For the patient: if you qualify, the physician completes ADHS's certification form. You apply through the ADHS online portal and pay the $150 state fee ($75 with SNAP), and you can designate a caregiver.

For a caregiver: apply separately through the ADHS portal, sign the Caregiver Attestation, and provide a Level 1 fingerprint clearance card or mailed fingerprints. The caregiver card is $200 for two years.