When you get an email from OMMA with the words "Rejection" in the heading it can be frustrating.  Don't let this be the end of your process getting your Oklahoma Medical Card.  9 times out of 10 it will be a picture they do not like.  What you need to do is sign back into your OMMA account using your email and password and click on the application that says rejected or denied.  Make sure you read everything the state says on why you were rejected.  It all depends on what employee reviewed your application as some are less strict than others.  Make a note of everything, then starting with the first reason simply change all they did not like.  If it's the personal picture then find a white background and retake your picture from shoulders up.  The state does not tolerate glamour pictures, pictures of a picture, or pictures that have been edited.  Make sure you are not wearing jewelry or wearing glasses or a hat.  The state recently said you can smile, but you cannot show teeth!  If it's blurry then use another phone or camera.
    Another reason for rejection is out of date signature.  This isn't the doctors form but the signature you put in when you sign the application with your digital signature.  It is on the page with all the questions.
     On renewals make sure you have added a picture of you and your ID front and back and of the new form.  I don't know why you have to upload all of those things again but you do.  DO NOT SCREENSHOT YOUR PREVIOUS PICTURES AND UPLOAD THEM.  The state will deny screenshots of previous pictures especially your portrait.  Your picture must be within 6 months.
     Once you have corrected everything then submit it again.  The good news is they don't charge you again and once resubmitted they will review everything in 24 hours so keep an eye on your email. Normally with 48 hours they will send a new email hopefully with the word "accepted".