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Looking to legally access medical marijuana in Hawaii? Getting a medical marijuana card in the Aloha State is simpler than you may think.

If you’re short on time, here’s a quick answer to your question: To qualify for a 329 Registration Card in Hawaii, you’ll need to get a certification from a licensed physicians stating you have a qualifying debilitating medical condition.

Then complete an application with the Narcotics Enforcement Division of Hawaii’s Department of Public Safety providing doctor verification to get approved.

In this comprehensive guide, we’ll walk through everything you need to know about getting registered for legal medical cannabis use in Hawaii, from understanding patient qualifications and finding a certifying doctor to navigating the state’s application process from start to finish.

Hawaii’s Medical Marijuana Program Overview

How the Program Works

Hawaii legalized medical marijuana in 2000 when voters approved a ballot initiative. Since then, the state has implemented regulations allowing residents with qualifying medical conditions to obtain a medical marijuana card and purchase cannabis products from licensed dispensaries.

The process to get a medical card involves several steps. First, patients must get a certification from a licensed physician stating that they have a debilitating medical condition that could benefit from medical marijuana.

Patients then submit an application along with the physician’s certification and a registration fee to the state health department.

Once approved, patients receive a medical marijuana registry card allowing them to legally purchase cannabis products from any of Hawaii’s eight licensed dispensaries. Medical cardholders can possess up to 4 ounces of cannabis at a time and grow up to 10 plants for personal medical use.

Qualifying Debilitating Medical Conditions

Hawaii allows medical marijuana use for over a dozen qualifying conditions, including:

  • Cancer
  • Glaucoma
  • Seizures
  • Severe pain
  • PTSD
  • And more…

The list of qualifying conditions has expanded over time. In 2015, the state added PTSD as an eligible condition after many veterans advocated to access medical marijuana to treat chronic PTSD symptoms.

Hawaii also allows petitioning to add new qualifying medical conditions not already included on the list. The process involves submitting medical evidence to an expert review panel thatprovides recommendations to the state health director.

Recent efforts have focused on adding anxiety, insomnia, and opioid addiction as qualifying conditions to increase access to medical marijuana as an alternative treatment option.

Am I Eligible for a Medical Marijuana Card in Hawaii?

Residency Requirements

To qualify for a medical marijuana card in Hawaii, you must be a resident of the state. Specifically, you need to provide proof of Hawaii state residency, such as a driver’s license, state ID, recent utility bill, or voter registration card.

As a resident, you can register for the medical marijuana program regardless of the length of time you’ve lived in Hawaii.

Minimum Age Requirements

You must be at least 18 years old to obtain a medical marijuana card in Hawaii. The state does not currently allow exceptions for minors, even with parental consent, to join the program or use medical cannabis products.

Qualifying Medical Conditions

Hawaii allows medical marijuana use for a wide range of conditions, including:

  • Cancer
  • Glaucoma
  • Positive status for HIV/AIDS
  • PTSD (post-traumatic stress disorder)
  • A chronic or debilitating disease or medical condition that produces cachexia, wasting syndrome, seizures, severe pain, nausea, or spasticity

In addition, Amendment 2 passed in 2018 means that starting January 2019, medical marijuana doctors can certify patients for any condition they feel cannabis would help, even if it’s not on the state list of qualifying conditions.

Website Information Hawaii government medical marijuana program site
WeedMaps Overview of Hawaii MMJ laws

How to Get a Doctor’s Certification for Medical Cannabis

Finding a Certifying Physician

The first step in getting a medical marijuana card in Hawaii is to find a licensed physician who is authorized to certify patients for the use of medical cannabis. There are a number of resources to locate physicians who participate in Hawaii’s medical marijuana program:

  • The Hawaii State Department of Health provides a searchable database of registered certifying physicians on their website.
  • Leafly maintains a frequently updated directory of medical marijuana doctors and evaluation clinics in Hawaii here.
  • Local medical marijuana dispensaries like Aloha Green Apothecary often have information on affiliated certifying doctors.

It’s important to confirm that your prospective physician has an active license to recommend medical marijuana before scheduling an appointment.

