Today, I’m going to walk you through the process of how to get medical marijuana in Hawaii.

There’re a couple requirements to get medical marijuana in Hawaii.

The 1st requirement is that you have to have a qualifying debilitating medical condition, which includes,

  1. Cancer
  2. Glaucoma
  3. Lupus
  4. Epilepsy
  5. Multiple Sclerosis
  6. Rheumatoid Arthritis
  7. Positive status for human immunodeficiency virus,
  8. Acquired immune deficiency syndrome,
  9. Post-traumatic stress disorder or
  10. “The treatment of these conditions”, or
  11. “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, or
    • Severe and persistent muscle spasms, including those characteristic of multiple sclerosis or Crohn’s disease.

The 2nd requirement is that you have to have a physician certify your debilitating medical condition.

A physician or nurse – specifically an Advanced Practice Registered Nurse – must certify in writing that in the physician’s professional opinion the qualifying patient has a debilitating medical condition and the potential benefits of the medical use of marijuana would likely outweigh the health risks for the qualifying patient.

You’re probably wondering how to find a medical marijuana doctor in Hawaii.

The Hawaii Department of Health recommends that all potentially qualifying patients begin the discussion of whether or not medical cannabis is the right treatment option for their condition with the physician or nurse that is currently treating them for that condition.

If your physician or nurse is not willing to certify your condition (remember, that physicians are not required by law to perform written certifications), then the Hawaii Department of Health recommends contacting the Drug Policy Forum (DPF). The DPF is compiling a third party list of physicians that may be able to assist you.

The Hawaii Department of Health does require a bona fide physician-patient relationship,” meaning that the the physician has an ongoing responsibility for the assessment, care, and treatment of a qualifying patient’s debilitating medical condition with respect to the medical use of cannabis which means (at a minimum):

  1. The physician has completed a full assessment of the qualifying patient’s medical history and current medical condition, including conducting a review of the qualifying patient’s medical records related to the debilitating condition as medically appropriate and conducting an in-person physical examination;
  2. The physician provides follow up care and treatment as medically appropriate to the qualifying patient and assesses the qualifying patient’s condition during the course of the qualifying patient’s medical use of cannabis; and
  3. The physician maintains records of the qualifying patient’s treatment and condition in accordance with medically accepted standards.

The 3rd requirement is that you have to complete an electronic application.  

The application does require some form of valid identification (driver’s license, state ID or passport).

Finally, you pay a registration fee.

What happens next?

Your physician then reviews your application, certifies your condition, and then submits the application to the Hawaii Department of Health.

The Hawaii Department of Health then verifies your application and issues a 329 Card, which is also known as a Registration Card or a Medical Marijuana Registration Card.

It’s important to note that you do have to renew your medical marijuana registration card every year.

I do want to point out that although state residency is not a requirement of the Hawaii Department of Health Medical Cannabis Registry Program, the Program was designed to service qualifying individuals that reside in the state of Hawaii.

Know that the laws on medical marijuana are constantly changing.  So, please check the Hawaii Department of Health Medical Cannabis Registry Program website for updates.  I’ve included a link to the website below.

Hawaii Department of Health Medical Cannabis Registry Program


If after getting your doctor’s certification, you’re still lost or confused about how to safely use medical marijuana, I’m more than happy to help you. Head on over to the GET HELP page for more info.