The process of getting your health card is so much easier now! Go on line, pay $20, take the training course and the test. Print out the paperwork that you finished it, and then go down to the local office with the paperwork, pay $35, and then it's done. Seriously, we were here less than 10 minutes on a Friday morning at 10:20 in the morning. Kudos to the staff! This is how all Nevada government offices should run!