NH Marijuana Card
Updated on May 26, 2020. Medical content reviewed by Dr. Joseph Rosado, MD, M.B.A, Chief Medical Officer
The New Hampshire House voted in 2020 to add insomnia and opioid use disorder to the list of qualifying conditions, though the latter would carry significant restrictions.
The passing of House Bill 573, on May 23, 2013, authorized the use of therapeutic cannabis in the state of New Hampshire. It also establishes a medical marijuana card registry system and allows for the registration of up to four non-profit alternative treatment centers in the state, and establishes an affirmative defense for qualified patients and designated caregivers with valid registry identification medical marijuana cards.
Unfortunately, it may potentially take up to two years before any of the four alternative treatment centers begin serving New Hampshire’s medical marijuana patients. Please note that these time approximations are only estimated and are not declared by state lawmakers or New Hampshire’s governing body. This is an approximation of time that states typically take to implement a properly functioning medical marijuana program.
A valid medical marijuana card from another medical marijuana state will also be recognized by New Hampshire law, allowing the visiting patient to possess cannabis for therapeutic purposes, but the “visiting qualifying patient shall not cultivate or purchase cannabis in New Hampshire or obtain cannabis from alternative treatment centers…”
On Monday, December 28, 2015, the New Hampshire Department of Health and Human Services began issuing Registry Identification Cards to approved qualifying patients and designated caregivers, by mail. A New Hampshire medical marijuana card is a form of personal identification that is issued by the DHSS to a qualifying patient, personal caregiver, or dispensary agent.
The New Hampshire medical marijuana card shall verify that a medical practitioner has provided a written certification to the qualifying patient, that the patient has designated the individual as a personal caregiver, or that a medical treatment center has met the terms of law. The New Hampshire medical marijuana card shall also serve to identify individuals that are exempt from New Hampshire criminal and civil penalties for conduct pursuant to the medical use of marijuana, for the DHSS and law enforcement.
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How to Get a Medical Marijuana Card in New Hampshire
- Patients must be at least 18 years of age.
- Patients must be a resident in the state of New Hampshire with proof of residency. If you do not have a New Hampshire I.D. an out of state I.D., passport, or other photo I.D. with proof of residency such as bank statement, utility bill, etc is acceptable.
- The qualifying patient must have been diagnosed by a physician as having a debilitating medical condition — *Find a certified medical marijuana physician in New Hampshire
- To qualify for a New Hampshire medical marijuana card, a patient must be diagnosed by a physician as having one of the following debilitating medical conditions that is specifically identified under state law: cancer, glaucoma, HIV (human immunodeficiency virus) / AIDS (acquired immunodeficiency syndrome), hepatitis C, ALS (amyotrophic lateral sclerosis), muscular dystrophy, Crohn’s disease, agitation of Alzheimer’s disease, multiple sclerosis, chronic pancreatitis, a spinal cord injury or disease and any traumatic brain injury. Patients may also qualify for medical marijuana if they suffer from a severely debilitating or terminal medical condition or its treatment that has produced at least one of the following negative side effects:
- Cancer, glaucoma, HIV (human immunodeficiency virus) / AIDS (acquired immunodeficiency syndrome), hepatitis C, ALS (amyotrophic lateral sclerosis), muscular dystrophy, Crohn’s disease, agitation of Alzheimer’s disease, multiple sclerosis, chronic pancreatitis, a spinal cord injury or disease, a traumatic brain injury, moderate to severe chronic pain, Ehlers-Danlos Syndrome, Lupus, Parkinson’s Disease, PTSD or one or more injuries that significantly interferes with a patient’s daily activities as documented by the patient’s licensed medical practitioner
Patients may also qualify for medical marijuana if they suffer from a severely debilitating or terminal medical condition or its treatment that has produced at least one of the following negative side effects:
- elevated intraocular pressure, cachexia (or wasting syndrome), chemotherapy-induced anorexia, severe painthat has not responded to previously prescribed medication or surgical measures or for which other treatment options produced serious side effects, constant or severe nausea, moderate to severe vomiting, seizures including epilepsy, or severe and persistent muscle spasms.
New Hampshire Department of Health and Human Services
Therapeutic Cannabis Program
129 Pleasant Street, Brown Building, Concord, NH 03301-3857
Email: Contact Form
Patients can register by submitting a paper application to the New Hampshire Department of Health and Human Services.
Learn how to get a medical marijuana card in New Hampshire. Find out about local laws and qualifying conditions.
