5-star review! Thank you for your positive feedback and for choosing our services. We're committed to providing excellent care. If you have any further comments or suggestions, feel free to share. Thank you again! Robert GrayRobert Gray ★★★★★ Doc MJ is the best at cannabis recommendations!Response from the ownerHello Robert! We're thrilled to be recognized as the best for cannabis recommendations! Thank you for your kind words and for choosing Doc MJ. We appreciate your trust and thank you for choosing DocMJ! Bob BlucherBob Blucher ★★★★★ Working with Dr Magsino and DocMJ has been a great experience and very helpful in my cannabis treatment.Response from the ownerHello Bob! We're delighted to hear about your positive experience with Dr. Magsino and DocMJ! It's our pleasure to assist in your cannabis treatment journey. Thank you for choosing DocMJ! Marc ReichMarc Reich ★★★★★ I recommend Doc MJ and Dr. Batts is very professional and knowledgeable. I always have a nice experience at the W Colonial location.Response from the ownerHello Marc! Thank you for recommending Doc MJ! We're pleased to hear about your positive experiences, especially with Dr. Batts. Your trust and satisfaction mean the world to us! Gavin WhiteGavin White ★★★★★ Response from the ownerHello Gavin! We're thrilled to receive your 5-star review! Thank you for your positive feedback and for choosing our services. Your satisfaction is our priority, and we look forward to serving you again! Matt BMatt B ★★★★★ Response from the ownerHello Matt! Thank you for taking the time to leave us a 5-star review! We sincerely appreciate you for being a DocMJ patient! JeffJeff ★★★★★ Dr. Batts is a pleasure to work with. He listens to your input and offers good advice. Very convenient as well. Thank you!Response from the ownerWe're delighted to hear about your positive experience with Dr. Batts! Hello Jeff! Your satisfaction is our goal, and we appreciate your kind words. Thank you for choosing DocMJ! Raymond KlimkowskiRaymond Klimkowski ★★★★★ Great serviceResponse from the ownerHello Raymond! Thanks so much for giving our office in Orlando a 5-star review! We truly appreciate your feedback. Francisco De La CruzFrancisco De La Cruz ★★★★★ Response from the ownerHello Francisco! Thanks so much for giving our office in Orlando a 5-star review! We truly appreciate your feedback. Linda BarrettLinda Barrett ★★★★★ My visit with Shirley was on 03/11/2023 . she was very friendly asked me how I was doing. I felt very comfortable talking with her , I would recommend her she was down to earth.Response from the ownerHello Linda! We're so happy you enjoyed your experience at our Orlando office and thank you for your nice comments about Dr. Zelikovsky! Thank you for sharing your feedback with us here on Google! jeri servinojeri servino ★★★★★ Super great care!!!!!Response from the ownerHello Jeri! We're delighted to hear that you received super great care! If you have any more feedback or if there's anything specific you'd like to share about your experience, feel free to let me know. Your satisfaction is important, and I hope you continue to receive excellent care. If you have any questions or need further assistance, don't hesitate to reach out. Wishing you all the best! Frank BalazsFrank Balazs ★★★★★ Dr Shirley Zielinski is a wonderful doctor to work with. She is caring and available. I have been with her for several years and would have no hesitation in recommending her.Response from the ownerHello Frank! Thank you for sharing your positive experience with Dr. Shirley Zelikovsky. It's great to hear that she has been a wonderful and caring doctor for you over the years. If you have any more feedback or if there's anything else we can assist you with, feel free to let us know. Wishing you continued well-being! Allison OteroAllison Otero ★★★★★ Love Dr. Zelikovsky - she makes things easy and fast!Response from the ownerHello Allison! Thank you for your positive feedback about Dr. Zelikovsky. It's wonderful to hear that she has made your experience easy and fast. If you have any more feedback or if there's anything else we can assist you with, feel free to let us know. Wishing you all the best! Stacy LabradaStacy Labrada ★★★★★ Response from the ownerHello Stacy! Thank you for taking the time to leave us a 5-star review! We sincerely appreciate you for being a DocMJ patient! Melissa SmithMelissa Smith ★★★★★ The doctor was very professional and ready to answer any questions. I would recommend this office to my friends and family the office is clean and very presentable with lots of information on hand to answer any questions you may have including the doctor.Response from the ownerHello Melissa! We're pleased to hear that you had a positive experience with a professional doctor who was ready to answer your questions. Thank you for recommending our office to your friends and family. If you have any more feedback or need further assistance, feel free to reach out. We appreciate your support! Phil MaysPhil Mays ★★★★★ Great fast experience. The telemed makes it so much more convenient. I've been using Doc MJ for a couple years now and will continue until we don't need to anymore.Response from the ownerHello Phil! We're glad to hear that you had a great and fast experience with the telemedicine option, finding it more convenient. Thank you for choosing Doc MJ for the past couple of years, and we appreciate your continued trust. If you have any more feedback or need further assistance, feel free to reach out. We're here for you! Jenny EspinosaJenny Espinosa ★★★★★ Dr. Zelikovsky is professional, knowledgeable & compassionate. She takes the time to listen, explain everything thoroughly & ensure you understand. I never feel rushed during my visit.Response from the ownerHello Jenny! We're delighted to hear that you've had positive experiences with Dr. Zelikovsky and that she has been professional, knowledgeable, and compassionate. It's wonderful that you feel listened to and not rushed during your visits. If you have any more feedback or need further assistance, feel free to reach out. Thank you for choosing DocMJ! David bowenDavid bowen ★★★★★ Response from the ownerHello David! Thank you for taking the time to leave us a 5-star review! We sincerely appreciate you for being a DocMJ patient! Matt BallMatt Ball ★★★★★ Doctor Z is great, as always! I always have a good experience with the DocMJ team and am appreciative of their hassle free process. See you again soon!Response from the ownerHello Matt! We're thrilled to hear that you had a good experience with Dr. Zelikovsky and the DocMJ team. Providing a hassle-free process is important to us. If you have any more feedback or need further assistance, feel free to reach out. Thank you for choosing our services, and we look forward to seeing you again soon! Robin DunlapRobin Dunlap ★★★★★ Response from the ownerHello Robin! Thanks so much for giving our office in Orlando a 5-star review! We truly appreciate your feedback. Lisa CanalesLisa Canales ★★★★★ Love the Convenience of the video appointments Very easy. Dr Shirley is amazing.Response from the ownerHello Lisa! We're glad to hear that you love the convenience of telemedicine appointments and had an easy experience. Dr. Zelikovsky appreciates your positive feedback. If you have any more feedback or need further assistance, feel free to reach out. Thank you for choosing DocMJ! Ink All NightInk All Night ★★★★★ Very nice doctor! They try help us all the time.Response from the ownerHello! We're glad to hear that you had a positive experience with a very nice doctor and that the team is always trying to help. Your satisfaction is important to us. If you have any more feedback or need further assistance, feel free to reach out. Thank you for choosing DocMJ! Jessica WagnerJessica Wagner ★★★★★ Always a nice easy quick appointment with knowledgeable friendly doctors and staffResponse from the ownerHello Jessica! We're pleased to hear that your experience has been a nice, easy, and quick appointment with knowledgeable and friendly doctors and staff. Your satisfaction is important to us. If you have any more feedback or need further assistance, feel free to reach out. Thank you for choosing DocMJ! Leslie LangfordLeslie Langford ★★★★★ Dr. Batts is always great!Response from the ownerHello Leslie! We're pleased to hear that you've had positive experiences with Dr. Batts. If there's anything specific you appreciate or if you have more feedback to share, feel free to let us know. We're here to support you, and thank you for choosing DocMJ! js_loader

