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medical marijuana card nh

Medical marijuana card nh

In response to the COVID-19 pandemic, the Therapeutic Cannabis Program (TCP) is making the following temporary changes to the program.

September 4, 2020
Criminal Background Check Update

The NH State Police has restarted fingerprinting on a “voluntary” basis. The Governor’s Executive Order is still in place, and the fingerprinting requirement is still deferred, but now, applicants may choose to be fingerprinted. Please call 603‐223‐3867 to schedule an appointment at one of the NH Department of Safety’s fingerprint locations.

August 14, 2020
Telehealth Update

The Governor’s Emergency Order #8 permits telehealth for health care service delivery. The Therapeutic Cannabis Program’s prohibition on the use of telehealth for cannabis certification is temporarily suspended. The required “in person” assessment may be conducted via telehealth during the declared state of emergency.

Border State Medical Providers (Maine, Massachusetts, and Vermont). Telehealth service delivery is not permitted across state borders unless an out-of-state provider is registered with the New Hampshire Board of Medicine or the New Hampshire Board of Nursing. Information about emergency licensure in NH during the declared state of emergency is available on the Office of Professional Licensure and Certification page COVID-19 Licensee Resources.

Registry ID Card Extension Has Ended . The extension described in the April 10 update below has ended. Beginning August 1 all patients must have a valid, non-expired Registry ID Card in order to purchase therapeutic cannabis.

Waiver of CAREGIVER Application Fee Is Extended. The waiver of this fee, described in the March 19 update below, has been extended until the end of the declared state of emergency.

Alternative Treatment Centers (ATCs). The Therapeutic Cannabis Program strongly recommends the use of face coverings (masks) by all patients and caregivers in order to access the inside of the dispensaries. The ATCs may require masks to be worn in order to enter the facilities.

Call ahead before going to your ATC for the most current information about:

  • Hours of operation
  • Pre-ordering
  • Curbside pickup or appointment-only pickup
  • Access to the inside of the dispensaries

TCP Extends Registry ID Card Expiration Dates for QUALIFYING PATIENTS. All Qualifying Patient Registry ID Cards that are due to expire in the months of April, May, and June 2020 have been extended until July 31, 2020.

  • New Registry ID Cards will not be issued with the new, extended expiration date.
  • You will still need to show your “expired” card at your ATC in order to obtain therapeutic cannabis.
  • ATCs will accept these “expired” cards until July 31, 2020.
  • When you renew your card, the expiration date for your renewal card will be one year from the original expiration date.
  • Registry ID Cards for Designated Caregivers are not being extended at this time. (See below for updated information on Designated Caregivers, including the waived application fee.)

29 Hazen Drive Closed to the Public. Starting Tuesday, April 7, the building at 29 Hazen Drive is closed to the public. TCP encourages applicants to send their applications through the regular mail. If you choose to hand-deliver your application, there is a locked drop-box available outside the front of 29 Hazen Drive where you can securely leave your application materials.

  • ATCs are considered essential businesses
  • All ATCs are currently open for business.
  • All ATCs have reduced hours .
  • All ATCs require patients to pre-order . Check with your ATC to see if phone or online ordering is available.
  • Some ATCs have implemented “curbside” pickup of orders.
  • Some ATCs have implemented appointment-only pickup.
  • Patients should call ahead before going to their ATC for the most current information.

Criminal History Record Checks for DESIGNATED CAREGIVERS . Requests for criminal history record checks are being conducted remotely (via regular mail), and the requirement for FBI fingerprinting has been deferred until after the State of Emergency has ended.

  • State background check is still required.
  • Federal FBI background check, and fingerprinting, is temporarily deferred.
  • All scheduled appointments for fingerprinting have been cancelled.
  • Fingerprinting will be required within 30 days of the State of Emergency ending.

To request a state criminal history records check:

  • Complete the Criminal History Record Authorization – Therapeutic Cannabis form .
    • The form does not need to be notarized.
  • Mail the completed form, and a check or money order for $25.00, made out to “State of NH – Criminal Records,” to:
    New Hampshire State Police
    Criminal Records Unit
    33 Hazen Drive
    Concord, NH 03305

TCP will notify you after the State of Emergency has been lifted that the requirement for fingerprinting has been reinstated.

