1st off, you need to be a resident of a state which has legalized med use...then you need medical documentation for a chronic problem (yes, chronic pain is on the list, for nevada and most states) or go to a dr. that will not only sign the forms but also do the exam. the docs in nv usually work off of other drs' reports so it varies somewhat but like i said, if you don't live in an enlightened state you're sol...