Do you live in Richmond and want to get your Medical marijuana card? It is issued by your state or country, based on your doctor's recommendation, and allows you to cultivate, own, and acquire cannabis for medicinal purposes. This card is usually charged a fee. The card is valid for one year and can be renewed. You must obtain a doctor's recommendation and pay the renewal fee again when renewing. More than two-thirds of U.S. states have legalized medical marijuana use.