- See a healthcare provider on your schedule.
- Pay only $199 for your appointment — and get your money back if not approved!
Get Approved in Minutes
Apply for Your New Hampshire Medical Marijuana Card

How to Renew Your New Hampshire Medical Marijuana Card Online
1
Log in to your Leafwell account
You can speak to a doctor and renew your New Hampshire medical marijuana card online (EXISTING LEAFWELL PATIENTS ONLY). The cost of the online consultation is $199 – approved or your money back.
2
Receive Your Certificate From Leafwell
Once approved, you’ll receive your certificate. It will be mailed to you shortly afterward. You need a hard copy of the certificate to apply to register for your renewal with the state.
3
Apply for a Card with the State
Complete the application – download and print it from the government website.
You will need to pay the $50 application fee to the New Hampshire state. You must specify which Alternative Treatment Centre you wish to use. You can only be registered to use one ATC at any time, but you can change which center you’re registered with on the state website.
Once you’ve completed the application, mail the application plus the certificate from Leafwell to the state.
4
Receive your Medical Marijuana Card
If approved, you will receive your medical marijuana card in the mail up to 3 weeks later. Your certificate will be valid for one year from the date of issue.
Benefits of Having a Medical Card in New Hampshire
Recreational marijuana is currently illegal in New Hampshire. As MMJ cardholders, New Hampshire residents are permitted to possess the following:
- Two ounces of cannabis within 10 days
- Not more than two ounces at any one time
If a patient has a caregiver, the combined total possessed between both people cannot exceed two ounces.
Eligibility Requirements
To apply for a medical marijuana card in New Hampshire, you must be a legal resident of New Hampshire, at least 18, and be diagnosed with a qualifying medical condition by a healthcare provider during an in-person appointment.
The provider must be an MD, DO, or APRN and serve as your primary care provider or a specialist who is actively treating you for a qualifying medical condition. The physician must be located in New Hampshire, Massachusetts, Maine, or Vermont to be able to certify you.
You must be an existing New Hampshire medical marijuana patient seeing the same certifying provider to get an online medical marijuana consultation.
Can Minors Get a Medical Card in New Hampshire?
Minors can have caregivers apply for a medical card on their behalf. Caregivers must be 21 and must have a clean criminal record. Each patient can only have one caregiver, but minors can have two caregivers.
Caregivers
Some patients may be eligible for an MMJ card but cannot apply themselves. For example, should the patient be a minor under 18, or if the patient needs assistance accessing medical cannabis, a caregiver can be assigned to complete the process on their behalf.
Caregivers must be 21 and not have any felony convictions. Caregivers must submit an application to the New Hampshire Therapeutic Cannabis Program by mail. If the patient did not designate the caregiver on the patient application, a Caregiver Designation form must be submitted with the application.
Medical Conditions
According to New Hampshire law, a patient must be diagnosed with a stand-alone medical condition or a combination of a qualifying diagnosis and a qualifying symptom. The following conditions may qualify you for a medical marijuana card in New Hampshire:
- AIDS/HIV
- Amyotrophic Lateral Sclerosis (ALS)
- Alzheimer’s Disease
- Autism/Asperger Syndrome
- Cachexia or Wasting Syndrome
- Cancer
- Crohn’s Disease
- Epilepsy
- Glaucoma
- Inflammatory Bowel Diseases (IBDs)
What You’ll Need to Apply
Under current legislation, Leafwell can only be used by existing patients for their renewals in New Hampshire.
To apply for your MMJ card in New Hampshire, you must show your signed certificate, which provides proof of your condition, medical records, and identification documents.
Gather the following:
- Proof of New Hampshire residency, such as a New Hampshire driver’s license, lease agreement, or a recent utility bill.
- A written certification from a licensed physician. We will mail a hard copy to you upon completing your consultation with a registered practitioner on Leafwell’s secure platform. It should arrive within five to seven days.
- Medical records. These are required by law to provide New Hampshire doctors with a comprehensive understanding of your medical history and make an accurate assessment that cannabis will be helpful for you.
Costs
The consultation with one of Leafwell’s New Hampshire registered practitioners via our HIPAA-compliant online consultation service is a flat fee of $199. However, you will not be charged if you do not qualify for an MMJ card.
Under current legislation, Leafwell can only be used by existing patients for their renewals in New Hampshire.
It costs $50 for the New Hampshire medical marijuana card and application, payable to the state. This is a non-refundable fee that patients must pay every time they apply. Every time you renew, you must meet with a state-licensed physician via a telemedicine platform like Leafwell and then renew your card via the state website.