Telehealth . The Governor’s emergency order permits telehealth for health care service delivery. The requirement for an “in-person” examination for the purposes of certification and recertification for the therapeutic use of cannabis has been suspended. The required assessment may be conducted via telehealth.

TCP waives the DESIGNATED CAREGIVER application fee . The TCP is encouraging patients to designate a caregiver so that if patients become sick and cannot safely and responsibly access their ATC, they will have an alternative way of acquiring therapeutic cannabis, via their Designated Caregiver. To that end, the TCP is waiving the Designated Caregiver application fee, beginning immediately and through July 31, 2020.

If the TCP has already cashed an applicant’s check or money order, that applicant will not be issued a refund. All caregiver application fees that are received by the TCP beginning Thursday, March 19, will be returned to the sender. Note that the fee required by the Department of Safety for the criminal background check is not being waived at this time.

January 2020 Public Hearing — Qualifying Medical Conditions for the Therapeutic Use of Cannabis

The Therapeutic Cannabis Medical Oversight Board and the DHHS Therapeutic Cannabis Program will hold a public hearing to gather input from the public on a proposed addition to the list of qualifying medical conditions for the therapeutic use of cannabis.

Date: Wednesday, February 5
Time: 4:00 pm to 5:30 pm
Location: DHHS, 29 Hazen Drive, Room 312 [directions]
Written Comment Period Ends: Wednesday, February 12
Send written comments to: [email protected]
Contact: Michael Holt, (603) 271-9234, [email protected]

The following medical condition is under consideration as a qualifying medical condition for the therapeutic use of cannabis:

  • Autism Spectrum Disorder

Changes to the Therapeutic Cannabis Program Application Process
SB 88 made the following changes to the therapeutic cannabis law:

Medical Providers Can Certify Their Patients Sooner . Starting on November 18, 2019, a 3-month provider-patient relationship is no longer required. On that date, the NH Therapeutic Cannabis Program will begin accepting Written Certifications that have been signed by certifying medical providers who do not have a 3-month provider-patient relationship with their patients. The Written Certification for the Therapeutic Use of Cannabis has been updated to reflect this change.

No Photograph Needed . Starting on November 18, 2019, a photograph is not required to be submitted with an application to the Therapeutic Cannabis Program. Also, all Registry ID Cards printed on or after that date will not contain a photo of the patient or caregiver’s face. Patients and caregivers will still be required to show other photo identification at the Alternative Treatment Centers in order to purchase cannabis. The Patient Application and the Caregiver Application have been updated to reflect this change. Other changes have been made to these application forms as well.

Vaping-Related Lung Injuries
The New Hampshire Department of Health and Human Services, Division of Public Health Services (DPHS), is investigating vaping-related lung injuries as part of a multistate outbreak associated with use of e-cigarette, or vaping, products. Learn more in the DHHS fact sheet on Vaping-Related Lung Injuries .

Therapeutic Cannabis Program 2019 Data Report
The Department of Health and Human Services (DHHS) has released the Therapeutic Cannabis Program 2019 Data Report . The report provides information from the Therapeutic Cannabis Registry, the annual reports from the Alternative Treatment Centers, and the Qualifying Patient Satisfaction Survey. It provides details about qualifying patients and designated caregivers who were active in the program as of June 30, 2019.

DHHS provides this report annually to the New Hampshire Legislature’s Health and Human Services Oversight Committee, the New Hampshire Board of Medicine, and the New Hampshire Board of Nursing. The report provides important information on patterns of certification in several categories: qualifying patient and designated caregiver, location, age, medical condition, symptom or side effect, and medical provider. Data from the report can then be used for analysis and research to inform future policy, educational, and clinical decisions.

In addition, the 2019 report contains an addendum related to HB 335 from the 2019 legislative session regarding the expansion of therapeutic cannabis dispensary locations in the state.

As of October 1, 2019, the program is being used by 8,566 qualifying patients, 448 designated caregivers, and 1,101 certifying providers.

2016 Report
(Dec. 19, 2016)
2017 Report
(June 30, 2017)
2018 Report
(June 30, 2018)
2019 Report
(June 30, 2019)
Current
(Oct. 1, 2019)
Qualifying Patients 2,089 3,493 6,480 8,302 8,566
Designated Caregivers 129 258 428 480 488
Certifying Providers 560 703 935 1,084 1,101

The Therapeutic Cannabis Program Has Moved

New Location: Division of Public Health Services, 29 Hazen Drive, Concord, NH.

