For the patient: register in the state registry first with a Pennsylvania driver's license or state ID. After certification, pay the $50 ID card fee within 60 days, or check whether you qualify for a no-cost card.

For a caregiver: the patient designates you, and you register separately and complete a background check. Allow about three to four weeks after fingerprinting. For patients under 18 or who are homebound, the caregiver registers on the patient's behalf.