Telehealth for medical cannabis is not permitted in North Dakota. Join our waitlist and we’ll email you as soon as online consultations are allowed.
Get Your North Dakota Medical Marijuana Card in Minutes
The key benefits of a marijuana medical card in North Dakota
Legal protection
Get legal cannabis at age 19+
Access to dispensaries
Legally possess
Trusted by 1 Million Monthly Users
3 easy steps to get your ND medical card
Get approved in minutes using Leafwell’s online platform.
1. Sign up
Register with Leafwell or log in to an existing account.
2. See a doctor
Consult with a North Dakota-licensed provider online and get approved.
3. Complete the state application
Create or log into your account for the North Dakota Medical Marijuana Program. Complete the application form and pay the state fee. Your Leafwell provider will complete your Written Certification.
4. Receive your card
Get approved by the state within 30 days and receive your medical card.

How much does the ND card cost?
Louisiana medical marijuana patients save more with Leafwell. Get your money back if not approved.
How to qualify for your MMJ card in North Dakota
Adults at least 18 diagnosed with at least one qualifying condition may be eligible to apply for a North Dakota medical marijuana card. All minor patients must have the consent of a parent or legal guardian to be eligible for a medical marijuana card in North Dakota. Qualifying medical conditions in ND include:
- Alzheimer’s disease or related dementia
- Amyotrophic lateral sclerosis
- Anorexia nervosa
- Anxiety disorder
- Autism spectrum disorder
- Bulimia nervosa
- Cancer
- Chronic pain
- Crohn’s disease
- Ehlers-Danlos syndrome
- Endometriosis
- Epilepsy
- Fibromyalgia
- Glaucoma
- HIV/AIDS
- Interstitial cystitis
- Migraine
- Neuropathy
- Post-traumatic stress disorder (PTSD)
- Rheumatoid arthritis
- Terminal illness
- Tourette syndrome
- Traumatic Brain Injury (TBI)
Convenient, Quality Care When You Need It Most
With Leafwell, you'll be matched up with a highly knowledgeable, empathetic, licensed medical marijuana doctor or provider.

2 documents needed to apply for a North Dakota medical marijuana card
You’ll need to provide the following to apply for a medical marijuana card in North Dakota:
- Proof of Identity
Driver’s License or State ID with photo. - North Dakota mailing address
Next steps after approval
Once approved by a Leafwell doctor, follow these steps to complete your state application:
- Go to North Dakota’s registration system: BioTrackTHC – https://mmregistration.health.nd.gov
- Click on ‘Create an Account’ if you’re a new patient or ‘Sign into Your Account’ if you’re renewing an existing card
- Complete the application, including the following information:
- Name (must match your state-issued ID)
- Date of birth
- Mailing address (must be in North Dakota)
- Phone number
- Email address
- Your Leafwell provider’s first and last name (we will provide this after your consultation)
- Your Leafwell provider’s email address (we will provide this after your consultation)
- You will need to upload the following items:
- A clear photo of yourself (this photo will go on your medical marijuana ID card)
- The front of your ND state-issued ID (e.g. a driver’s license)
- Answer the questions:
- Is the patient able to make their own medical decisions?
- If no, you will require a caregiver
- Does the patient intend to have a designated caregiver?
- You can have up to 5 caregivers
- If yes, you will be prompted to add additional information
- Is the patient a veteran?
- If yes, you will be prompted to add additional information
- Is the patient enrolled in a hospice (end-of-life) care program
- If yes, you will be prompted to add additional information
- Is the patient able to make their own medical decisions?
- Sign and date a medical release of information form
- Optional: add demographic information
- Check the Patient’s Attestation Statement boxes then sign and date
- Pay the $40 application fee
- Once the application is submitted, your Leafwell provider will complete the Written Certification and return it to the state
- The state will take 2-4 weeks to review your application and mail your card to your address
How to renew your card
The ND medical certification renewal process is similar to getting certified for medical cannabis. You will need to speak with a healthcare provider and verify that you still have one or more qualifying conditions.
Renewing with the same provider who provided your initial certification might be the fastest and easiest way, as they may still have your information on file. Leafwell can help you complete your renewal process.
Legal limitations for ND card holders
Navigating the legal landscape of medical marijuana can be a bit tricky, but we’re here to break it down for you. Here are some key points you should be aware of if you’re a medical cannabis patient in North Dakota:
- Adults 19 and older with a valid medical marijuana certificate from a licensed healthcare provider can purchase up to 7.5 ounces of medical marijuana products every 30 days.
- Patients are permitted to possess up to 3 ounces of cannabis.
- No Recreational Use: Just a heads-up—recreational marijuana is still a no-go in North Dakota. Your medical cannabis card doesn’t give you a free pass for recreational use.