Insurance does not currently cover the cost of applying for an MMJ card in New Hampshire because cannabis is illegal at the federal level.
Medical Marijuana Reciprocity
New Hampshire has limited medical marijuana reciprocity regarding cardholders from other states. Recent legislation allows visiting patient cardholders to purchase therapeutic cannabis from alternative treatment centers no more than three times in 12 months unless they have a note from their physician.
Other states that have either legalized the recreational use of marijuana or recognize out-of-state medical marijuana cards include:
- Arizona
- Alaska ^
- Arkansas *
- California ^
- Colorado ^
- Connecticut ^
- Delaware ^
- Guam
- Hawaii *
- Illinois ^
- Maine
- Maryland ^ (as of July 2023)
- Michigan (qualifying state must also have reciprocity with Michigan)
- Missouri ^
- Montana
- Nevada
- New Hampshire
- New Mexico * (recreational cannabis is legal in NM)
- Oklahoma *
- Oregon ^
- Pennsylvania (minors only)
- Puerto Rico
- Rhode Island
- U.S. Virgin Islands *
- Utah (max. 45 days, after which the patient must apply for a Utah MMJ card)
- Vermont ^
- Virginia ^
- Washington ^
- Washington D.C.
States marked with * require visitors to complete a visiting patient application for their stay.
States marked with ^ have adult use programs but do not accept out-of-state cards.
Where to Buy Medical Marijuana in NH
In all states with a regulated medical program, the only way to purchase marijuana products is via a legally licensed dispensary, pharmacy, or another legally designated space to buy cannabis.
In New Hampshire, medical marijuana patients may acquire cannabis at their assigned alternative treatment center, which they select during the patient application process.
When seeking medical marijuana treatment options, it’s a good idea to talk to dispensary staff and ask plenty of questions. These trained professionals can assist you in identifying the best medical-use cannabis products for specific health conditions and address any questions or concerns.
Cultivation
Medical marijuana patients cannot grow cannabis in New Hampshire. Legislation is currently pending to permit cultivation.
New Hampshire Medical Marijuana Laws to Know
New Hampshire is one of the stricter New England states regarding medical marijuana laws. Possession of over 21 grams of cannabis is considered a misdemeanor and carries an incarceration period of up to one year and/or a fine of $350. Possessing up to five grams of hash or concentrates without an MMJ card is considered a civil violation, while more than five grams of hash is a misdemeanor. Manufacturing concentrate or hash is a felony.
The sale or possession of cannabis with intent to sell is a felony, punishable by up to three years in prison and/or a $25,000 fine for any amount less than one ounce. Penalties and incarceration periods scale considerably as the amount of cannabis increases.
Cultivation is held to similar standards as possession or possession with intent to sell. Subsequent offenses occur within 1,000 feet of school grounds and bring stiffer and higher penalties.
Frequently Asked Questions
How much does a New Hampshire Medical Marijuana certificate and card cost?
Please note: We do not currently offer certificates for those who do not yet have an account with Leafwell. We can only provide renewal consultations under New Hampshire law.
An online renewal consultation for existing Leafwell patients in New Hampshire costs $199. Patients must also pay a separate $50 fee with their state application to the New Hampshire Therapeutic Cannabis Program.
Here’s an overview of the fees:
- $125 Renewal certificate from Leafwell (existing Leafwell patients only)
- $50 State patient application fee*
The consultation fee includes a 1-year certification, and you’ll only be charged if approved.
*State fees are not included with Leafwell fees and are paid directly to the state.
What medical conditions qualify for a Medical Marijuana Card in New Hampshire?
The New Hampshire law lists the following medical conditions as qualifiers for a medical cannabis card. A patient must be diagnosed with a stand-alone medical condition or a combination of a qualifying diagnosis and a qualifying symptom.
