Hawaii Medical Marijuana

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Eligible Debilitating Medical Conditions

Is the list of “debilitating medical conditions” limited? – YES

As defined in section 121 of HRS-329 , a qualifying debilitating medical condition includes:

Amyotrophic Lateral Sclerosis (added effective Dec. 19, 2017 per petition process)



Lupus (added effective June 29, 2017 as per Act 041, SHL 2017)

Epilepsy (added effective June 29, 2017 as per Act 041, SHL 2017)

Multiple Sclerosis (added effective June 29, 2017 as per Act 041, SHL 2017)

Rheumatoid Arthritis (added effective June 29, 2017 as per Act 041, SHL 2017)

Positive status for human immunodeficiency virus

Acquired immune deficiency syndrome

Post-traumatic stress disorder (added effective July 1, 2015 as per Act 241, SLH 2015)

“The treatment of these conditions”, or “A chronic or debilitating disease or medical condition or its treatment that produces one or more of the following:

Cachexia or wasting syndrome

Severe pain

Severe nausea

Seizures, including those characteristic of epilepsy

Severe and persistent muscle spasms, including those characteristic of multiple sclerosis or Crohn’s disease

What do you need to apply for a 329 card?

Qualifying Debilitating Health Condition

Certified by a physician/APRN

Valid I.D. as shown below:

Valid Drivers License issued by a state of the United States, or

State photo identification card issued by a state of the United States, or

Valid passport

Minor patients without any of the above identification may submit an original birth certificate with a unique identification number issued by a state of the United States – please visit the Social Security Administration for more information about the unique identification number.


Applicants need to be certified by, and maintain a Bona Fide Relationship with:

Physicians who have Hawaii Medical License & Hawaii Controlled Substance License

Advance Practice Registered Nurses (APRN) who have prescriptive authority

Bona fide physician/APRN and patient relationship means “ongoing responsibility for the assessment, care and treatment of a qualifying patient’s debilitating medical condition with respect to the medical use of cannabis”.

If you are eligible, please click the links below.

New In-State Patient Application Process

In-State Patient Renewal Application Process

Patient Initiated Application – steps to apply for a Hawaii 329 Medical Cannabis Card (electronic 329 Card access provided upon approval):

1. Schedule an appointment with a certifying physician/APRN

2. Click on the Application Portal below and create an account. **Renewal Patients: Click on the application portal below and login to your account.

Remember your username and password.

3. View Instructions Overview video of the application process

4. Fill out the online application. (Upload required documents)

5. Pay – the application fee is $38.50 ($35 application fee + $3.50 portal administration fee)

Renewal Patients: 1-year renewal – $38.50, 2-year renewal – $77.00 (Two year eligibility requirements below)

Payment options are:

Credit/debit card

Direct withdrawal from a savings or checking account

6. Submit your application to your physician/APRN.

7. Physician/APRN certifies your condition and submits your application to DOH.

8. Applications are reviewed in the order received. Incomplete applications will be electronically returned to you for corrections and re-submission via medmj.ehawaii.gov.

*For physician initiated applications: patients will receive a traditional hard copy 329 card via U.S. postal mail.

Patients are responsible for ensuring that their caregiver receives their 329 card.

In-State Patient Video Tutorial

How to Access Your 329 Card Online

329 Card Renewal Information

All participants with a medical cannabis registry account will receive renewal notifications via email.

Renew 60 days prior to your current registration expiration date. Please take advantage of this opportunity to avoid any lapse in your registration.

Your new 329 card does not become valid until your previous 329 card expires. Only one (1) 329 card will be valid at any given time. This may affect entry into a dispensary. Please use your previous 329 card at a dispensary until it expires. Your new 329 registration card will automatically activate once the previous one expires. If you have any questions, concerns or would like your new card activated please email: medicalcannabis@doh.hawaii.gov

Two-Year Renewal

Patients who are renewing their 329 registration may be eligible for a two-year renewal if:

The patient is renewing with the same physician/APRN who certified them in a previous year; and

The certifying physician/APRN states that the patient’s condition is chronic in nature; and

The certifying physician/APRN agrees that a two-year 329 registration is in the patient’s best interest.

Patients must consult with the certifying physician/APRN prior to applying for a two-year renewal to ensure that the certifying physician/APRN supports a two-year renewal. All fees are non-refundable.

Please be advised

Patients and caregivers are not authorized for the medical use of cannabis until they receive their 329 registration card in hand from the Department of Health, Medical Cannabis Registry Program

Patients & Caregivers MUST keep their valid ID and valid 329 card on them when in possession of medical cannabis.

Your card may be revoked and denied entry into a dispensary if a registration card is tampered, falsified, altered (in any way), modified, or allowing another person to use, tamper, falsify, alter (in any way), or modify a registration card.

Not having data or WiFi to access your card electronically is not a valid excuse.

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