Conditions · New Hampshire

Does multiple sclerosis qualify in New Hampshire?

Yes. The Therapeutic Cannabis Program (TCP) lists Multiple sclerosis as a qualifying condition. A New Hampshire-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About multiple sclerosis

Multiple sclerosis is an autoimmune disease that damages the protective coating of nerves, causing spasticity, pain, fatigue and bladder problems.

Stronger evidence. The National Academies found substantial evidence that oral cannabinoids improve MS spasticity symptoms as reported by patients.

Symptoms New Hampshire patients most often hope to ease:

  • Muscle stiffness and spasticity
  • Painful muscle spasms, especially at night
  • Burning or tingling nerve pain
  • Sleep disrupted by spasms or pain
  • Overactive bladder
Before you start. Cannabis does not slow MS, so keep taking your disease-modifying therapy as prescribed. Studies have linked regular cannabis use in MS with worse memory and thinking, which matters because MS can already affect cognition.

Read more: medical marijuana for multiple sclerosis.

How to get certified in New Hampshire

  1. Ask a provider you have an established relationship with to certify you, after an in-person exam; any New Hampshire provider with prescribing authority can do it.
  2. Have the provider complete the Written Certification form; signatures are valid for 6 months.
  3. Fill out the Patient Application (or the Minor Patient Application for anyone under 18).
  4. Add proof of New Hampshire residency and a $50 check or money order payable to Treasurer - State of NH.
  5. Mail the packet to DHHS - TCP, 29 Hazen Drive, Concord, NH 03301, or use the drop box at that address.
  6. Your card arrives by mail within about 3 weeks; show it with photo ID at any Alternative Treatment Center.

New Hampshire requires your first certification visit in person. Renewals can usually be done online.

Costs and timeline

  • State fee: $50
  • Card lasts: 1 year standard; the provider may set up to 3 years
  • Processing: Card mailed within 3 weeks of a complete application; an incomplete-application notice is sent within 10 days
  • Patient limit: 2 ounces at any one time (patient and caregiver combined)
  • Home grow: Not allowed
  • Recreational sales: Not legal
  • First visit online: No — in person first

See the full New Hampshire cost breakdown and New Hampshire program overview.

Other qualifying conditions in New Hampshire

See every qualifying condition in New Hampshire

Multiple sclerosis in nearby states

Frequently asked questions

Do I need medical records for multiple sclerosis?

Helpful records include: an MS diagnosis from a neurologist, ideally with MRI reports; a list of your disease-modifying therapy and symptom medicines; notes on spasticity, pain or sleep problems and how they affect daily life. Many patients are still evaluated on their history alone, and your New Hampshire provider will tell you if more is needed.

How long does certification take in New Hampshire?

The provider visit takes about 15 minutes. Card mailed within 3 weeks of a complete application; an incomplete-application notice is sent within 10 days.

Can I renew online in New Hampshire?

In most cases, yes. Renewal uses the same forms and $50 fee as a new application, and proof of residency is not needed if your address has not changed. A certification issued for less than 3 years may instead be extended by the same provider, up to 3 years in total.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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