- Cultivation is Off-Limits: Even if you’re a medical marijuana patient, growing your own cannabis plants is illegal in North Dakota.
How to become a caregiver in North Dakota
Any patient can apply to have a caregiver when they submit their application to a state. Caregivers must be 21 years old.
Caregivers must pass a background check before receiving their card.
There is no fee to become a caregiver in North Dakota.
Minors can have up to 5 caregivers.
Can you use a North Dakota medical card in other states?
North Dakota does not recognize out of state medical cards.
However, many states do practice medical marijuana reciprocity and may recognize a North Dakota patient’s status as such.
Other states that recognize out-of-state medical marijuana cards include:
- Arizona
- Arkansas *
- Delaware
- Hawaii *
- Maine
- Michigan (at the dispensary’s discretion)
- Nevada
- New Hampshire
- New Jersey *
- New Mexico
- Oklahoma *
- Puerto Rico
- Rhode Island
- U.S. Virgin Islands *
- Utah * (up to two 21-day periods in a calendar year)
- Washington, D.C.
*Visitors must complete a visiting patient application with the state program.
Minor medical cannabis patient information
Minors under 19 can qualify for a North Dakota medical marijuana certification with consent from a parent or legal guardian who will serve as their caregiver. The state application must be signed by the parent or legal guardian.
Minors can have up to 5 caregivers, but must have at least one.
FAQs
Find the answers to frequently asked questions about medical cannabis in North Dakota.
How much does a North Dakota Medical Marijuana certificate and card cost?
What medical conditions qualify for a Medical Marijuana Card in North Dakota?
- AIDS/HIV
- Alzheimer's Disease or related Dementia
- Amyotrophic Lateral Sclerosis (ALS), aka Lou Gehrig's Disease
- Anorexia Nervosa
- Anxiety Disorder
- Autism Spectrum Disorder
- Brain Injury
- Bulimia Nervosa
- Cancer
- Crohn's Disease
- Decompensated Cirrhosis caused by Hepatitis C
- Ehlers-Danlos Syndrome
- Endometriosis
- Epilepsy
- Fibromyalgia
- Glaucoma
- Interstitial Cystitis
- Migraine
- Neuropathy
- Post-Traumatic Stress Disorder (PTSD)
- Rheumatoid Arthritis
- Spinal Stenosis or Chronic Back Pain
- Terminal Illness
- Tourette Syndrome
- A chronic or debilitating disease, medical condition, or treatment that produces one or more of the following:
- Cachexia or wasting syndrome
- Severe debilitating pain that has not responded to previously prescribed medication or surgical measures for more than three months or for which other treatment options produced serious side effects
- Intractable nausea
- Seizures
- Severe and persistent muscle spasms, including those characteristic of multiple sclerosis
What do I need to know about applying for my Medical Cannabis Card in North Dakota online?
- Create a Leafwell account using a valid email address and choosing a password. You'll then be asked to complete a brief questionnaire of personal and health information and to either take or upload a photograph of identification (Leafwell is required by law to verify your identity). 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 Leafwell provider for a video chat (i.e., a virtual doctor's visit). (You will receive a text message to your cell phone when the provider is ready to see you.) During the video chat, the provider will assess your health situation to determine if you qualify for a medical marijuana certification.
- If you are approved for a medical marijuana card, you'll be sent a copy of your certificate letter via email. You can then use this certificate to apply to the North Dakota Medical Marijuana Program for your card.
How old do I have to be to apply for a Medical Marijuana Card in North Dakota?
Can I be/have a caregiver for a medical marijuana patient in North Dakota?
- Complete and submit an application via the BioTrackTHC system. You will be asked for your name, address, date of birth, phone number and email address. You will also need to upload a passport-style photograph, driver's license or ND state ID card in .pdf, .jpeg or .png format.
- An applicant must enter the patient’s 10-digit alphanumeric barcode number and click the “verify” button to match the appropriate patient to the designated caregiver. Once there is a correct match the patient’s name, date of birth and email address will populate in the fields. The patient barcode number is generated and assigned when a patient completes and submits their patient application. This means that the patient must complete their initial application first.
- All designated caregivers must pass a criminal history record check with their initial application and every other year after that. Per NDCC Chapter 19-24.1, anybody who applies as a designated caregiver must not have been convicted of a drug misdemeanor within the five years preceding the date of application or of a felony offense (in a lifetime).
- View and edit certain information on their account
- View and edit an application that was started but not submitted (Please Note: once an application is submitted, the applicant will not be able to edit their application. If a change needs to be made, please contact the Division of Medical) Marijuana
- View their submitted application and track where it is at in the review and approval process.
- Check the patient(s) 30-day maximum purchase limit balance.