Adult patients: register in the state registry first with your Pennsylvania driver's license or state ID. After certification, pay the $50 ID card fee within 60 days, or check whether you qualify for a no-cost card.

Parents of patients under 18: a parent or legal guardian attends with the child and registers as the caregiver. Start the caregiver background check early — approval takes about three to four weeks after fingerprinting. Bring your child's medical records and medication list.