How to get a medical card in North Dakota
North Dakota’s program is run by the North Dakota HHS Medical Marijuana Program. Here is the process for a registry identification card, taken from the program’s own website, with fees only where the state publishes them. The adult application instructions apply to patients 19 and older.
Last updated
Key Takeaways
- The adult application instructions apply to patients 19 and older. You need a North Dakota mailing address and a North Dakota state-issued ID (driver’s license or non-driver photo ID).
- Fee: $40 non-refundable application fee.
- Requirements change; confirm on the official program site before you apply.
Who can apply
- The adult application instructions apply to patients 19 and older. You need a North Dakota mailing address and a North Dakota state-issued ID (driver’s license or non-driver photo ID).
Step by step
- Apply online through the program’s registration system, entering your name as it appears on your ID.
- Upload a recent color photo that meets the program’s photo rules and a copy of your ND ID.
- Enter your certifying health care provider’s name and email; the provider is notified to complete the written certification.
- Answer the required questions (caregiver, veteran status, hospice enrollment) and sign the medical release.
- Pay the fee online or by check, cashier’s check, or money order.
Fees
- $40 non-refundable application fee.
Processing time and renewal
- Allow 2–4 weeks for processing after the provider completes the certification. Renewal can begin up to 45 days before the card expires.
Using your card
- Patients may have up to five designated caregivers, each of whom submits a separate application.
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 North Dakota?
$40 non-refundable application fee. Practitioner visits are usually a separate cost.
How long does it take to get a North Dakota medical card?
Allow 2–4 weeks for processing after the provider completes the certification. Renewal can begin up to 45 days before the card expires.
Does a North Dakota 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 North Dakota HHS Medical Marijuana Program, Adult Patient Application Instructions ↗ 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