Stand-Alone Medical Conditions
- Autism spectrum disorder (age 21 and older)
- Autism spectrum disorder (under age 21) (requires a consultation with a certified provider of child and/or adolescent psychiatry, developmental pediatrics, or pediatric neurology, who (1) confirms that the autism spectrum disorder has not responded to previously prescribed medication or that other treatment options produced serious side effects and (2) supports certification for the use of therapeutic cannabis)
- Moderate or severe post-traumatic stress disorder (PTSD)
- Moderate to severe chronic pain
- Severe pain that has not responded to previously prescribed medication or surgical measures or for which other treatment options produced serious side effects
- Opioid use disorder, with associated symptoms of cravings or withdrawal (requires a provider who is actively treating the patient for opioid use disorder and who is board-certified in Addiction Medicine or Addiction Psychiatry)
Combination of a Qualifying Diagnosis AND a Qualifying Symptom
Qualifying Diagnoses
- Acquired immune deficiency syndrome (AIDS)
- Alzheimer’s disease
- Amyotrophic lateral sclerosis (ALS), aka Lou Gehrig’s Disease
- Cancer
- Chronic pancreatitis
- Crohn’s disease
- Ehlers-Danlos syndrome
- Epilepsy
- Glaucoma
- Hepatitis C
- HIV
- Lupus
- Multiple sclerosis (MS)
- Muscular dystrophy
- One or more injuries or conditions that have resulted in one or more qualifying symptoms
- Parkinson’s disease
- Spinal cord injury or disease
- Traumatic brain injury
- Ulcerative colitis
Qualifying Symptoms
- Agitation of Alzheimer’s disease
- Cachexia
- Chemotherapy-induced anorexia
- Constant or severe nausea
- Elevated intraocular pressure
- Moderate to severe insomnia
- Moderate to severe vomiting
- Seizures
- Severe pain that has not responded to previously prescribed medication or surgical measures or for which other treatment options produced serious side effects
- Severe, persistent muscle spasms
- Wasting syndrome
How does the online evaluation process work for getting a Medical Marijuana certificate Letter/Medical Certificate in New Hampshire?
Under current legislation, Leafwell can only be used by existing patients for their renewals in New Hampshire. If you previously used Leafwell in another state and have moved to New Hampshire, you are able to use our platform to become a new NH patient.
There are three simple steps to seeing a Leafwell provider in New Hampshire to obtain your medical marijuana card:
- Log into your Leafwell account. Complete a brief questionnaire of personal and health information and choose your renewal plan. You will need a smartphone, computer, or tablet with a reliable internet connection and a working camera to be seen by a Leafwell provider.
- Next, you will be taken to the virtual waiting room where you’ll be connected with your Leafwell provider for a video chat (i.e., a virtual doctor’s visit).
- If you are approved for a medical marijuana card, you’ll be sent a copy of your certificate letter via email. Once you have your certificate, you can renew with the New Hampshire Medical Marijuana Program to receive your card.
How old do I have to be to apply for a Medical Marijuana Card in New Hampshire?
You must be at least 18 years of age in order to apply for a Medical Marijuana Card in New Hampshire. Caregivers must be 21 years of age or over.
Under current legislation, Leafwell can only be used by existing patients for their renewals in New Hampshire. If you previously used Leafwell in another state and have moved to New Hampshire, you are able to use our platform to become a new NH patient.
Can I be/have a caregiver for a medical marijuana patient in New Hampshire?
Yes, medical marijuana patients in New Hampshire can have a caregiver. Caregivers must print and mail an application to the New Hampshire Therapeutic Cannabis Program.
Caregiver Requirements:
- Minimum 21 years old.
- Caregivers must complete the caregiver application.
- You must be designated as a caregiver on your patient’s application, and the patient must be approved for the Program.
- If the patient did not already designate their Caregiver on their patient application, complete a Caregiver Designation Form.
- Caregivers can serve no more than five patients.
- There is an exception if the qualifying patient and designated caregiver each live greater than 50 miles from the nearest alternative treatment center, in which case the designated caregiver may assist with the therapeutic use of cannabis for up to 9 qualifying patients.
- As of July 24, 2022, designated caregivers do not require a criminal background check, but must not have any felony convictions.
- Caregivers can also be patients.
State Resources:
How do I apply for the state program in New Hampshire?
Once you’ve been approved by a physician, you need to apply to the New Hampshire state. You will need to print your certification from Leafwell which you can download from your account.
Next, you need to apply to the state. Here’s the step by step guide:
- Print out the patient application
- You need to complete pages 1 and 3
- Complete page 2 if you want a caregiver (e.g. for a minor under the age of 18)
- Gather together the following documentation:
- “Written Certification for the Therapeutic Use of Cannabis” form (download from your Leafwell account)
- Proof of New Hampshire residency (New Hampshire driver’s license, front only, state or federal government-issued identification that shows your name and NH address, any documentation that contains your name and current NH address e.g. current lease agreement, tax documents or a recent utility bill)
- A $50 application fee – check or money order made payable to “Treasurer, State of New Hampshire”
- Mail or hand-deliver the above items to:
- NH Department of Health and Human Services Therapeutic Cannabis Program, 29 Hazen Drive, Concord, NH 03301
- Application processing takes up to 3 weeks
- If your application is incomplete, the state will contact you and ask for additional documentation
- Once approved, you will receive a card within 5 days. Your card is valid for 1 year.
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