How-To Guide

Do I Qualify
​As A Patient?

  • Hepatitis C currently receiving antiviral treatment
  • Lupus
  • Multiple sclerosis
  • Muscular dystrophy
  • Parkinson’s disease
  • Positive status for HIV
  • Spinal cord injury/disease
  • Traumatic brain injury
  • Ulcerative Colitis

 

  • One or more injuries that significantly interferes with daily activities
  • Acquired immune deficiency syndrome
  • ALS
  • Alzheimer's disease
  • Cancer
  • Chronic pancreatitis
  • Crohn's disease​
  • Epilepsy
  • Glaucoma

You may qualify if you have one (or more) of these conditions and symptoms (next slide).

1

Qualifying conditions are listed under RSA 126-X:1 IX 1 He-C 401 via DHHS

  • Chemotherapy-induced anorexia

  • Wasting syndrome
  • Constant or severe nausea
  • Moderate to severe vomiting
  • Seizures
  • Severe, persistent muscle spasms
  • Agitation of Alzheimer's

  • Severe pain for which other treatment options produced serious side effects

  • Severe pain not responding to previously prescribed medications or surgical procedures

  • Elevated intraocular pressure

  • Cachexia

You may qualify if you have one (or more) of these symptoms and conditions (previous slide).

2

Qualifying symptoms are listed under RSA 126-X:1 IX 2 He-C 402 via DHHS

How-To Guide

How Do I Register?

STEP
1

If your physician agrees, have them fill out the physician form*

Speak with your physician or Advanced Practice Registered Nurse about therapeutic cannabis*

*Must have a three-month pre-existing patient-provider relationship.​

*Effective June 10, 2016, physicians and advanced practice registered nurses licensed in the states of ME, MA, and VT are permitted under NH state law [RSA 126-X:I, VII(a)(3)] to issue a "Written Certification for the Therapeutic Use of Cannabis" to their patients who are residents of New Hampshire.

STEP
2

View the full patient application instructions

Access the government-issued application forms at the DHHS website.

Complete application and submit the following:

  • Written certification completed by provider
  • Digital photograph (Instructions)
  • Upload proof of NH residency
  • Enclose $50 check to Treasurer, State of New Hampshire
  • Mail or hand-deliver application to:
    New Hampshire Department of Health and Human Services
    Therapeutic Cannabis Program
    Brown Building
    129 Pleasant Street | Concord, NH, 03301

Temescal Wellness is located in the following locations:


Dover, NH: 26 Crosby Road, Units 11-12

Lebanon, NH: 367 Route 120, Unit E-2

 

Download the How-To Guide (PDF)