The Therapeutic Cannabis Program’s (TCP) office location has moved to 29 Hazen Drive, Concord, NH. Please use the new address when mailing application materials. If you are hand-delivering application materials, please bring them to the new office location.

Application materials will still be available and accepted at the Brown Building, at 129 Pleasant Street, Concord, and any mail addressed to 129 Pleasant Street will get to the TCP, but using this location and address may delay the processing of your application.

Over the next few months, all of the applications, forms, and information sheets will be updated with the new mailing address:

  • NH Department of Health & Human Services
    Therapeutic Cannabis Program
    29 Hazen Drive
    Concord, NH 03301

Adobe Acrobat Reader format. You can download a free reader from Adobe.

Medical marijuana card nh In response to the COVID-19 pandemic, the Therapeutic Cannabis Program (TCP) is making the following temporary changes to the program. September 4, 2020 Criminal

Medical marijuana card nh

New Patients: Please call our New Patient Referral team at 603.841.2307

Existing Patients: Please call our Clinical Coordinator, Pam at 603.692.3166 Ext. 139

Introduction to the Therapeutic Cannabis Program

This page provides information about qualifying criteria for Medical Marijuana / Therapeutic Cannabis and the certification process.

Who is a Certifying Provider?

Some Granite State Pain Associates providers participate in the certification process with the State of New Hampshire while others do not. Please be advised that you may need to see a different provider than the person you normally see if that provider lacks the proper qualifications or has chosen not to participate in the program.

The State of New Hampshire requires patients to have an established provider/patient relationship of at least three months with a certifying provider prior to initiation of the certification process.

Certification means that a provider verifies for the state that a patient has a qualifying medical condition.

What are the Qualifying Medical Conditions for treatment with Therapeutic Cannabis?

The State of New Hampshire Department of Health and Human Services has established a list of Qualifying Medical Conditions. Refer to RSA 126-X:1, IX(a).

“Qualifying medical condition*” means “the presence of:

  1. (A) Cancer, glaucoma, positive status for human immunodeficiency virus, acquired immune deficiency syndrome, hepatitis C, amyotrophic lateral sclerosis, muscular dystrophy, Crohn’s disease, multiple sclerosis, chronic pancreatitis, spinal cord injury or disease, traumatic brain injury, epilepsy, lupus, Parkinson’s disease, Alzheimer’s disease, ulcerative colitis, Ehlers-Danlos syndrome, or one or more injuries or conditions that has resulted in one or more qualifying symptoms under subparagraph (B); AND
    (B) A severely debilitating or terminal medical condition or its treatment that has produced at least one of the following: elevated intraocular pressure, cachexia, chemotherapy-induced anorexia, wasting syndrome, agitation of Alzheimer’s disease, severe pain that has not responded to previously prescribed medication or surgical measures or for which other treatment options produced serious side effects, constant or severe nausea, moderate to severe vomiting, seizures, or severe, persistent muscle spasms;OR
  2. “Qualifying medical condition” also means:
    (A) Moderate to severe chronic pain.
    (B) Severe pain that has not responded to previously prescribed medication or surgical measures or for which other treatment options produced serious side effects.
    (C) Moderate or severe post-traumatic stress disorder.
*as referenced on 09/13/2018

Will my insurance cover Medical Marijuana and the certification process?

Unfortunately, the answer at this time is no. Health insurance companies currently are not participating in the program.

What are the fees for the Certification Process?

The initial consult fee is $150.00. Follow-up visits are expected to occur at approximately 3-6 month intervals at provider discretion and the fee per visit is $75.00. Payment is due upon arrival, and Granite State Pain Associates will accept cash, credit or debit card payment only. Personal checks are not accepted.

There is a $50.00 application fee which is sent by the patient to the State of New Hampshire. This can be a personal check.

How does the certification process work?

The patient must have an established patient/provider relationship for medical care of at least three months. During this time, various therapies may be trialed and opiates reduced or eliminated when indicated.

After that time, if the patient has a “Qualifying Medical Condition”, the provider may complete the ‘Written Certification for the Therapeutic Use of Cannabis’. This certification form is then sent by the patient along with their application to the State of New Hampshire. The state will then review the application and certification and will notify the patient of approval or denial within 20 days of receiving the application. It may take longer to receive the Registry Identification Card, however.

