Medical Cannabis Program Forms & Information

Medical Cannabis Program

Attention Medical Providers:

If your patient is applying to the program, fill out the “Medical Provider Certification for Patient Eligibility” form and attest that the patient has a debility resulting from the medical condition where the patient is likely to benefit from the use of medical cannabis.

Under current state law, the only qualifying conditions for the medical cannabis program are:

Cancer
Glaucoma
Multiple Sclerosis
Epilepsy
Spinal Cord Damage with Intractable Spasticity
HIV/AIDS

Also, any patient in hospice care could qualify.

If your patient does not have a qualifying condition and you feel they would benefit from the medical use of cannabis, your patient can petition the Medical Advisory Board to add their condition to the current list. Please contact the Medical Cannabis Program Coordinator at (505) 827-2321 or melissa.milam@state.nm.us for more information.

Attention Patients:

Below are links to application forms for the program. The following forms are required, along with a copy of your NM driver license or state ID card.

Participant Application
Medical Provider Certification
Release of Information

Send the forms to:
Department of Health
1190 St. Francis Drive
Suite S1203
Santa Fe, NM 87502
If you have questions, please contact the Medical Cannabis Program Coordinator at (505) 827-2321 or melissa.milam@state.nm.us.

Frequently Asked Questions for the Medical Cannabis Program
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