Paid in Full

  • Money-Back Guarantee If You Do Not Receive a Recommendation
  • Medical Recommendations for a Full Year (12 months)
  • Automatic Renewals Every 90 days, up to State Maximum 12 months
  • All-Inclusive, No Additional Hidden Fees.
  • **One-time Processing Fee of 2.9%
Book Now
$139 year**

Easy Monthly Payments

  • Money-Back Guarantee If You Do Not Receive a Recommendation
  • Medical Cannabis Recommendations for a Full Year (12 months)
  • Automatic Renewals Every 90 days, Up to State Maximum of 12 Months
  • No Additional Hidden Fees
  • Easy Monthly Payments – Cannot be Cancelled Until The Initial 6-Month Commitment is Complete
  • **One-Time handling Fee of $15
Book Now
$25 month
for 6 months**

Medical Marijuana Card Application

See if you Qualify

Try our easy pre-qualification exam to see instantly if you may qualify for a medical marijuana recommendation today!

Under Ohio law, these conditions are eligible for a medical marijuana card:

Alzheimer's Disease

A progressive disease that destroys memory and other important mental functions.

Cachexia

A weakness and wasting of the body due to severe chronic illness.

Chronic traumatic Encephalopathy

A cronic brain disease that alters brain function or structure.

Firbromyalgia

A widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues.

Hepatitis C

An infection caused by a virus that attacks the liver and leads to inflammation.

Huntington's disease

An inherited condition in which nerve cells in the brain break down over time.

Inflammatory Bowel Disease

Disorders that involve chronic inflammation of your digestive tract.

Sickle Cell Anemia

A group of disorders that cause red blood cells to become misshapen and break down.

Spasticitiy

A condition in which there is an abnormal increase in muscle tone or stiffness of muscle.

Spinal Cord Disease or Injury

Nervouse system diseases or direct injuries that affect the function of the spinal chord.

Tourette Syndrome

A nervous system disorder involving repetitive movements or unwanted sounds.

Traumatic Brain Injury

A brain dysfunction caused by an outside force, usually a violent blow to the head.

Ulcerative Colitis

A chronic, inflammatory bowel disease that causes inflammation in the digestive tract.

Terminal Illness

Any disease that cannot be cured and is expected to result in death.

