Short answer

A medical cannabis evaluation comes from a physician licensed in your state, not from a dispensary or an online store. You can book it at a dedicated medical marijuana clinic, through a telehealth platform that serves your state, or with your own primary care doctor if they participate. After the visit, the physician enters a certification into your state health department registry. You then apply, pay the state fee, and receive a card or authorization number.

Medical Cannabis Evaluation: What to Expect From the Appointment

Cannabis stays illegal under federal law, so the process is set by each state. Some states run broad programs with dozens of qualifying conditions. Others limit it to a short list. A few allow only low-THC extracts. Confirm your state rules before you pay anyone.

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Prerequisites

Where evaluations happen

State-licensed medical marijuana clinics

These offices focus on certifications. A physician reviews your records, examines you, and signs the form in one appointment. Staff often handle the state application for you. Look for a clinic that lists your state program and a physician with an active license number you can verify.

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Your own doctor

Primary care physicians, pain specialists, and neurologists can certify patients. Not all do. Some are unsure of the rules or work for health systems that prohibit it. Ask during a routine visit.

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Telehealth platforms

Many states allow video visits for certification. Rules vary. A few require at least one in-person visit or restrict telehealth to renewals. Verify that the platform is licensed in your state, not just operating nationwide.

State health department registry

The registry is not a place to get evaluated. It is where your certification is filed and your card is issued. Applications, fees, and renewal dates live here.

How the process works

  1. Check whether your state has an active medical cannabis program and read its qualifying condition list.
  2. Gather records that name your diagnosis, including visit notes, test results, or medication history.
  3. Choose a physician licensed in your state and confirm the price in writing before booking.
  4. Attend the appointment and describe symptoms, treatments tried, and how the condition affects daily life.
  5. Receive the physician certification, which may be filed with the state on your behalf.
  6. Submit your application through the state registry and pay the application fee.
  7. Wait for approval, then download or receive your card, letter, or authorization number.
  8. Renew before the expiration date, since most states require a new physician visit each cycle.

Cost and timing

Evaluation fees in the US commonly run about $100 to $300, and state fees add roughly $25 to $100. Some states charge reduced fees for veterans or patients on public assistance. Approval timelines range from same-day in a few states to several weeks elsewhere.

Red flags

Walk away from any clinic that guarantees approval before reviewing your records, charges a single bundled fee with no state breakdown, or asks you to buy cannabis from them as a condition of certification. Physicians certify. Dispensaries sell. Keep those roles separate.