I called A Green Alternative for a renewal and had no problem getting a hold of them. Debbie walked me through what they'll need on my behalf, their pricing, and their office hours. The office was easy to find via GPS. The doctor was on time and knowledgeable even about Dystonia, a rare muscle spasm disorder! $45 for a renewal was just fine, and they offer the ID cards as well. All in all, the drive took longer than my appointment, and I highly recommend this office as they are extremely friendly and there's no smoke and mirrors, no tricks.