- Medical evaluation: $250
- North Dakota state application fee: $40 (paid to North Dakota Department of Health and Human Services (ND HHS))
- Total: $290
Telehealth Throughout North Dakota or In-Office in Grand Forks
North Dakota Medical Marijuana Card Evaluations – Online or In Person
Find out whether you qualify for a North Dakota medical marijuana card. Meet with Dr. Charlotte Ewals, DNP, FNP-BC, for a personalized medical cannabis evaluation, transparent pricing, and guidance through the entire state application process.
Do You Qualify for a North Dakota Medical Marijuana Card?
North Dakota residents age 19 or older with a state-recognized medical condition and written certification from a licensed healthcare provider.
North Dakota Medical Marijuana Qualifying Conditions
What conditions qualify for a medical marijuana card in North Dakota?
Mental Health & Neurological Conditions
- Anxiety disorder
- Post-traumatic stress disorder (PTSD)
- Migraine
- Neuropathy (nerve damage)
- Epilepsy
- Autism spectrum disorder
- Tourette syndrome
- Brain injury
- Agitation associated with Alzheimer's disease or related dementia
- Amyotrophic lateral sclerosis (ALS / Lou Gehrig's disease)
Chronic Pain & Other Medical Conditions
- Fibromyalgia
- Rheumatoid arthritis
- Ehlers-Danlos syndrome
- Spinal stenosis or chronic back pain, including neuropathy or spinal cord nerve damage with objective neurological indications of intractable spasticity
- Cancer
- Crohn's disease
- Glaucoma
- Endometriosis
- Interstitial cystitis (bladder pain syndrome)
- Anorexia nervosa
- Bulimia nervosa
- HIV-positive status
- Acquired immune deficiency syndrome (AIDS)
- Decompensated cirrhosis caused by hepatitis C
- Terminal illness
Severe Qualifying Symptoms
A chronic or debilitating disease, medical condition, or its treatment may also qualify when it causes:
- Severe debilitating pain: Pain unresponsive to previously prescribed medication or surgical measures for more than three months, or where other treatment options caused serious side effects
- Cachexia or wasting syndrome
- Intractable nausea
- Seizures
- Severe, persistent muscle spasms, including those associated with multiple sclerosis (MS)
Fastest Way to Get ND Medical Marijuana Card
Schedule Your Medical Evaluation
Choose an in-person appointment in Grand Forks or a telehealth visit from anywhere in North Dakota.
Have your medical records, current medication information, and North Dakota ID ready.
Meet With Dr. Charlotte Ewals
Dr. Ewals reviews your qualifying condition, medical history, prior treatments, and safety considerations.
If certification is appropriate, she can complete the required written certification after receiving your application through the state's portal.
Submit Your Online State Application
- Create an account through the North Dakota Medical Marijuana Registration Portal.
- Upload your valid North Dakota driver's license or non-driver photo ID.
- Upload a recent color photograph with a plain background.
- Enter your certifying healthcare provider's information.
- Submit your online application.
- Pay the $40 state application fee.
Get Approved
Once your provider certification, application, and payment are received:
- Allow 2–4 weeks for the North Dakota Department of Health and Human Services' Medical Marijuana Program to review your application and determine approval.
- Log into the state registration portal to track your application status.
Important: Check your email regularly. The state may request additional information before approving your application.
North Dakota Medical Marijuana Card Cost
- Medical recertification evaluation: $230
- State renewal fee: $40 (paid separately to ND HHS)
- Total: $270
What Is Included in Your Medical Card Evaluation?
- Review of your medical history
- Assessment of medical marijuana eligibility
- Discussion of potential risks and safety considerations
- Completion of your state provider certification, if medically appropriate

Meet Your Medical Cannabis Provider
Dr. Charlotte Ewals, DNP, FNP-BC
Dr. Ewals is a board-certified family nurse practitioner who provides comprehensive medical evaluations.
Patients are prequalified before their visit, so you know where you stand before you book.
One provider. Clear guidance. Care centered around your needs.
