How Do I Get a Virginia Medical Marijuana Card? You can get a Virginia medical marijuana card by following these three steps: See a doctor with Leafwell, get approved and receive a doctor’s certification for medical marijuana. Certification is filled out and a digital copy is sent to the patient. Register online with the Virginia DoH and Board of Pharmacy to make an Initial Application > click here to register. Login and select the application. Complete the registration process and pay the $50 fee. Scan and email, fax or mail the required documentation for the application to be considered complete. Allow 7-10 business days for processing the registration application. Please note: Virginia does not actually have a specific program that legalizes medical marijuana. Rather, they offer Affirmative Defense that potentially allows select individuals to possess certain cannabis oils under the permission of a licensed Virginia doctor.