How to Get a Medical Marijuana Card in Spokane, WA
Spokane is Eastern Washington's largest city, and Green Wellness Spokane is the region's premier medical cannabis evaluation clinic. Whether you're in Spokane proper, Spokane Valley, Liberty Lake, or even considering crossing from Coeur d'Alene (Idaho residents are not eligible, but Washington residents near the border are), our clinic offers same-day written authorizations from licensed Washington State physicians.
Green Wellness Spokane
Our Spokane clinic serves patients across Spokane County and the Inland Northwest — by appointment only. New patient evaluations are $175 and take 30–45 minutes. Same-day appointments are regularly available — book online or call 1-888-885-9949, and we'll email you the exact office address when you book.
Why Spokane patients get a medical card
Washington's 37% cannabis excise tax, combined with Spokane County's local sales taxes, means recreational cannabis purchases carry a significant tax burden. Medical cardholders are exempt from these taxes on DOH-compliant products — potentially saving 40–47% per purchase. For patients who hold a valid authorization and buy cannabis regularly, the savings are substantial.
Qualifying conditions in Spokane
Washington's qualifying conditions are set by state law (RCW 69.51A.010). The statute names:
- Cancer, HIV, multiple sclerosis, epilepsy or other seizure disorder, or spasticity disorders
- Intractable pain — pain unrelieved by standard medical treatments and medications
- Glaucoma, either acute or chronic — increased intraocular pressure unrelieved by standard treatments and medications
- Crohn's disease with debilitating symptoms unrelieved by standard treatments or medications
- Hepatitis C with debilitating nausea or intractable pain unrelieved by standard treatments or medications
- Diseases, including anorexia, that result in nausea, vomiting, wasting, appetite loss, cramping, seizures, muscle spasms, or spasticity unrelieved by standard treatments or medications
- Post-traumatic stress disorder (PTSD)
- Traumatic brain injury (TBI)
Washington's list is set by state law (RCW 69.51A.010) and is closed — there is no catch-all for conditions it does not name. Several items apply only when symptoms are unrelieved by standard treatments, and whether your situation meets one of them is decided by a licensed provider at an individual evaluation.
If you're unsure whether your condition qualifies, book a consultation. Our physicians assess each patient individually and give an honest recommendation.
What to expect at your Spokane evaluation
Arrive at our Spokane office a few minutes early. Bring your Washington State ID. Your medical records should already have been sent ahead of the visit. You'll complete a brief intake form, meet with a licensed physician for 30–45 minutes, and — if you qualify — receive your written authorization before you leave. The authorization is valid immediately at any licensed Spokane dispensary.
Telehealth renewals from Eastern Washington
After your initial in-person evaluation, annual renewals can be done via telehealth from anywhere in Washington — including Spokane, Spokane Valley, Pullman, or anywhere else east of the Cascades. Renewal appointments are $145 and take 15–30 minutes.
Ready to get your medical card?
Same-day telehealth. In-person by appointment. No referral needed. Starting at $175.