Alternative Health — Grand Forks, North Dakota
Renew Your North Dakota Medical Marijuana Card
- North Dakota medical marijuana registry cards are generally valid for two years.
- The state recommends completing your renewal approximately 45 days before expiration.
- Renewal requires an updated state application, applicable fee, and new healthcare provider certification.
Returning Patient Evaluation: $230
Schedule Your Medical Marijuana Card RenewalMedical Marijuana Applications for Caregivers, Minors & Visitors
Designated Caregivers
Patients may designate up to five eligible caregivers. Caregivers must meet state requirements, complete separate applications, and undergo applicable background checks.
North Dakota Caregiver RequirementsPatients Under 19
North Dakota has a separate medical marijuana application process for minors involving a parent or legal guardian and designated caregiver requirements.
Medical Marijuana Applications for MinorsOut-of-State Cardholders
Certain visitors age 19 or older with valid medical marijuana credentials from another state may qualify for North Dakota's separate temporary nonresident registration process.
North Dakota Nonresident InformationBook online
Pick a Time That Works
New or returning? Choose below and book a time straight into Dr. Ewals' calendar.
North Dakota Medical Marijuana Card FAQs
Still unsure? Call Will at (218) 274-4500.
See every questionCan I get a North Dakota medical marijuana card online?
Yes. Eligible residents can complete their medical evaluation by telehealth, submit their application online, and receive a state decision without a routine trip to the clinic. Additional examination or documentation may be required.
How much does a medical marijuana card cost in North Dakota?
A new-patient evaluation at Alternative Health costs $250. North Dakota charges a separate $40 application fee, for a typical combined initial cost of $290.
What conditions qualify for medical marijuana in North Dakota?
Qualifying conditions include anxiety disorders, PTSD, migraines, neuropathy, fibromyalgia, certain chronic pain conditions, and other state-recognized diagnoses. Certification requires an individualized medical evaluation.
Do I need medical records to qualify?
Medical documentation helps verify your condition and clinical history. If you don't have records readily available, contact our team before booking to discuss what information is needed.
Can I get certified the same day?
Your provider may be able to complete the clinical evaluation during your appointment, but certification depends on your medical circumstances and the required state application steps. A same-day visit does not mean same-day state approval.
How long does North Dakota take to approve a medical marijuana card?
North Dakota advises allowing two to four weeks after receiving a complete application, payment, and provider certification. Processing may take longer if information is missing.
How long is a North Dakota medical marijuana card valid?
Generally two years. The state recommends renewing approximately 45 days before your current card expires.
Where can I buy medical marijuana in North Dakota?
Approved patients may purchase authorized products from North Dakota's registered medical marijuana dispensaries. The state does not extend the same protections to products purchased outside its authorized dispensary system.
No match on this page. Try all FAQs or call us.
Guides
Read Before You Visit
Patient guides with sources you can check. All guides

North Dakota Medical Cannabis Evaluation: What to Bring and What Happens
What to gather before your North Dakota medical cannabis evaluation, what the clinician will ask, and what the state handles after your visit.
ND Renewal Versus a First-Time Evaluation: What Changes
How a North Dakota medical cannabis renewal visit differs from a first evaluation, what stays the same, and how to plan your timing.
What Does a Medical Cannabis Evaluation Cost at Our Clinic?
Our clinic fee for a medical cannabis evaluation, how it differs from the state's fee, and what the fee does and does not cover.
Ready to Find Out If You Qualify?
Compassionate Medical Cannabis Evaluations — In-Person or Telehealth
Get clear answers, transparent pricing, and personalized guidance from Dr. Charlotte Ewals.
New Patients $250 | Returning Patients $230
Have questions before scheduling? Contact Will at Alternative Health. Our team will help you understand what to prepare and what to expect.
Alternative Health | Grand Forks, North Dakota
State approval, applicable fees, and program requirements are determined by North Dakota Health & Human Services.
Official North Dakota Medical Marijuana Resources
Medical and regulatory content reviewed: October 22, 2026.