Qualify + Register

HOW TO QUALIFY

“Qualifying medical condition” means “the presence of:

(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

“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.

HOW TO REGISTER

STEP 1: If you believe you may be a good candidate for the program, download the Provider Form (here) to bring to your physician.

STEP 2: Download and complete the Patient Application (here).

STEP 3: Submit both forms, proof of NH residency, a digital photograph of your face (for use in registry card), and mail $50 application fee payable by check to “Treasurer, State of New Hampshire”, and mail to:

NH Department of Health & Human Services
Therapeutic Cannabis Program – Brown Building
129 Pleasant Street
Concord, NH 03301

For technical assistance, please refer to the Qualifying Patients Instructions on the DHHS website (here), for further guidance.

HAVE QUESTIONS?

GET IN TOUCH

(603) 262-5035

info@primeatc.com

www.primeatc.com

380 Daniel Webster Highway, Merrimack, NH 03054