Silver City · Grant County, New Mexico

High-country care, close to home.

Get certified by a New Mexico-licensed practitioner, in person or by telehealth. Enrollment is free, your digital card lasts two years, and patients skip the adult-use excise tax.

Getting Enrolled

Three steps to your digital card

The New Mexico Department of Health runs the Medical Cannabis Program through its Online Patient Portal.

The visit

A New Mexico-licensed practitioner approved by the program evaluates you in person or by telehealth and starts your application if you qualify.

The portal

Finish your part in the Online Patient Portal and upload your documents. The state charges no fee.

The card

Review typically takes about five business days. Your digital card is valid for two years.

Heading Into the Gila?

Leave it at home on federal land

Silver City is the gateway to the Gila National Forest, the Gila Wilderness, and Gila Cliff Dwellings National Monument. All of it is federal land, and cannabis remains illegal under federal law there — even for enrolled New Mexico patients.

Aging Well in Silver City

For older adults and their families

Many Grant County residents are retirees managing more than one health condition. A few practical points make the process safer and easier.

1

Visit from home

Certifications and renewals can happen by telehealth, so there's no long drive for an appointment.

2

Bring your medication list

Share every prescription and supplement with your practitioner. Cannabis can interact with some medications, including sedatives and blood thinners, and your pharmacist can help too.

3

Name a caregiver if needed

A New Mexico resident 18 or older, approved by you and your practitioner, can shop for you as your registered caregiver.

Why Enroll

What patients get

Adults 21 and older can shop without a card, but New Mexico's medical program keeps real advantages.

0%

Cannabis excise tax

Adult-use pays 14% as of July 2026, rising a point each July to 18%.

425

Units per 90 days

About 15 ounces of flower, versus 2 oz per adult-use sale.

$0

State fee

No charge to enroll or renew with the Department of Health.

2 yrs

Card validity

A digital card you can reapply for 30 days before it expires.

Qualifying Conditions

New Mexico's 30 conditions

You'll need a diagnosis of one of these. The program doesn't accept write-in conditions.

Neurological

13 conditions
  • Alzheimer's disease
  • ALS
  • Autism spectrum disorder
  • Spinal cord nerve damage with intractable spasticity
  • Epilepsy / seizure disorder
  • Friedreich's ataxia
  • Huntington's disease
  • Inclusion body myositis
  • Lewy body disease
  • Multiple sclerosis
  • Parkinson's disease
  • Spasmodic torticollis
  • Spinal muscular atrophy

Pain & Physical

9 conditions
  • Severe chronic pain
  • Painful peripheral neuropathy
  • Inflammatory autoimmune-mediated arthritis
  • Crohn's disease
  • Ulcerative colitis
  • Intractable nausea/vomiting
  • Severe anorexia/cachexia
  • Glaucoma
  • Obstructive sleep apnea

Mental Health & Other

8 conditions
  • Anxiety disorder
  • PTSD
  • Insomnia
  • Opioid use disorder
  • Cancer
  • Hepatitis C (receiving antiviral therapy)
  • HIV/AIDS
  • Hospice care

From the New Mexico Department of Health's official list.

Dispensary in Silver City

Rocky Mountain Cannabis

1628 Silver Heights Blvd, Silver City, NM 88061

On Silver Heights Boulevard, open daily with free parking. Silver City has about a dozen licensed stores, including Ultra Health on US-180 East — confirm hours before you go.

Around Town

Big Ditch Park

Floods in the late 1800s scoured the town's original Main Street into a deep channel; today it's a shaded downtown park with an easy walking path.

Patient Stories

From Grant County

“I retired here for the mountains, not the arthritis. The practitioner went over all my medications before anything else.”

— Margaret H., Silver City

“I work outdoors in the forest, so I appreciated them being clear that federal land is off-limits.”

— Luis A., Silver City
Questions

Find your answer by topic

Who can certify me?

Practitioners licensed in New Mexico to prescribe controlled substances and approved by the Department of Health's Medical Cannabis Program.

Can I be seen by telehealth?

Yes, for both new certifications and renewals.

What does enrollment cost?

Nothing with the state. Your practitioner's visit fee is separate.

I take several medications. Is that a problem?

Not necessarily, but share your full list with your practitioner. Cannabis can interact with some medications, including sedatives and blood thinners.

Can someone shop for me?

Yes. A registered primary caregiver — a New Mexico resident 18 or older, approved by you and your practitioner — can buy for up to four patients.

When do I renew?

Cards last two years. You can reapply starting 30 days before yours expires.

Can I bring it camping in the Gila?

No. National forests, wilderness areas, and national monuments are federal land, where cannabis remains illegal.

What about crossing into Arizona?

Carrying cannabis across state lines is illegal under federal law, regardless of either state's rules.

Where are the official rules?

On the Department of Health's Medical Cannabis Program site.

Silver City, New Mexico

A mining town turned mountain haven

Silver, copper, and wilderness

Founded after a silver strike around 1870, Silver City is the seat of Grant County, with a historic downtown, Western New Mexico University, and a thriving arts scene. Copper mining still shapes the area, and the Gila National Forest — including the world's first designated wilderness area — begins just north of town. Residents follow the same statewide medical cannabis process as all New Mexicans.

The legal framework

The Lynn and Erin Compassionate Use Act created New Mexico's program in 2007. The Department of Health enrolls patients and caregivers through its Medical Cannabis Program, and the Cannabis Control Division licenses dispensaries.

Why medical still matters

Excise-tax exemption, a larger purchase allowance, caregiver support, and eligibility from 18 keep enrollment worthwhile. See the Medical Cannabis Program for current rules.

Free enrollment starts with one visit.

Appointments with New Mexico-licensed practitioners.

Book Your Visit