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How to get a medical card in North Carolina - Coming Soon

  1. 1

    Register Online with Leafwell

    When we open, you’ll be able to book an appointment to see and speak with an NC-licensed medical cannabis physician.

    Those who live within the Qualla Boundary may qualify for medical cannabis. Qualifying patients who do not live within the Qualla Boundary are still eligible to receive a recommendation.

  2. 2

    Discuss Medical Marijuana (and CBD) with your Doctor

    At your appointment, the physician will evaluate your condition and whether or not you qualify for medical CBD/cannabis.

  3. 3

    Receive your certificate from Leafwell

    Once you have undergone your medical cannabis consultation and approved, you will be certified.

  4. 4

    Apply for a Card with the State of North Carolina

    Once you have undergone your medical CBD evaluation and have your certificate, you can obtain a registry identification card from the North Carolina Department of Health and Human Services.

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Benefits of Getting a North Carolina Medical Card

  • A medical CBD card is the only way to legally consume low-THC, CBD-rich cannabis/hemp products in North Carolina.
  • Qualifying patients who live within the Qualla Boundary may legally purchase 1 ounce of cannabis per day up to six times a month.
  • Qualifying patients who do not live within the Qualla Boundary are still eligible to receive a recommendation and eventually purchase medical marijuana at a forthcoming medical cannabis dispensary that will be located on the tribal land.

About Medical Marijuana in North Carolina

North Carolina has a low-THC medical CBD program, and those living on Tribal lands may qualify for medical cannabis.

Cannabis is illegal in North Carolina for any usage, whether medical or not. Possession of 0.5 ounces (a half-ounce) or less is decriminalized. There was a failed attempt to legalize medical marijuana in 2014, but it failed. In 2015, Governor Pat McCrory signed into law HB 766, allowing those with intractable epilepsy to use CBD oil. In 2017, North Carolina legalized hemp.

North Carolina has a Low-THC Medical CBD program. Cannabis extracts containing less than nine-tenths of one percent THC and at least five percent CBD by weight may be recommended for those with intractable epilepsy. Under the NC Compassionate Care Act (SB 711), those suffering from chronic conditions like cancer, Crohn’s disease, or multiple sclerosis (MS) may also qualify.

Medical cannabis is legal on tribal lands, in particular Cherokee land. To quote from NORML:

"Medical cannabis is now legal in part of western North Carolina, but only on Cherokee land, according to a statement from the Eastern Band of Cherokee Indians. On August 5, a local ordinance was approved by The Eastern Band of Cherokee Indians Tribal Council, legalizing medical cannabis within the Qualla Boundary."

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How to qualify

It is possible to get certified online for medical cannabis in NC. You'll need to book an appointment for a medical marijuana evaluation, attend your consultation, and get approved. You'll need a valid ID and proof of address and then send in your certification with an application form to get an NC medical marijuana card.

To qualify for medical CBD in North Carolina (NC), you must be 18 years of age or older (or have parental consent), have a current diagnosis of a qualifying condition and hold an official written certification from a physician.

Patients must be a resident of North Carolina with proof of residency (valid driver's license or state ID card) - this is especially important for those who are living within the Qualla Boundary on Cherokee land.

  1. Information for caregivers

    Minors under 18 can qualify for North Carolina’s medical CBD program with parental consent. Caregivers must be 21.

Medical Conditions

Conditions that qualify for a low-THC, medical CBD certificate in North Carolina include:

Possession and Growing

Medical and adult use possession and growing of cannabis is illegal in North Carolina, except on Tribal lands.

Patients could possess up to a 30-day supply, as determined by their physician. Cannabis extracts must contain less than nine-tenths of one percent THC and at least five percent CBD by weight.

It is not legal to grow or cultivate cannabis in North Carolina.

North Carolina currently does not have any medical marijuana dispensaries. This means that North Carolina medical marijuana patients need to purchase their medicine in another state that allows out-of-state medical marijuana cards, the closest one being Pennsylvania.

Medical cannabis patients from the Qualla Boundary may buy up to 1 ounce of marijuana each day and only up to 6 ounces each month.

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Medical Marijuana patients in North Carolina can have a caregiver.

Minors under 18 can qualify for North Carolina's medical CBD program with parental consent. Caregivers must usually be:

  1. 01

    Aged 21 or older.

  2. 02

    Responsible for the primary care for minor patients (a parent or another official caregiver).


There is no medical marijuana identification card system in North Carolina, so there can be no reciprocity with other states.

North Carolina does not recognize other states’ medical marijuana programs.

North Carolina Cannabis Laws
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Frequently asked questions in North Carolina

How much does a North Carolina Medical Marijuana certificate and card cost?

We are unable to certify North Carolina patients for medical marijuana at this time but hope to open in the future.

It costs $50 for the application fee, payable to the state (separate from the physician’s fee). The cost of consultations can vary, but expect anything up to $200 for a medical cannabis evaluation with a physician.

What medical conditions qualify for a Medical Marijuana Card in North Carolina?

In North Carolina, the following conditions may qualify you for a medical marijuana certificate and card:

  • Amyotrophic Lateral Sclerosis aka Lou Gehrig’s Disease
  • Cachexia or wasting syndrome
  • Cancer
  • Crohn’s disease
  • Epilepsy
  • Multiple sclerosis (MS)
  • Parkinson’s disease
  • Post-traumatic Stress Disorder (PTSD)
  • Sickle cell anemia or other sickle cell diseases
  • Severe or persistent nausea who is not pregnant that is related to end-of-life or hospice care, or who is bedridden or homebound because of a condition.
  • Any other serious medical condition or its treatment added by the Medical Cannabis Advisory Board.
What do I need to know about applying for my Medical Cannabis Card in North Carolina online?

You cannot currently get certified online for medical cannabis or CBD in North Carolina using Leafwell.

How old do I have to be to apply for a Medical Marijuana Card in North Carolina?

You must be at least 18 years-old or over in order to qualify for a medical CBD card in North Carolina for yourself. Those under this age will need parental consent.

Can I be/have a caregiver for a medical marijuana patient in North Carolina?

Yes, it is possible to be a caregiver for a medical CBD patient in North Carolina.

Does Leafwell work with medical marijuana doctors in North Carolina?

Leafwell does not operate in North Carolina as of yet, so we are unable to take online medical marijuana consultations with our doctors.