How to get a medical card in New Hampshire
New Hampshire’s program is run by the Therapeutic Cannabis Program (NH DHHS). Here is the process for a Registry ID Card, taken from the program’s own website, with fees only where the state publishes them. ” Since 2024, any NH-licensed provider with prescriptive authority may certify.
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Key Takeaways
- Per NH DHHS, any physician (MD or DO), APRN, or PA can certify patients; providers do not have to register as a “marijuana doctor.” Since 2024, any NH-licensed provider with prescriptive authority may certify.
- Fee: $50 application fee by check or money order payable to “Treasurer – State of NH.” No cash, no online payment, and no hardship reduction. Replacement cards cost $10. Caregivers pay no application fee.
- Requirements change; confirm on the official program site before you apply.
Who can apply
- Per NH DHHS, any physician (MD or DO), APRN, or PA can certify patients; providers do not have to register as a “marijuana doctor.” Since 2024, any NH-licensed provider with prescriptive authority may certify.
- Since October 1, 2024, providers may certify adults 21 or older for any debilitating or terminal condition or symptom where, in the provider’s clinical opinion, likely benefits outweigh risks.
Step by step
- Ask your provider to complete the Written Certification (signatures are good for six months).
- Complete the Patient Application.
- Include proof of NH residency showing your name, NH address, and a date (not required if renewing at the same address).
- Mail or drop off the packet at DHHS – TCP, 29 Hazen Drive, Concord, NH 03301, with a $50 check or money order.
Fees
- $50 application fee by check or money order payable to “Treasurer – State of NH.” No cash, no online payment, and no hardship reduction. Replacement cards cost $10. Caregivers pay no application fee.
Processing time and renewal
- An incomplete application gets a notice within 10 days; complete applications get a card mailed within 3 weeks.
- Plan to see your provider 2–3 months before your card expires for a renewal certification. Certifications can last up to 3 years.
Using your card
- Cards are used at the state’s licensed Alternative Treatment Centers. DHHS encourages carrying your Registry ID Card whenever you have cannabis outside your home.
Out-of-state patients
- Visitors with documentation from another state or Canada may buy from NH Alternative Treatment Centers.
Medical cards and your job
A state card does not change federal workplace testing. For DOT-regulated jobs, a Medical Review Officer must not verify a test as negative because of a state medical recommendation (49 CFR § 40.151(e)).
See cannabis employment law by state for the states we have sourced.
Common questions
How much does a medical card cost in New Hampshire?
$50 application fee by check or money order payable to “Treasurer – State of NH.” No cash, no online payment, and no hardship reduction. Replacement cards cost $10. Caregivers pay no application fee. Practitioner visits are usually a separate cost.
How long does it take to get a New Hampshire medical card?
An incomplete application gets a notice within 10 days; complete applications get a card mailed within 3 weeks.
Does a New Hampshire medical card protect me at work?
Not necessarily. Workplace protections vary by state, and federal DOT testing rules apply regardless of a state card.
Sources
- government New Hampshire DHHS, Therapeutic Cannabis Program ↗ accessed 2026-10-03
- government eCFR, 49 CFR § 40.151 — What are MROs prohibited from doing as part of the verification process? (U.S. DOT) ↗ accessed 2026-10-03