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Metro XMD is a forward-thinking alternative medical group dedicated to simplifying the process of getting you your medical cannabis card heres how a simple four-step process works step 1 click get your card and register your information this is the information that will be used to register you with the state for your medical cannabis card step to schedule your appointment with one of our doctors you can book this appointment online using your laptop tablet or even a smartphone the total registration fees paid vary by state and they will cover all of your state registration and doctor fees step 3 meet with your doctor virtually or in the office and receive your medical consultation in 15 minutes or less our doctors have perfected the process to get right to what they need to know to write you a recommendation for medical cannabis and lastly step 4 once your consultation is complete youll receive your card if youre in Maryland its instant for DC residents the card comes in the mail i