1. Schedule an appointment with the doctor
2. bring $100 to to the Nevada State Health Division at 4150 Technology Way Suite 104 in Carson City 89706 (you can also mail the application with $25) fill out the application paperwork. They will have an application request and the application packet. Alternatively, you can access the application request here: Application Request but the fastest way is to hit the doctor and then go to Carson city in the same day. This day you will spend most of the money that it costs to get your card which includes the doctor fee and the application process, totaling about $250.
3. Once you receive your approval to join the registry, take your approval and about $14 to DMV to get your card!