It took me a year just to find 2 doctors that would sign. Not an easy thing to do in the southeast part of the state. After that, I sent off my paperwork, but I forgot to include my ID. After two weeks, I got a letter stating they needed my ID to start the processing on my paperwork. 2 more weeks after I sent that off, I had a nice shiny new card ( which looked liked some kid made it in graphics art class)