New Hampshire Application for the Therapeutic Use of Cannabis Qualifying Patient

Form Template

Medical marijuana is effective for maintaining chronic pain, mitigating stress disorders, and providing relief to patients with many other debilitating medical conditions.

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A physician may prescribe medical marijuana as a treatment for muscle spasms caused by multiple sclerosis, chronic pancreatitis, seizures, or symptoms of Crohn's disease. The New Hampshire Application for the Therapeutic Use of Cannabis Qualifying Patient app provides a medicinal marijuana patient with the necessary instructions and form to apply for a medical marijuana program. The app details important information about the state's medical marijuana program, the application process, applicable laws, and lists all required forms. In addition, the app provides instructions in the case of a lost or outdated medical marijuana card. The applicant and medical provider must each complete a section of the form, and the applicant seeking medical treatment must initial to reflect their understanding of all facets of the medical marijuana program described.

Features
  • Signature Capture
  • GPS
  • Image Capture
  • Conditional Fields
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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