North Dakota Medical Marijuana Card Evaluations – Online or In Person

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.

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.

Qualifying conditions include anxiety disorders, PTSD, migraines, neuropathy, fibromyalgia, certain chronic pain conditions, and other state-recognized diagnoses. Certification requires an individualized medical evaluation.

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.

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.

North Dakota advises allowing 2 to 4 weeks after receiving a complete application, payment, and provider certification. However, it has been our experience that this typically takes less than a week. Processing may take longer if information is incorrect on your state application. Please let Will know as soon as you complete your state application so Dr. Ewals can verify that we have it, to avoid delays on your card certification.

Generally two years. The state recommends renewing approximately 45 days before your current card expires.

North Dakota also allows the state to independently verify the patient's application, even after a doctor has approved the patient.

According to North Dakota Century Code § 19-24.1-05, the state may verify the information submitted, contact the healthcare provider, and request additional documentation to confirm the patient's medical condition and eligibility.

A patient could be denied if:

• The patient does not meet the state's eligibility requirements.
• Required information or documentation is missing.
• The patient provides false or falsified information or makes a material misstatement.
• The patient's medical condition does not qualify under the program's requirements.
• The patient's healthcare provider does not meet the applicable requirements, or the required bona fide provider-patient relationship does not exist.
• The patient has a previous card revocation that triggers a statutory ground for denial.

North Dakota Health and Human Services specifically identifies false application information, an unqualified medical condition, and the absence of a bona fide provider-patient relationship as potential reasons for recommending denial.

What this means: Even if the application appears complete, North Dakota can deny it if its verification process establishes that the patient does not meet the program's legal requirements.

Official source: North Dakota Century Code chapter 19-24.1

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.