PTSD

A disorder in which a person has difficulty recovering after experiencing or witnessing a terrifying event.

Epilepsy/Seizures Disorders

A transient occurrence of signs and/or symptoms of seizures due to abnormal excessive or synchronous neuronal activity in the brain.

Parkinson's Disease

A disorder of the central nervous system that affects movement, often including tremors.

Multiple Sclerosis (MS)

A disease in which the immune system eats away at the protective covering of nerves.

Crohn's Disease

A chronic inflammatory bowel disease that affects the lining of the digestive tract.

Glaucoma

Eye conditions marked by increase intraocular pressure that can cause blindness.

Chronic muscle spasms

Sudden, involuntary movement in one or more muscles.

HIV/AIDS

Human immunodeficiency virus that over time causes acquired immunodeficiency syndrome.

Amyotrophic Lateral Sclerosis (ALS)

Nervous system disease that weakens muscles and impacts physical function.

Cancer

Disease caused by an uncontrolled division of abnormal cells in a given part of the body.

Chronic nonmalignant pain

Pain unrelated to cancer that persists beyond the usual course of disease or injury.

Additionally, Ohio law allows a physician to certify patients for a medical marijuana card after diagnosing them with “other medical conditions of the same class”.

Our Doctors

heather samuelson, md

Heather Samuelson, MD

Heather Samuelson, MD

Licensed in the State of Ohio, Florida, Georgia
Internal Medicine & Pediatrics
Medical School Education:
St. George's University School of Medicine, Great River, NY & Grenada, West Indies
Residensy / Post Graduate:
WVU Ruby Memorial Hospital

clyde watson, md

Clyde Watson

Clyde Watson

Dr. Clyde Watson, MD is an Orthopedic Surgery Specialist in Franklin, OH, and has over 48 years of experience in the medical field. He graduated from the University Of Missouri--Columbia School Of Medicine medical school in 1974.

Dr. Watson has been practicing Cannabis Medicine in the state of Ohio since 2019.

Meet Our Online Mental Health Counselors

sunny bowers, lpcc

Sunny Bowers, LPCC

Sunny Bowers, LPCC

License #: E.1901113

School: Master’s of Education in Clinical Counseling, Malone University, Canton, OH

Frequently Asked Questions

What is your refund policy?

To ensure availability for everyone seeking the benefits of medical cannabis, the following is DocMJ’s refund policy:

100% Guarantee, if you do not qualify, you will receive a full refund.

  • Cancel within 24 hours of joining our services — 100% refund.
  • Cancel after 24 hours – 100% refund minus a $25 fee.
  • Reschedule/no-show/canceled appointment less than 48 hours prior – $50 fee.
  • Once a recommendation is issued after your exam, our services are non-refundable in any way.

Do I have to be concerned about any privacy issues if I receive an evaluation or recommendation?

No, your visit is protected under privacy laws.

Do I have to be 18 to receive a recommendation?

No, if you are younger than 18 you can receive an evaluation if you are accompanied by a guardian. Pediatric patients must have a guardian call to book an appointment with us at (877) 899-3626.

How much does it cost?

INITIAL VISIT: We have two convenient payment options. You can pay in full, $139. Alternatively, you can select our convenient payment plan option of only $25/month for 6 months and a one-time $15 processing fee.

FOLLOW-UP VISIT: Only $150, paid in full, or our convenient payment plan option of only $20/month for 8 months and a one-time $30 processing fee

Can I receive my recommendation on the first visit?

Yes! A certified physician can activate your Full-THC Medical Cannabis or Low-THC Cannabis order once they have completed an exam and confirmed that you qualify.

What conditions qualify for a medical cannabis recommendation?

AIDS
Amyotrophic lateral sclerosis
Anxiety
Alzheimer’s disease
Cancer
Chronic traumatic encephalopathy
Crohn’s disease
Eczema
Epilepsy or another seizure disorder
Fibromyalgia
Glaucoma
Hepatitis C
Inflammatory bowel disease
Lupus
Multiple sclerosis
Pain that is either chronic and severe or intractable
Parkinson’s disease
Positive status for HIV
Post-traumatic stress disorder
Sickle cell anemia
Spinal cord disease or injury
Tourette’s syndrome
Traumatic brain injury
Ulcerative colitis

Am I guaranteed to receive a medical marijuana recommendation?

No. You can receive a recommendation if your doctor determines you have a qualifying condition as defined by Ohio law, and that the benefits of using medical marijuana outweigh the risks. But don’t worry, we do offer a money back guarantee if you do not receive a recommendation, we do not guarantee that you will receive a full refund.

Do I have to pay an evaluation fee if I do not qualify for a medical marijuana recommendation?

No, you will be refunded in full.

How long does it take to get a medical marijuana recommendation?

Everyone is different, but if you have completed your in-take paperwork prior to your visit, your appointment will be approximately 15 minutes.
To get your card and begin treatment after you receive a recommendation, you must pay a fee to the state and for the card. This can be done through the email you received after you obtained your recommendation.