Obtain a new medical marijuana certification: The New Hampshire DHHS requires medical marijuana patients to obtain written medical marijuana certifications to verify that the continued use of medical marijuana is necessary for the treatment of their qualifying conditions
Gather the required application documents: To complete a medical marijuana card renewal application, you must have a signed medical marijuana certification, proof of New Hampshire residency, a completed patient application form, and payment for the renewal fee (in the form of check or money order made payable to “Treasurer, State of New Hampshire”)
Submit the application: Submit all required items in person or by mail:
NH Department of Health and Human Services
Therapeutic Cannabis Program
29 Hazen Drive Concord
NH 03301
Wait for approval: It takes the DHHS up to 21 days to review a medical marijuana card renewal application. Upon approval, the department will send a new registry ID to the applicant by mail.
Qualifying patients under the New Hampshire Therapeutic Cannabis Program can only submit paper applications to renew their medical marijuana cards. There is no provision for online submission.
Medical marijuana patients in New Hampshire must renew their registry IDs upon expiration, usually annually. Under new rules that took effect in May 2023, physicians in New Hampshire are now permitted to provide three-year certifications in addition to the standard one-year certifications. This means that a cardholder with a three-year medical marijuana card validity will only be required to renew their registry ID every three years.
Medical marijuana cardholders in New Hampshire are required to obtain written certifications from their physicians at least 2-3 months before the expiration of their current medical cannabis cards. Medical doctors, physician assistants, and advanced practice registered nurses can certify medical marijuana patients in the state. Alternative Treatment Centers (ATCs), or licensed dispensaries in New Hampshire, are also authorized to recommend certifying physicians to medical marijuana patients who are unable to find one.
Qualifying cannabis patients who are unable to find certifying physicians in New Hampshire can obtain written certifications from medical doctors or advanced practice registered nurses from the following states:
An out-of-state physician must have a patient-physician relationship with a qualifying patient in New Hampshire to be able to issue a written certification. Physician assistants from Maine, Massachusetts, and Vermont are not permitted to issue certifications to New Hampshire medical marijuana cardholders.
Certifying physicians in New Hampshire must counsel qualifying patients who are under the age of 25 and women who have reached child-bearing age before recommending cannabis use. Patients under the age of 25 must be informed of the health risks involved in adolescent cannabis consumption. Also, women who have attained child-bearing age must be advised about the health risks of consuming cannabis while pregnant or lactating. New Hampshire physicians are required to attach written statements affirming that such counsel was provided to such patients or their caregivers before they issued written certifications for medical cannabis.
Qualifying patients are required to pay $50 for a New Hampshire medical marijuana card renewal fee.
All medical marijuana card renewal applications in New Hampshire are processed centrally at the DHHS office. Qualifying patients can mail their renewal applications to the DHHS at:
DHHS-TCP
29 Hazen Drive
Concord, NH 0330
Out-of-state medical marijuana cardholders can only buy marijuana from cannabis dispensaries in New Hampshire if they suffer from medical conditions approved for medical marijuana treatment in New Hampshire.