New Hampshire Medical Marijuana Card Application
New Hampshire Medical Marijuana Card Application
Medical Marijuana Card Application
New Hampshire Medical Marijuana Card Application
New Hampshire Therapeutic Cannabis Program
New Hampshire Medical Marijuana Application Form:
- Application for the Therapeutic Use of Cannabis – Qualifying Patient
- Application for the Therapeutic Use of Cannabis – Designated Caregiver
New Hampshire Medical Marijuana Application Information:
- Qualifying Patient Information Sheet
- Minor Qualifying Patient Information Sheet
- Designated Caregiver Information Sheet
- Protections and Prohibitions for Qualifying Patients
- Protections and Prohibitions for Designated Caregivers
- Medical Provider Information Sheet
New Hampshire Medical Marijuana Program Accepts Out-of-State Providers
Effective June 10, 2016, physicians and advanced practice registered nurses licensed in the states of Maine, Massachusetts, and Vermont are permitted under New Hampshire state law [RSA 126-X:I, VII(a)(3)] to issue a “Written Certification for the Therapeutic Use of Cannabis” to their patients who are residents of New Hampshire. If approved, these patients will be allowed to participate in New Hampshire’s Therapeutic Cannabis Program.
In addition to meeting all other applicable requirements in NH law and NH administrative rule, certifying medical providers in Maine, Massachusetts, and Vermont must be primarily responsible for the patient’s care related to his or her qualifying medical condition.
Both the Written Certification Addendum and the Written Certification for the Therapeutic Use of Cannabis must be completed by certifying medical providers in those states that border New Hampshire.