Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Illinois, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina (Eastern Band of Cherokee Indians), North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Dakota, Utah, Vermont, Virginia*, Washington, West Virginia.
* Virginia Patients: Must provide a written certification form from an authorized healthcare provider + a valid government-issued ID (e.g., driver’s license or passport).
No reciprocity fee – valid out-of-state registrations honored for their full duration.
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