We do not accept paperwork from a doctor without your hard copy license from the state. The paperwork is a prescription from your doctor stating you may use medical cannabis. You must then take the next step and be accepted by the state. After the correct paperwork has been completed and mailed to the state, you will receive an acceptance letter or a denial letter. If you’ve been accepted your card will be in the mail and on it’s way to your address. That is when you are able to visit us here at Lake Effect!