In general, medical marijuana registry identification cards are printed the next business day following the application approval. The cards are then mailed the following business day. ADHS frequently receives returned mail. For all returned mail, a staff person calls or attempts to make contact with each cardholder to either rectify the address (if the applicant made an address error in the application). If the card is continually returned, ADHS can offer to re-send the card certified mail to ensure the cardholder signs for the receipt of the card.