+ Medical Marijuana CardRHODE ISLAND STEPS,
CARD TERM AND LIMITS
+ Medical Marijuana CardRHODE ISLAND STEPS,
CARD TERM AND LIMITS
HOW TO GET
A Rhode Island Medical
Marijuana Card
Facts on this page were checked by the Dr. Green Relief editorial team against official sources. Last reviewed November 5, 2026.
To get a Rhode Island medical marijuana card, you need a practitioner’s written certification after a full assessment (§ 21-28.6-3). A Rhode Island-licensed physician meets both the law and the Health Department rule. You then apply to the Rhode Island Department of Health (RIDOH), which charges no fee, must decide within 35 days and issues a card that lasts one year.

Rhode Island’s Registry Card Comes From the Department of Health
Rhode Island’s program rests on the Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act, chapter 21-28.6 of the General Laws. The Department of Health issues and renews patient registry identification cards, a job it kept when the Cannabis Control Commission’s rules took effect on May 1, 2025 (§ 21-28.11-10.1). The Commission now issues caregiver cards and home-grow certificates and regulates compassion centers (560-RICR-10-15-1).

What to Expect From a Rhode Island Evaluation With Dr. Green Relief
Book a Rhode Island video evaluation with Dr. Green Relief for $179. The $179 evaluation fee is Dr. Green Relief’s; Rhode Island charges no fee for a patient registry card.
Rhode Island law calls for a “full assessment” of your medical history, made in “a bona fide, practitioner-patient relationship,” before any written certification (§ 21-28.6-3(30)). The Health Department rule says that assessment documents your present illness, your medical, social and substance use history, a physical exam, and therapies that have not worked well enough (216-RICR-20-10-3 § 3.3(A)(13)). If a practitioner certifies you, they complete the Health Department’s form with your relevant records, and you then apply to RIDOH.
Rhode Island requires a written certification after a full assessment that the Department of Health rule says includes a physical exam, and the law sets who may certify, so before you book, confirm with the practitioner you will see, or with the Rhode Island Department of Health, that your visit can lead to a Rhode Island certification.
| Fee | Amount | Term | Waiver or reduction | Who pays | Source |
|---|---|---|---|---|---|
| Dr. Green Relief video evaluation | $179 | Per evaluation | None stated | You, to Dr. Green Relief | Set by Dr. Green Relief; not a state charge |
| Patient registry card, new or renewal | $0 | Card expires one year after issue (§ 21-28.6-6(h)(2)) | Not needed: no charge since December 1, 2022 | No one | § 21-28.6-5(d); 216-RICR-10-05-2 |
| Primary caregiver and authorized purchaser cards | $0 | Caregiver card expires one year after issue (560-RICR-10-15-1 § 1.3.2) | Not needed | No one | § 21-28.6-5(d); 560-RICR-10-15-1 |
| Hospice expedited first application | $0 | Once | Not needed | No one | 216-RICR-10-05-2 |
| Replacing a lost registry card | $10 | Each time | None stated | Cardholder | § 21-28.6-6(i)(6); 216-RICR-10-05-2 |
| Reissuing a card after a change of required information | $10 | Each time | None stated | Cardholder | § 21-28.6-6(i)(4); 216-RICR-10-05-2 |
| Medical home-grow certificate | $0 | Per certificate | Not needed | No one | 560-RICR-10-15-1 § 1.4 |


GET A WRITTEN CERTIFICATION FIRST
A practitioner signs a statement that, in their professional opinion, the potential benefits of medical use would likely outweigh the health risks for you (§ 21-28.6-3(30)). It names your debilitating condition and goes on the Health Department’s form with your relevant medical records. Before signing, the practitioner must review Rhode Island’s prescription drug monitoring program (216-RICR-20-10-3 § 3.4.3).

APPLY TO THE DEPARTMENT OF HEALTH
Your application to RIDOH includes the certification, your name, address and date of birth, your practitioner’s contact details, whether you plan to grow, and any caregiver or authorized purchaser you name (§ 21-28.6-6(a)). There is no application fee. If RIDOH has not acted 35 days after a valid application, the law treats the card as granted (§ 21-28.6-9(b)).