Medical marijuana card nh
In response to the COVID-19 pandemic, the Therapeutic Cannabis Program (TCP) is making the following temporary changes to the program.
September 4, 2020
Criminal Background Check Update
The NH State Police has restarted fingerprinting on a “voluntary” basis. The Governor’s Executive Order is still in place, and the fingerprinting requirement is still deferred, but now, applicants may choose to be fingerprinted. Please call 603‐223‐3867 to schedule an appointment at one of the NH Department of Safety’s fingerprint locations.
August 14, 2020
The Governor’s Emergency Order #8 permits telehealth for health care service delivery. The Therapeutic Cannabis Program’s prohibition on the use of telehealth for cannabis certification is temporarily suspended. The required “in person” assessment may be conducted via telehealth during the declared state of emergency.
Border State Medical Providers (Maine, Massachusetts, and Vermont). Telehealth service delivery is not permitted across state borders unless an out-of-state provider is registered with the New Hampshire Board of Medicine or the New Hampshire Board of Nursing. Information about emergency licensure in NH during the declared state of emergency is available on the Office of Professional Licensure and Certification page COVID-19 Licensee Resources.
Registry ID Card Extension Has Ended . The extension described in the April 10 update below has ended. Beginning August 1 all patients must have a valid, non-expired Registry ID Card in order to purchase therapeutic cannabis.
Waiver of CAREGIVER Application Fee Is Extended. The waiver of this fee, described in the March 19 update below, has been extended until the end of the declared state of emergency.
Alternative Treatment Centers (ATCs). The Therapeutic Cannabis Program strongly recommends the use of face coverings (masks) by all patients and caregivers in order to access the inside of the dispensaries. The ATCs may require masks to be worn in order to enter the facilities.
Call ahead before going to your ATC for the most current information about:
- Hours of operation
- Curbside pickup or appointment-only pickup
- Access to the inside of the dispensaries
TCP Extends Registry ID Card Expiration Dates for QUALIFYING PATIENTS. All Qualifying Patient Registry ID Cards that are due to expire in the months of April, May, and June 2020 have been extended until July 31, 2020.
- New Registry ID Cards will not be issued with the new, extended expiration date.
- You will still need to show your “expired” card at your ATC in order to obtain therapeutic cannabis.
- ATCs will accept these “expired” cards until July 31, 2020.
- When you renew your card, the expiration date for your renewal card will be one year from the original expiration date.
- Registry ID Cards for Designated Caregivers are not being extended at this time. (See below for updated information on Designated Caregivers, including the waived application fee.)
29 Hazen Drive Closed to the Public. Starting Tuesday, April 7, the building at 29 Hazen Drive is closed to the public. TCP encourages applicants to send their applications through the regular mail. If you choose to hand-deliver your application, there is a locked drop-box available outside the front of 29 Hazen Drive where you can securely leave your application materials.
- ATCs are considered essential businesses
- All ATCs are currently open for business.
- All ATCs have reduced hours .
- All ATCs require patients to pre-order . Check with your ATC to see if phone or online ordering is available.
- Some ATCs have implemented “curbside” pickup of orders.
- Some ATCs have implemented appointment-only pickup.
- Patients should call ahead before going to their ATC for the most current information.
Criminal History Record Checks for DESIGNATED CAREGIVERS . Requests for criminal history record checks are being conducted remotely (via regular mail), and the requirement for FBI fingerprinting has been deferred until after the State of Emergency has ended.
- State background check is still required.
- Federal FBI background check, and fingerprinting, is temporarily deferred.
- All scheduled appointments for fingerprinting have been cancelled.
- Fingerprinting will be required within 30 days of the State of Emergency ending.
To request a state criminal history records check:
- Complete the Criminal History Record Authorization – Therapeutic Cannabis form .
- The form does not need to be notarized.
- Mail the completed form, and a check or money order for $25.00, made out to “State of NH – Criminal Records,” to:
New Hampshire State Police
Criminal Records Unit
33 Hazen Drive
Concord, NH 03305
TCP will notify you after the State of Emergency has been lifted that the requirement for fingerprinting has been reinstated.
Telehealth . The Governor’s emergency order permits telehealth for health care service delivery. The requirement for an “in-person” examination for the purposes of certification and recertification for the therapeutic use of cannabis has been suspended. The required assessment may be conducted via telehealth.
TCP waives the DESIGNATED CAREGIVER application fee . The TCP is encouraging patients to designate a caregiver so that if patients become sick and cannot safely and responsibly access their ATC, they will have an alternative way of acquiring therapeutic cannabis, via their Designated Caregiver. To that end, the TCP is waiving the Designated Caregiver application fee, beginning immediately and through July 31, 2020.
