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PA · OH · FLAn evaluation is not a promise of certification. Only a licensed physician decides, and only the state issues ID cards.
LK·10 State rules

Three states, three rulebooks.

What the law lets a physician do, what you do and what only the state does, in each state we serve. Rules change: we check them and date this page.

Checked October 2026. Summaries for patients, not legal advice.
StepPennsylvaniaOhioFlorida
First visitVideo or phoneTelehealth allowedIn person
RenewalsVideo or phoneTelehealth allowedVideo allowed
Who decidesA registered practitionerA physician with a certificate to recommendA qualified physician
Who enters itThe practitioner, in the state registryThe physician starts your registrationThe physician, in the Use Registry
Your partRegister first; pay the annual card feeComplete and pay within 90 daysApply for the ID card; pay the fee
How oftenAs your practitioner setsRegistration lasts a yearRecertify at least every 30 weeks
LK·11 Step by step

Your state, in order.

  1. You

    Register with the state

    Create your patient profile in Pennsylvania's Medical Marijuana Registry with your PA ID.

  2. You

    Book a video visit

    Video or phone visits are allowed in Pennsylvania. Upload your records first.

  3. Practitioner

    The evaluation

    A registered practitioner reviews your records and talks with you. They may certify you, or not.

  4. Practitioner

    Certification

    If certified, they enter it in the registry and give you a certification number.

  5. The state

    ID card

    You pay the annual card fee in the registry; the Commonwealth mails the card.

Pennsylvania

Video since 2021

Act 44 of 2021 lets registered practitioners certify through a live video or phone consultation. Practitioners complete state-approved training and register with the Department of Health.

PA Department of Health

Ohio

Telehealth exams

Since House Bill 122 took effect on 23 March 2022, physicians who recommend medical marijuana may do the required exams by telehealth. The physician submits your registration; it lasts a year.

Ohio Admin. Code 3796:7-2-01

Florida

In person, then video

The first certification needs an in-person exam. Since 2023, renewals can be done by telehealth, and certifications must be renewed at least every 30 weeks.

Foley & Lardner on HB 387

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