Most confusion comes from treating the appointment, physician certification, and medical cannabis card as one transaction. They are separate stages handled by different people and organizations.
A registered physician reviews your medical circumstances and decides whether certification is appropriate. You then complete an application through the West Virginia Office of Medical Cannabis. The OMC reviews that application and, if approved, makes your digital card available through its portal.
Understanding this division helps you prepare for the correct step without assuming that payment, an appointment, or physician certification guarantees state approval.