RECEIVE YOUR REGISTRY ID CARD
After approval, RIDOH issues your card within five business days; it shows your photo, a random registry number and an expiry date one year out (§ 21-28.6-6(h)). With it, you may buy up to 2.5 ounces every 15 days from a compassion center (§ 21-28.6-12(g)). Patients in hospice or receiving chemotherapy are handled first and get a card within 72 hours.

Qualifying Medical Conditions
Cancer
Epilepsy
Glaucoma
Multiple Sclerosis
Parkinson’s Disease
PTSD
AIDS / HIV
Crohn’s Disease
Severe Chronic Or Intractable Pain
Alzheimer’s Disease
Rhode Island uses a list written into the law, and the Department of Health may approve more conditions through a public petition process. Your practitioner must certify that you have one of the following, in the words of § 21-28.6-3(7):
- “Cancer, glaucoma, positive status for human immunodeficiency virus, acquired immune deficiency syndrome, Hepatitis C, post-traumatic stress disorder, or the treatment of these conditions;”
- “A chronic or debilitating disease or medical condition, or its treatment, that produces one or more of the following: cachexia or wasting syndrome; severe, debilitating, chronic pain; severe nausea; seizures, including but not limited to, those characteristic of epilepsy; or severe and persistent muscle spasms, including but not limited to, those characteristic of multiple sclerosis or Crohn’s disease; or agitation of Alzheimer’s Disease; or”
- “Any other medical condition or its treatment approved by the department of health, as provided for in § 21-28.6-5.”
The Department of Health’s program page also lists Autism Spectrum Disorder as an approved qualifying condition, and its patients and caregivers page says a certification for autism uses its own form.
Who May Sign a Rhode Island Written Certification
Both the statute and the Health Department rule accept a Rhode Island-licensed physician (§ 21-28.6-3(23); 216-RICR-20-10-3 § 3.3(A)(21)). The statute’s own definition reads, “a person who is licensed with authority to prescribe drugs pursuant to chapters 34, 37, and 54 of title 5.” The certifying practitioner must complete three hours of Category 1 continuing medical education on medical marijuana every two years. They must also see you for follow-up at least twice a year before your card is renewed (§ 3.4.3).
Rhode Island’s Medical Marijuana Program Requirements
Who qualifies for a Rhode Island medical marijuana card?
A Rhode Island resident who has been certified by a practitioner as having a debilitating medical condition qualifies (§ 21-28.6-3(25)). The statute sets no minimum age, but a patient under 18 needs a parent or guardian involved. You become a registered patient only once RIDOH approves your application and issues your card (§ 21-28.6-6).
Can a minor get a Rhode Island card?
Yes, with a parent, guardian or legal custodian. The practitioner must explain the potential risks and benefits to both the child and the parent (§ 21-28.6-6(b), (d)). The parent must consent in writing, serve as the primary caregiver or authorized purchaser, and control how the child gets and uses it. RIDOH may not issue a card to a patient under 18 for post-traumatic stress disorder.
What should I bring to my appointment and my state application?
- Medical records about your debilitating condition: the written certification goes to the Health Department with your relevant records (216-RICR-20-10-3 § 3.4.2).
- A list of the medicines you take now and the treatments you have already tried.
- The name, address and date of birth of any primary caregiver or authorized purchaser you plan to name on your application (§ 21-28.6-6(a)).
- Proof of Rhode Island residency, a government-issued ID (a Rhode Island driver’s license or Rhode Island State ID) and a photograph: the Department of Health’s patients and caregivers page says every new application must include all three.
Bring what supports your diagnosis, since the certification goes to RIDOH with your relevant records.
How long does RIDOH take to decide?
RIDOH must approve or deny a new application or a renewal within 35 days of receiving it (§ 21-28.6-6(e)). If it has not issued a card within 35 days of a valid application, a copy of your application counts as a valid registry card (§ 21-28.6-9(b)). A denial is a final agency action that you can take to Superior Court.
Does insurance cover medical marijuana in Rhode Island?
No. The law does not require a government medical assistance program, a private health insurer or workers’ compensation to pay for medical marijuana (§ 21-28.6-7(b)(1)). Plan to pay for the practitioner visit yourself; a Dr. Green Relief evaluation is $179. The registry card itself is free (§ 21-28.6-5(d)).
How long does a Rhode Island card last, and how is it renewed?
