Medical Marijuana Card Renewalin North Dakota & Minnesota Renew Your Medical Cannabis Certification — In-Person or by Telehealth

In North Dakota, about 7 weeks before your card expires: state law asks for renewals at least 45 days before the card expires, and renewing early no longer shortens your new card. In Minnesota, about 90 days before your registration expires, so the state can approve it in time. Our renewal countdown works out the dates from your expiry.

$230 if Dr. Ewals certified you before, or $250 if you were certified somewhere else. A $50 deposit holds your appointment, and the rest is due before your visit. The state fee is separate: $40 in North Dakota and nothing in Minnesota (checked October 2026).

You can't buy from a dispensary until the state approves you again. A lapsed card or registration needs a new certification from your provider and a new state application: $40 in North Dakota, no state fee in Minnesota. Book a visit with Dr. Ewals as soon as you notice.

Usually not. We keep your file from your last visit. If your condition, treatment or medicines have changed, send updated records ahead of the visit.

Usually. It focuses on how things have gone since your last certification, what's working and anything that's changed, then Dr. Ewals submits your new certification.

File a renewal on the state's registration site at least 45 days before your card expires and pay the $40 state fee. Dr. Ewals sees you and completes a new certification online. Your new card is good for another 2 years (checked October 2026).

Every 3 years, Dr. Ewals reassesses you and enters a new certification, then you re-enroll through your online registry account. There's no state fee (checked October 2026).

Apply in the state you live in now; a card from your old state doesn't carry over. Dr. Ewals is licensed in both states, so she can certify you for either program. Bring an ID or other proof of your new address.

Yes, for patients in North Dakota and Minnesota. Tell Will you'd like a video visit when you book.

A 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.