Scheduling an Evaluation Appointment

Once you have identified a licensed certifying physician, the next step is to schedule a medical evaluation appointment. Here is what you can generally expect:

  • The initial patient consultation typically lasts 30-60 minutes. The physician will review your medical history, discuss your conditions and symptoms, determine if you qualify for the program, and provide a certification if appropriate.
  • Many clinics accept insurance, while others operate on a cash-only basis. Expect to pay $200-300 out-of-pocket for your certifying exam if insurance is not accepted.
  • You will need to provide medical documentation of the condition(s) that qualify you for medical cannabis use. Have your relevant health records sent to the clinic prior to your visit or bring them with you.

Be prepared to discuss your symptoms, treatment options, and how medical marijuana may help before receiving a certification.

Getting Your Physician Certification

An authorized certifying physician will determine if medical cannabis use is appropriate for your medical condition(s). Qualifying conditions in Hawaii’s program include:

– Cancer – Glaucoma
– HIV/AIDS – Lupus
– Seizures – Severe pain
– Cachexia / Wasting Syndrome – Severe nausea
– PTSD – Rheumatoid arthritis

Over 33,000 patients in Hawaii have received physician certifications to use medical marijuana since the program launched in 2000. If approved, your physician will complete the Written Certification Form 343B and provide you documentation to apply for a medical marijuana card through the Hawaii DOH Registry Program.

Registering with the State: Filling Out Your 329 Application

Gather Documentation

The first step in registering for a medical marijuana card in Hawaii is gathering the required documentation. This includes getting a physician’s certification that you have a qualifying debilitating medical condition.

Documents confirming your Hawaii residency, such as a driver’s license or utility bill, are also required. Having these materials ready will make the application process smoother.

Complete the Application

Once you have the necessary paperwork, you can complete the Department of Health application form 329. This can be found on the Department of Health’s medical cannabis website. The application requires personal information, physician details, medical condition information, and a declaration that you will use cannabis only for medical purposes.

Application fees depend on the card type – $35 for patients, $50 for caregivers. Payment can be made online.

Application Review and Registration Card

After submitting the 329 application and fees, the Department of Health will review your eligibility. If approved, you will receive a medical marijuana electronic registration card via email within 10-15 business days. You must print this card or save it on your phone to show dispensaries.

Registration is valid for up to 3 years before renewal is required. Caregivers will also be registered in the tracking system. Follow the laws and use medical cannabis responsibly!

After Approval: Using Your Card and Renewing

Once your medical marijuana card application is approved in Hawaii, there are some key things to know about using your card and renewing it when necessary. Here’s an overview:

Visiting Dispensaries

You can now legally visit any of the 8 licensed dispensaries across Hawaii with your medical marijuana card. Dispensaries offer a variety of marijuana strains and marijuana-infused products to choose from. Pricing and selections vary by location.

Daily Purchase Limits

Hawaii has a daily purchase limit of 4 ounces of marijuana flower or flower products per patient. For concentrates and ingestible products, the daily limit is 8 ounces. Dispensaries track your purchases in a statewide database to enforce these limits.

Public Use

It’s important to note that while medical marijuana is legal in Hawaii, public use is still prohibited under state law. You can only legally consume medical cannabis on private property away from public view. Most rental agreements also prohibit use on those premises.

Renewal Process

To continue accessing medical marijuana in Hawaii, you’ll need to renew your 329 Registration Card annually. The state will mail you a renewal notice 45-60 days before your card expires. Submit your renewal application with the required doctor’s certification and $35 fee.

The renewal process is typically quicker than the initial application since all your information is already on file. Once approved, your new valid registration card will be mailed out.

Keeping your medical marijuana card current is essential to legally purchasing cannabis from Hawaii dispensaries. Mark your renewal date on your calendar so your access isn’t interrupted.


Getting registered as a legal medical marijuana patient in Hawaii does require some effort, including finding a certifying doctor and submitting an application with medical records. However, the process is very attainable if you have a documented qualifying condition.

Now that you understand the full landscape of Hawaii’s medical marijuana program, you can move forward to getting approved access to legal cannabis treatments that can provide relief. With the right preparation and diligence when applying, you’ll be set up for success in utilizing Hawaii’s medical marijuana program.

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