If the TCP has already cashed an applicant’s check or money order, that applicant will not be issued a refund. All caregiver application fees that are received by the TCP beginning Thursday, March 19, will be returned to the sender. Note that the fee required by the Department of Safety for the criminal background check is not being waived at this time.
January 2020 Public Hearing — Qualifying Medical Conditions for the Therapeutic Use of Cannabis
The Therapeutic Cannabis Medical Oversight Board and the DHHS Therapeutic Cannabis Program will hold a public hearing to gather input from the public on a proposed addition to the list of qualifying medical conditions for the therapeutic use of cannabis.
Date: Wednesday, February 5
Time: 4:00 pm to 5:30 pm
Location: DHHS, 29 Hazen Drive, Room 312 [directions]
Written Comment Period Ends: Wednesday, February 12
Send written comments to: [email protected]
Contact: Michael Holt, (603) 271-9234, [email protected]
The following medical condition is under consideration as a qualifying medical condition for the therapeutic use of cannabis:
- Autism Spectrum Disorder
Changes to the Therapeutic Cannabis Program Application Process
SB 88 made the following changes to the therapeutic cannabis law:
Medical Providers Can Certify Their Patients Sooner . Starting on November 18, 2019, a 3-month provider-patient relationship is no longer required. On that date, the NH Therapeutic Cannabis Program will begin accepting Written Certifications that have been signed by certifying medical providers who do not have a 3-month provider-patient relationship with their patients. The Written Certification for the Therapeutic Use of Cannabis has been updated to reflect this change.
No Photograph Needed . Starting on November 18, 2019, a photograph is not required to be submitted with an application to the Therapeutic Cannabis Program. Also, all Registry ID Cards printed on or after that date will not contain a photo of the patient or caregiver’s face. Patients and caregivers will still be required to show other photo identification at the Alternative Treatment Centers in order to purchase cannabis. The Patient Application and the Caregiver Application have been updated to reflect this change. Other changes have been made to these application forms as well.
Vaping-Related Lung Injuries
The New Hampshire Department of Health and Human Services, Division of Public Health Services (DPHS), is investigating vaping-related lung injuries as part of a multistate outbreak associated with use of e-cigarette, or vaping, products. Learn more in the DHHS fact sheet on Vaping-Related Lung Injuries .
Therapeutic Cannabis Program 2019 Data Report
The Department of Health and Human Services (DHHS) has released the Therapeutic Cannabis Program 2019 Data Report . The report provides information from the Therapeutic Cannabis Registry, the annual reports from the Alternative Treatment Centers, and the Qualifying Patient Satisfaction Survey. It provides details about qualifying patients and designated caregivers who were active in the program as of June 30, 2019.
DHHS provides this report annually to the New Hampshire Legislature’s Health and Human Services Oversight Committee, the New Hampshire Board of Medicine, and the New Hampshire Board of Nursing. The report provides important information on patterns of certification in several categories: qualifying patient and designated caregiver, location, age, medical condition, symptom or side effect, and medical provider. Data from the report can then be used for analysis and research to inform future policy, educational, and clinical decisions.
In addition, the 2019 report contains an addendum related to HB 335 from the 2019 legislative session regarding the expansion of therapeutic cannabis dispensary locations in the state.
As of October 1, 2019, the program is being used by 8,566 qualifying patients, 448 designated caregivers, and 1,101 certifying providers.
(Dec. 19, 2016)
(June 30, 2017)
(June 30, 2018)
(June 30, 2019)
(Oct. 1, 2019)
The Therapeutic Cannabis Program Has Moved
New Location: Division of Public Health Services, 29 Hazen Drive, Concord, NH.
The Therapeutic Cannabis Program’s (TCP) office location has moved to 29 Hazen Drive, Concord, NH. Please use the new address when mailing application materials. If you are hand-delivering application materials, please bring them to the new office location.
Application materials will still be available and accepted at the Brown Building, at 129 Pleasant Street, Concord, and any mail addressed to 129 Pleasant Street will get to the TCP, but using this location and address may delay the processing of your application.
Over the next few months, all of the applications, forms, and information sheets will be updated with the new mailing address:
- NH Department of Health & Human Services
Therapeutic Cannabis Program
29 Hazen Drive
Concord, NH 03301
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Medical marijuana card nh In response to the COVID-19 pandemic, the Therapeutic Cannabis Program (TCP) is making the following temporary changes to the program. September 4, 2020 Criminal