How do I get a prescription for Medical Marijuana?

Medical Marijuana is only prescribed by providers at one of the state dispensaries. (It is important to understand that our providers cannot ‘prescribe’ medical marijuana; they can only ‘certify your condition’.)

After certification and approval, patients will choose one of the four dispensaries in the state, with locations in Dover, Merrimack, Plymouth and Lebanon. The dispensaries are staffed by medical professionals who will consult with patients and prescribe the medications based on medical condition.

The medications come in several formulations including: Capsules, tinctures, topical lotions and balms, lozenges, chewable, sub-lingual tablets, trans-dermal patches, edible baked goods and infused beverages as well as vapor pens. Smoking the medication is never advised.

What are cannabinoids, and what can they do for me?

Cannabinoids are chemical compounds that provide the therapeutic benefits of the cannabis plant. Each compound is associated with a different property that can be utilized for a different therapeutic benefit. Research has identified approximately 85 different cannabinoids in the cannabis plant itself. As research progresses, we learn more about the potential beneficial properties associated with each of these chemicals.

When cannabis is consumed, these chemicals bind to receptors in the brain producing different effects.

Below are just some of the cannabinoids that have been identified and the potential benefits that have been associated with them:

  • CBD, CBG, CBC, CBGA, CBCA, TCHA – Anti-Inflammatory (reduces inflammation)
  • THC, CBD, CBN, CBC, CBGA – Analgesic (relieves pain)
  • CBD, CBG, CBC, THCA, CBDA – Anti-Proliferative (inhibits tumor cell growth)
  • THC, CBD, CBN, THCA – Anti-Spasmodic (relieves muscle spasms )
  • CBD,CBG,CBC,THCV – Bone Stimulant (promotes bone growth)
  • CBD, CBG, CBGA – Antibacterial (kills or slows bacterial growth )
  • THC, CBD – Anti-Enemic (reduces nausea and vomiting)
  • CBD, THCV – Anti-Epileptic (reduces seizures)
  • THC – Appetite Stimulant
  • CBD – Neuroprotective (protects the nervous system)

As research progresses, and therapeutic use of cannabis promotes more opportunity for study, we will continue to learn more and more about this fascinating plant.

How will the medication affect me?

Many patients ask, “Will this make me feel high or not in control?” Providers at the dispensaries will help you to find a good comfort level. Marijuana available for medical use also is available in a wide variety of strains, some of which are “bred” to have lower concentrations of THC (the chemical that causes the psychoactive affect) and higher concentrations of other chemicals which are reported to help in certain conditions, such as: CBD which helps with muscle spasms and Alzheimer’s disease, CBC which helps relieve pain, and reduce inflammation, THCV which helps with seizures.

Does cannabis help with pain? Studies have shown that patients using medical cannabis have reported pain relief. However, as with all emerging treatments, there is some controversy surrounding these claims. There is currently more research being conducted.

Is it safe to drive while under the influence of Cannabis?

Under RSA 126-X:3, NO person shall be exempt from arrest or prosecution for being under the influence of medical cannabis while operating a motor vehicle, commercial vehicle, boat, vessel, or any other vehicle propelled or drawn by power other than muscular power.

Will I become dependent on Medical Cannabis?

As with all controlled substances, dependence is possible. It is important to take the medication only as prescribed and consult with your provider if you have any questions or concerns arise. Our providers will be seeing you regularly to monitor your response to therapy and to monitor you for any unwanted side effects.

I think I’m ready, what do I do now?

If you are already a patient with Granite State Pain Associates and wish to schedule a consultation to determine your eligibility for this therapy, please contact our Clinical Coordinator, Pam at 603-692-3166, extension 139.

If you are a new patient, please call our New Patient Team at 603-841-2307.

If you qualify, please bring these forms with you to your Therapeutic Cannabis Consultation Appointment:

*Review in detail the “New Hampshire Application for the Therapeutic Use of Cannabis” and the instructions provided therein by the State of New Hampshire.

*Complete the following forms and bring to your appointment the following forms:

Granite State Pain Associates Forms:

State of New Hampshire Forms:

Want to learn more? Check out these additional informational links below.

This page provides information about qualifying criteria for Medical Marijuana / Therapeutic Cannabis and the certification process.