This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Patient Application for the Therapeutic Use of Cannabis is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.
Q: What is the Therapeutic Use of Cannabis program?
A: The Therapeutic Use of Cannabis program in New Hampshire allows eligible patients to use cannabis for medical purposes.
Q: Who is eligible for the program?
A: Patients who have been diagnosed with a qualifying medical condition by a healthcare provider are eligible for the program.
Q: How can I apply for the program?
A: To apply, you need to fill out an application form, submit it along with the required documents and fees, and have your healthcare provider complete a written certification.
Q: What documents do I need to submit with my application?
A: You will need to provide proof of New Hampshire residency, a recent passport-sized photo, and any supporting medical documentation.
Q: How much does it cost to apply for the program?
A: The application fee is $50 for patients, and $25 for caregivers. There are additional fees for the ID card and for changes or replacements.
Q: How long does it take to get approved?
A: Once your application is complete, it will be reviewed within 10 days. If approved, you will receive your ID card within 20 days.
Q: Can I grow my own cannabis?
A: No, personal cultivation of cannabis is not allowed in New Hampshire. Only licensed ATCs are authorized to grow and distribute medical cannabis.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.