One year. The statute says a registry identification card “shall expire one year after the date of issuance” (§ 21-28.6-6(h)(2)), and the Health Department rule says the same. Your practitioner must see you for follow-up at least twice a year before the card is renewed (216-RICR-20-10-3 § 3.4.3(E)). RIDOH must decide a renewal within 35 days, the same as a new application (§ 21-28.6-6(e)). Renewing costs nothing. The Department of Health says it emails renewal reminders 60 days before your card expires, and that applications and renewals are filed on the RI Cannabis Licensing Portal.
What if I lose my Rhode Island card?
Tell the Health Department and pay $10 within 10 days of the loss; RIDOH then issues a new card with a new registry number within five days (§ 21-28.6-6(i)(6)). The same $10 applies when RIDOH reissues a card after a change in your required information, under its fee schedule.
What changes do I have to report?
Report a change of name, address, caregiver or authorized purchaser, or that you no longer have your condition, within 10 days (§ 21-28.6-6(i)). Missing that deadline is a civil infraction with a fine of up to $150. RIDOH then sends a new card within 10 days for a $10 fee.
Does Rhode Island charge a fee for a medical marijuana card?
No. Since December 1, 2022, the law says “no fee shall be charged for application, registration or renewal of an identification card for a patient or primary caregiver” (§ 21-28.6-5(d)). Cards for patients, authorized purchasers and caregivers “shall be issued without charge.” The card costs that remain are $10 to replace or reissue a card (216-RICR-10-05-2).
Can hospice or chemotherapy patients get a card faster?
Yes. When the practitioner states that you are eligible for hospice care or chemotherapy, RIDOH gives your application priority and issues the card within 72 hours of a complete application, with no fee (§ 21-28.6-6(f)). A caregiver for a hospice or chemotherapy patient gets the same 72-hour handling from the Cannabis Control Commission (560-RICR-10-15-1 § 1.3.1).
Who took over from the former Office of Cannabis Regulation?
The Cannabis Control Commission did. Its rules became final and effective on May 1, 2025, and the medical program powers held by the Department of Business Regulation moved to it (230-RICR-80-05-1). The old DBR medical rule was repealed effective September 15, 2025. The Department of Health still administers patient registry cards (§ 21-28.11-10.1(g)(3)).
Rhode Island Department of Health Medical Marijuana Program: 401-222-3752, [email protected] (patients and caregivers page).
Can new conditions be added in Rhode Island?
Yes. Anyone may petition the Department of Health to add a condition or its treatment (§ 21-28.6-5(a)). RIDOH gives public notice, holds a hearing, and must approve or deny within 180 days of submission; the decision can be reviewed in Superior Court. The petition should include, as available, peer-reviewed research and letters of support from licensed health professionals (216-RICR-20-10-3 § 3.4.4).
Who can be a primary caregiver in Rhode Island?
A primary caregiver must be at least 21 and may help up to five patients; a patient may also serve as their own caregiver (§ 21-28.6-3(24)). The Cannabis Control Commission issues caregiver cards at no charge, decides within 35 days, and the card expires one year after issue (560-RICR-10-15-1). Applicants pay for a national fingerprint background check, needed at most once every two years (§ 21-28.6-6(g)).
What is an authorized purchaser?
An authorized purchaser is an adult, at least 21, registered with the Department of Health to help one patient buy from a compassion center (§ 21-28.6-3(1)). They may not use the patient’s marijuana. They may carry up to 2.5 ounces bought for that patient (§ 21-28.6-4(b)), and their card is free.
Can a caregiver be paid in Rhode Island?
Only for actual costs. The law says a primary caregiver “may not receive reimbursement or compensation for his or her time, knowledge, or expertise” (§ 21-28.6-4(i)). Each transfer is logged and initialed by the patient, and the caregiver keeps the logs for at least one year after the relationship ends (560-RICR-10-15-1 § 1.3.4).
How much can a Rhode Island patient possess?
A registered patient may have 2.5 ounces of dried medical marijuana or its equivalent, plus up to 12 mature and 12 immature plants under a home-grow certificate (§ 21-28.6-4(a)). The Health Department rule sets the wet marijuana limit at 12.5 ounces (§ 3.4.5). Plants must be kept indoors.
Can I grow medical marijuana at home in Rhode Island?
