AFTER

4 EASY STEPS

​Step One:

Meet Qualifying Medical Conditions

Step Two:

Set An Appointment

Step Three:

Submit Form

Step Four:

Make Your Payment

STEP ONE:
MEET QUALIFYING
MEDICAL CONDITIONS

• Cancer

• Position status for human immunodeficiency virus or acquired immune deficiency syndrome

• Amyotrophic lateral sclerosis

• Parkinson’s disease

• Multiple sclerosis

• Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity

• Epilepsy

• Neuropathies

• Huntington’s disease

• Crohn’s disease

• Post-traumatic stress disorder

• Intractable seizures

• Sickle cell anemia

• Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain

• Terminal illness that is defined as a medical prognosis of life expectancy of approximately one year or less if the illness runs its normal course

STEP TWO:
SCHEDULE AN APPOINTMENT

Note:

Scheduling a visit does not guarantee a card. Documentation rules are strict and you must have prior documentation from a different physician verifying your qualifying medical condition. If you have any questions about this please contact our offices prior to scheduling a visit. I respond in real time from noon-7pm Monday through Friday.

STEP THREE:
SUBMIT FORM

STEP FOUR:
MAKE YOUR PAYMENT