Vermont Medical Cannabis Qualifying Conditions

A defined list of conditions plus a broad symptom-based catch-all. PTSD requires active therapy with a licensed mental health provider. Most patients qualify through chronic pain.

Last verified: March 2026

Vermont's medical cannabis program uses a defined condition list with a significant addition: a broad symptom-based catch-all that covers any chronic debilitating condition producing specific symptoms. In practice, this means the list is more inclusive than it first appears.

Named Conditions

  • Cancer
  • Multiple sclerosis (MS)
  • HIV / AIDS
  • Glaucoma
  • Crohn's disease (added 2017)
  • Parkinson's disease (added 2017)
  • PTSD (added 2017 — special requirements, see below)
  • Ulcerative colitis

Symptom-Based Catch-All

Any chronic or debilitating disease or medical condition that produces one or more of the following symptoms also qualifies:

  • Cachexia (wasting syndrome)
  • Chronic pain
  • Severe nausea
  • Seizures

This catch-all is what makes Vermont's program broadly accessible. Chronic pain alone covers arthritis, fibromyalgia, back injuries, neuropathy, migraines, and dozens of other conditions. The majority of Vermont's 3,043 patients qualify through this pathway.

Chronic Pain Is the Gateway

The "chronic pain" symptom qualifier covers a wide range of underlying conditions — arthritis, fibromyalgia, back injuries, neuropathy, migraines, and more. If you have a documented chronic condition that causes pain, you almost certainly qualify.

PTSD: Special Requirements

PTSD was added to Vermont's qualifying conditions in 2017, but it comes with a unique requirement not applied to any other condition:

  • Patients must be engaged in active therapy with a licensed mental health provider
  • The certifying healthcare professional must confirm active treatment is ongoing
  • This requirement is designed to ensure cannabis complements, rather than replaces, mental health treatment

This is more restrictive than most states that list PTSD, where a simple diagnosis is typically sufficient. Vermont's approach reflects its cautious, public-health-oriented regulatory philosophy.

Who Can Certify Patients?

Vermont accepts certifications from a broader range of healthcare professionals than many states:

Provider Type Can Certify?
Physician (MD/DO) Yes
Osteopath Yes
Naturopath Yes
Physician Assistant (PA) Yes
Nurse Practitioner (NP) Yes

Notably, Vermont also accepts providers licensed in New Hampshire, Massachusetts, and New York — a significant convenience for patients living near state borders who may see specialists across state lines.

What If My Condition Is Not Listed?

The symptom-based catch-all makes the list more inclusive than the named conditions suggest. If your condition produces chronic pain, severe nausea, cachexia, or seizures, you qualify regardless of the underlying diagnosis. Common conditions that qualify through this pathway include:

  • Fibromyalgia — chronic pain
  • Arthritis — chronic pain
  • Migraines — chronic pain
  • Neuropathy — chronic pain
  • Epilepsy — seizures
  • Chemotherapy side effects — severe nausea, cachexia
  • Chronic back/neck injuries — chronic pain

If your condition genuinely does not fit any qualifier, you can still purchase through the recreational market at age 21+ — just without the tax, potency, and possession advantages of a medical card.

Minors (Under 18)

Patients under 18 can qualify for Vermont's medical program, but require a parent or legal guardian to serve as their registered caregiver. See our caregiver guide for details on registration requirements.