I’m suggestive you need a renewal card! Yes you do need a new doctors recommendation! If this is the question your asking then please visit Hellomd.com to speak to one of our physicians. We are open 10 AM – 7 PM every day. If you received your card from us there will be a box at the top for "Renew My Card". If you did not obtain your card from us, simply press "See a doctor".