Learn how West Virginia patients with qualifying conditions—can obtain a medical‑cannabis (marijuana) card. Step‑by‑step guide covers physician certification, portal registration, required documents, fees, renewal, and tele‑health options.

✅ Who Can Apply?

If a state‑licensed physician has diagnosed you with any of the following, you’re eligible for a WV medical‑cannabis card:

  • Amyotrophic Lateral Sclerosis (ALS)
  • Cancer
  • Crohn’s Disease
  • Epilepsy
  • HIV / AIDS
  • Huntington’s Disease
  • Intractable Seizures
  • Parkinson’s Disease
  • Multiple Sclerosis (MS)
  • Neuropathies
  • Post‑Traumatic Stress Disorder (PTSD)
  • Severe Chronic or Intractable Pain
  • Sickle‑Cell Anemia
  • Spinal‑Cord Damage with Intractable Spasticity
  • Terminal Illness

Patients under 18 may qualify if a parent or legal guardian registers as a caregiver.


🩺 Need a Referral Letter?

If you are under Dr. Skip’s care, he will:

  • Review your medical history.
  • Confirm that your condition qualifies under WV law.
  • Provide a referral letter to be provided to a cannabis prescribing physician.

📋 Step‑by‑Step Guide to register your Rx with the State of West Virginia

1️⃣ Get a Diagnosis & Certification (Tele‑Health Option: Availability: Every day, 8 AM – 10 PM local time. All records are HIPAA‑compliant and kept private under state law.)

  • Patients have stated the ease of NugMD.com that provides a secure, private way to get certified via tele-health, but you can find other state authorized physicians (i.e. The Landing Dispensary and others have their own virtual appointments):
    • Provide the referral from Dr. Skip, O.M.D.
    • Sign up & connect with a WV physician in minutes – no prior appointment needed.
    • Ask questions and discuss your needs live online.
    • Receive the certification that meets WV requirements.
    • Step‑by‑step guidance for completing the state registration and receiving your card.
    • Renewal reminders so you never miss the 60‑day window.

2️⃣ Register on the State Portal

3️⃣ Gather Required Documents

  • A clear digital passport‑style photo (face clearly visible).
  • A valid photo ID (WV driver’s license or state ID).
  • Proof of WV residency – utility bill, voter‑registration card, lease, etc.
  • The physician’s certification (upload as PDF or image).

4️⃣ Pay the Application Fee

  • Payable online, by check or money order to WV DHHR.
    • Mail to:
      Office of Medical Cannabis
      350 Capitol Street, Suite 523
      Charleston, WV 25301
    • Write the Application ID and patient name in the memo line.

Fee Waiver: If household income ≤ 200 % of the federal poverty level, attach proof of income/benefit eligibility to request a waiver.

5️⃣ Submit Your Application

  • Upload all documents and fee confirmation through the portal, then hit Submit.
  • You’ll receive an email receipt confirming the submission.

6️⃣ State Review

  • The WV Department of Health & Human Resources reviews your packet.
  • Expect a response within 30–60 days. You’ll be notified of approval or asked for any missing items.

7️⃣ Card Issuance

  • Upon approval, a medical‑cannabis card is sent to you.
  • The card is valid for one year; note the expiration date.

8️⃣ Renewal (Start 60 days before expiry)

  • Obtain a new physician certification (same process as step 1).
  • Log back into the state portal, upload the new form, and pay the renewal fee (or request a waiver).
  • Renewal is completed online; a fresh card will be mailed to you.

🌱 Using Your Card (as of the writing of this article)

  • Purchase limit: Up to a 30‑day supply per transaction, as defined by your doctor’s recommendation.
  • Allowed products: Dry leaf, oils, tinctures, topicals, pills. Edibles are not approved.
  • Prohibited: Growing your own plants; possessing firearms (federal law).
  • Reciprocity: West Virginia does not accept out‑of‑state medical‑cannabis cards.

📑 Quick Checklist

  • ✅ Completed Patient Certification (NugMD physician or other state authorized)
  • ✅ Digital passport‑style photo
  • Photo ID (WV driver’s license or state ID)
  • Residency proof (utility bill, lease, etc.)
  • State Registration Fee or fee‑waiver documentation
  • ✅ Activate via state portal account

Take it step by step, keep copies of everything, and feel free to reach out to our office if anything feels unclear.

Wishing you a smooth and successful application!

Ready to take the next step?: Easily book your appointment in just a few clicks—choose the time that works best for you below!
Disclaimer & Legal Notice:

All information provided is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Never self-prescribe. Call 911 for a medical emergency. Always consult your licensed healthcare provider before starting or changing any supplement, medication, diet, or exercise routine, especially if you have a health condition, are pregnant, breastfeeding, or taking medication. The services, products, and information shared have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease outside the scope of Oriental Medicine. Patrick W. Hart Jr., “Dr. Skip,” O.M.D., is a licensed Oriental Medicine Physician (WV Board of Acupuncture) specializing in Holistic Functional Wellness. All content is copyright protected and may not be reproduced without permission.