Yes, with a free medical home-grow certificate from the Cannabis Control Commission (560-RICR-10-15-1 § 1.4). A patient may hold up to 12 plant sets, each one mature and one immature plant, at one registered indoor location, and no dwelling may have more than 24 plant sets. Renters need the landlord’s written permission, and the certificate must be posted in every room with plants.
What protections do Rhode Island cardholders have?
A cardholder who stays within the limits is protected from arrest and penalty under state law (§ 21-28.6-4). Schools, landlords and employers may not refuse or penalize you solely for being a cardholder, with exceptions such as use or impairment at work. A landlord may still refuse a tenant who grows, smokes or vaporizes in the leased home.
Can I drive after using medical marijuana?
Not while under the influence. The law bars operating a motor vehicle, aircraft or motorboat under the influence (§ 21-28.6-7(a)(3)). It also says a registered patient is not considered under the influence “solely for having marijuana metabolites in his or her system.”
Where do Rhode Island patients buy medical marijuana?
At licensed compassion centers, which may also operate as hybrid cannabis retailers. A compassion center may sell a patient no more than 2.5 ounces, or its equivalent, in any 15-day period, checked against a state database before every sale (§ 21-28.6-12(g)). Products marked for medical use are sold only to cardholders with a valid card (560-RICR-10-10-2 § 2.4.1).
Can I get medical marijuana delivered in Rhode Island?
Yes. Compassion centers and hybrid retailers must make delivery available at least once every 15 days to eligible Rhode Island patients statewide (560-RICR-10-10-2 § 2.17). Deliveries go only to Rhode Island addresses between 8 a.m. and 8 p.m., and cash is not accepted at the door, so you pay ahead or electronically.
Does Rhode Island accept out-of-state medical cards?
Yes. State law says another state’s patient or caregiver card “shall have the same force and effect as a registry identification card” (§ 21-28.6-4(o)). Compassion centers and hybrid retailers may sell to a visiting cardholder who shows a valid card and a government ID from the same state with the same name. The buyer also fills out an intake form (560-RICR-10-10-2 § 2.11(E)(3)).
Do visiting patients need to register in Rhode Island?
No. Rhode Island has no visiting patient registration and charges visitors nothing; the card and matching ID at the store are what count (560-RICR-10-10-2 § 2.11(E)). The store must give you a notice of Rhode Island’s limits, including the ban on taking medical cannabis across state lines. Adults 21 and older may also buy up to 1 ounce of adult-use cannabis with a government ID (§ 21-28.11-22).
Sources:
Official sources, each read on October 29, 2026 unless noted:
- Rhode Island Department of Health, Medical Marijuana (read November 5, 2026 (browser)).
- R.I. Gen. Laws § 21-28.6-3, Definitions.
- Department of Health rule 216-RICR-20-10-3, Medical Marijuana Program (rechecked November 5, 2026).
- R.I. Gen. Laws § 21-28.11-10.1, Transitional period and transfer of authority.
- R.I. Gen. Laws § 21-28.6-5, fees and condition petitions (rechecked November 5, 2026).
- R.I. Gen. Laws § 21-28.6-6, registry identification cards.
- R.I. Gen. Laws chapter 21-28.6, the Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act.
- Department of Business Regulation rule 230-RICR-80-05-1 (repealed).
- Cannabis Control Commission rule 560-RICR-10-15-1, Caregiver Registration, Medical Home Grows and Personal Cultivation.
- Department of Health rule 216-RICR-10-05-2, Fee Structure.
- R.I. Gen. Laws § 21-28.6-9, Enforcement.
- R.I. Gen. Laws § 21-28.6-12, Compassion centers.
- R.I. Gen. Laws § 21-28.6-7, Scope of chapter.
- R.I. Gen. Laws § 21-28.6-4, Protections for the medical use of marijuana.
- R.I. Gen. Laws § 21-28.11-10, Hybrid cannabis retailers.
- Cannabis Control Commission rule 560-RICR-10-10-2, Operational Requirements for Cannabis Establishments.
- R.I. Gen. Laws § 21-28.11-22, Personal use of cannabis.
- Rhode Island Department of Health, Information for Patients and Caregivers (read November 5, 2026 (browser)).
Related pages: medical marijuana card renewal by state and Dr. Green Relief locations.
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