What happens next: if you qualify, the physician completes ADHS's certification form. You then apply through the ADHS online portal with the certification, a signed patient attestation, and your Arizona ID, and pay the $150 state fee ($75 with SNAP documentation). Your electronic card is valid for two years. Bring relevant medical records; for PTSD, include evidence of current treatment. Patients under 18 need a parent or legal guardian and two physician certifications.