Nevada Question 9 does establish a state medical marijuana registry program. As such, patients are required to obtain a written recommendation from a physician that qualifies them with a state approved condition for the state medical marijuana registry. Qualified patients must be diagnosed with a debilitating medical condition, by a qualified physician. If applicable, designation of a caregiver should also be included. Once a physician has certified a patient, qualified patients should submit their physician certification, an application, and a copy of a photo ID to register with the Medical Marijuana Registry. A $50 state fee is also required. Once the state application is received, patients are issued a 30 day temporary permit while their application is under review. The state will complete a background check on the patient and the caregiver during this time. The full fee required to register is $150, a DMV fee to print the medical marijuana card, and a finger printing fee. The registry will issue an identification card to the patient. Patients who are validated by a physician are immune from state level criminal penalties on the use, possession, and cultivation of medical marijuana.