Record Review
Dr. Ewals reviews the records you send ahead, so your visit focuses on you, not paperwork.
Records by email or faxMen's health
Testosterone OptimizationLab-guided TRT, follow-ups included Peptide TherapyEvidence, regulation and safety first Men's health overviewHow a lab-based consultation worksTelehealth Throughout North Dakota & Minnesota or In-Office in Grand Forks
Find out whether you qualify for a medical cannabis card in North Dakota or Minnesota. Meet with Dr. Charlotte Ewals, DNP, FNP-BC, for a personalized evaluation, transparent pricing, and guidance through your state's application.
Prequalify for free
Answer three questions to see which visit to book and what to prepare. Nothing is saved.
See the right visit, its fee and anything to prepare first. No medical details needed.
Send your medical records before your visit and bring a photo ID. Dr. Ewals decides on certification at your appointment.
Ask the clinic that treats your condition for recent notes, test results or specialist letters. Our free letter tool writes the request for you.
Request a visit about three to four weeks before your card expires so the state has time to process it.
State programs certify their own residents, so we can't evaluate you for another state's card. If you're moving here, call Will and he'll explain what applies.
Please tell us before your visit if you are pregnant or breastfeeding, or have a history of psychosis. Dr. Ewals will review it with you.
ND vs MN
Dr. Ewals certifies patients in both states. Here is how the two programs differ.
| Topic | North Dakota | Minnesota |
|---|---|---|
| Runs the program | ND Health & Human Services | Office of Cannabis Management |
| Who starts it | Patient application, then practitioner certification | Practitioner certification, then patient enrollment |
| State fee | $40 | None |
| Valid for | 2 years | 3 years |
| Residency | ND residents; 60-day visitor card for other states' cardholders | MN residents; visitors can buy but not enroll |
The visit
A private, one-on-one visit with Dr. Ewals, in person or by telehealth.
Dr. Ewals reviews the records you send ahead, so your visit focuses on you, not paperwork.
Records by email or faxYour condition, symptoms, current medications and the treatments you've already tried.
One provider, every visitSide effects, driving, work, medication interactions, and how to start low and go slow if you're certified.
Practical, easy-to-follow adviceIf certification is appropriate, Dr. Ewals completes her part of your state's process and explains your next steps. If not, she explains why.
The state makes the final decision on your cardWhat to bring
Check them off as you go. Saved on this device only.
Please don't upload records here. Email them to info@alternativehealthgf.com (a MyChart download is perfect) or fax them to (701) 757-0974.
Cost
A $50 deposit books your visit; the rest of our fee is due before your appointment. State fees are separate.
Record review, your visit with Dr. Ewals and, if appropriate, her certification.
$50 deposit to book, balance before your visitFor patients Dr. Ewals certified before. How renewal works
$50 deposit to book, balance before your visitNorth Dakota charges a $40 application fee; Minnesota charges patients nothing. Details: ND portal, MN program.
Paid to the state when you applyAfter your visit
If you're certified, your state reviews your application and sets the processing time.
Traveling? Cannabis laws differ between states, and federal law differs from state law. Check before you cross a border, including the river into Minnesota.
Book online
New or returning? Choose below and book a time straight into Dr. Ewals' calendar.
Medical cannabis evaluation questions, answered. Still unsure? Call Will at (218) 274-4500.
See every questionA government-issued photo ID that shows your North Dakota or Minnesota address, and medical records that document your qualifying condition. Please get your records to us before the visit so Dr. Ewals has time to review them. Not sure how to request records? Call and Will can walk you through it.
Alternative Health may offer same-day medical evaluations, in Grand Forks or by telehealth, when appointments are available. A same-day visit doesn't mean same-day state approval: North Dakota usually takes 2 to 4 weeks, and Minnesota usually takes 2 to 4 weeks. Call Will at (218) 274-4500 to check today's openings.
A North Dakota card lasts 2 years. A Minnesota registration lasts 3 years (checked October 2026). Each time it runs out, you need a new certification from Dr. Ewals and a renewal with the state. The official North Dakota and Minnesota program pages have the latest rules.
Each state has its own list. North Dakota names about two dozen conditions, such as cancer, PTSD, epilepsy, migraine and fibromyalgia, plus long-term conditions that cause severe pain, nausea, seizures or muscle spasms. Minnesota lists 19 conditions and lets the certifying provider approve others when cannabis would help (checked October 2026). Send records that show your diagnosis and we'll tell you where you stand.
Yes. The state needs a clinician's written confirmation of a qualifying condition, and Dr. Ewals needs something on paper to base it on: a visit note, a specialist letter or a printout from your patient portal all work. If you have the condition but nothing written down, call us and we'll help you figure out where to get it.
If Dr. Ewals finds you qualify, you finish an online application and the state decides. In North Dakota, you apply on the state's registration site, name Dr. Ewals as your provider and pay a $40 state fee; she then completes your certification online. In Minnesota, she enters your certification first and the state emails you a link to enroll, with no state fee. Once approved, you buy from a licensed dispensary in your state.
Eligibility is set by state law and by clinical judgment. Please tell us ahead of time if you are pregnant or breastfeeding, have a history of psychosis, or don't live in North Dakota or Minnesota. These can affect whether certification is right for you.
Only where that state allows it, so check before you go. North Dakota doesn't accept other states' cards, but visitors who have one can buy a 60-day North Dakota card online for $40. Minnesota lets visiting patients with another state's card buy at its medical dispensaries (checked October 2026). Federal law still doesn't allow carrying cannabis across state lines.
Not while impaired. Driving under the influence is illegal in both states, and being a registered patient is not a defense. Dr. Ewals will talk with you about timing, dosing and forms that make impairment less likely.
Yes, it can. Cannabis use disorder is possible, and the risk is higher with frequent use and high-THC products. Dr. Ewals will talk through risks, side effects, driving and medication interactions with you.
No. We're an independent clinic. We don't sell cannabis, and we don't receive payments from dispensaries or pharmacies.
No match on this page. Try all FAQs or call us.
Guides
Patient guides with sources you can check. All guides

What to gather before your North Dakota medical cannabis evaluation, what the clinician will ask, and what the state handles after your visit.
How a North Dakota medical cannabis renewal visit differs from a first evaluation, what stays the same, and how to plan your timing.
A plain overview of how Minnesota medical cannabis registration works, from certification to state approval, and where to confirm current rules.
Compassionate medical cannabis evaluations, in person or by telehealth, with clear answers and transparent pricing from Dr. Charlotte Ewals.