Get a Hawaii Medical Marijuana Card

2 documents needed to apply for a medical card

To apply for a medical marijuana card in Hawaii, you must follow a few essential steps to ensure your eligibility and successful registration. The process begins by gathering the necessary documents and information.

1. Proof of Identification
   You’ll need a Hawaii driver license, a state ID issued by a state of the United States, or a valid passport to apply for a Hawaii medical cannabis card.  Out-of-state IDs are also accepted.
2. Medical Marijuana Recommendation
   After obtaining your Patient Number, the next step is to consult with a registered MMJ physician who can evaluate your condition and provide a recommendation. At Leafwell, once you are approved by a healthcare provider, they will

   certify your condition and submit the application to the Hawaii Department of Health (DOH). It is essential to choose a physician who is experienced in treating patients with your specific condition, as they will be able to provide the necessary certification that forms a critical part of your application.

3. Medical Records

Medical records are preferred, but not required to apply for a medical cannabis card in Hawaii.

Renewal information

1. Log into your existing Leafwell account.
2. Speak to a Hawaii-licensed medical provider via telehealth.
3. Once approved, visit medmj.ehawaii.gov to log into your existing account, complete the state renewal application, list your provider, and pay the fee.
4. After you submit your part, your provider is notified to certify your condition and submit the application to the Hawaii Department of Health (DOH). The DOH typically reviews applications within 3–5 business days.

Once approved, you’ll get an email notification. Log in to medmj.ehawaii.gov to download your updated 329 Medical Cannabis Card.

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

• The patient is renewing with the same Medical Provider who certified them in a previous year; &
• The certifying Medical Provider states that the patient’s condition is chronic in nature; &
• The certifying Medical Provider recommends that a two-year 329 registration is in the patient’s best interest.

Next steps after approval

Congratulations on getting approved for your medical certification! Here’s a guide on what to expect next.

1. After you submit your part, your provider is notified to certify your condition and submit the application to the Hawaii Department of Health (DOH). The DOH typically reviews applications within 3–5 business days.

2. Once approved, you’ll get an email notification. Log in to medmj.ehawaii.gov to download your 329 Medical Cannabis Card.

1. You can legally purchase cannabis from a licensed dispensing facility. You must present a copy of your certification and a government-issued ID at the dispensary!

Legal limitations for HI card holders

Navigating marijuana laws in different states can be tricky, but we’re here to break it down for you. Here are some key points you should be aware of if you have a medical marijuana ID card in Hawaii:

Possession limits:  With a valid medical cannabis card, you can purchase and possess 4 oz every 15 days. Maximum of 8 oz over a 30-day consecutive period.

No Recreational Use:  Just a heads-up—recreational marijuana is still a no-go in Hawaii. According to the state’s marijuana laws, medical use only at this time.

Cultivation: Growing cannabis plants is legal for medical patients in Hawaii.

Patients or caregivers can grow up to 10 mature plants. Patients can designate a grower on their application. Each plant should be tagged at the base with the patient’s 329 Card number.

They can register their Grow Site information as part of the application, including filling out a grow site certification. Leafwell does not need to do anything here.

Plants must be kept at the residence of the patient or designated caregiver, or another site either owned or controlled by either of those people.

CBD and Delta-8: CBD and other minor cannabinoids manufactured from hemp-derived CBD, such as delta-8 THC and HHC, are legal per federal law and are not further regulated by the state of Hawaii, but smokable hemp products are banned.

How to become a caregiver

Caregivers may only serve one patient at a time. There is no registration fee for caregivers. Patients must designate a caregiver on their application form if they need one. Beginning in 2024, caregivers will not grow medical cannabis except for minors/adults lacking legal capacity and on islands that do not have a dispensary. To become a caregiver for a minor:

1. Fill out this form – https://health.hawaii.gov/medicalcannabisregistry/patients/minor-applicants/
2. The state will contact you to help you submit the correct paperwork

Can you use a Hawaii medical card in other states?

Yes, the following states will recognize your HI medical card:

• Arizona
• Arkansas *
• Louisiana
• Maine
• Michigan (at the dispensary’s discretion)
• Nevada
• New Hampshire
• New Jersey *
• New Mexico
• Oklahoma *
• Puerto Rico
• Rhode Island
• U.S. Virgin Islands *
• Utah * (up to two 21-day periods in a calendar year)
• Washington, D.C.

*Visitors must complete a visiting patient application with the state program.

Hawaii also recognizes out-of-state medical cannabis cards. Cardholders from other states can register for an Out-of-State Patient (OSP) card with the state of Hawaii by filling out paperwork and submitting a $49.50 fee.

They do not need to see a doctor!

OSP General Information

• The application process is completed online by creating a medmj.ehawaii.gov account
• OSP’s may apply for no more than two, 60-day terms in a calendar year
• A “start date” is required for the term to begin
• May apply 60 days prior to the requested “start date”
• Application fee is $49.50 and is non-refundable
• Electronic access to the Hawaii 329 Registration card will be provided upon approval via your medmj.ehawaii.gov account
• Minors can apply for an OSP

OSP Requirements

• Valid medical cannabis registration card issued by another U.S. state or territorial or District of Columbia government
  • If your home state’s medical cannabis card does not have the expiration date on it (e.g. New York), please upload additional documents that state the expiration date of your registration in the “other documents” section in the Hawaii online application.
  • Physician certifications or recommendations are not accepted in lieu of state government-issued medical cannabis cards.
• Valid government-issued state ID or driver’s license from the same U.S. state or territory or District of Columbia* with the same name on the medical cannabis registration card.
• Certified in your “home” state as having one or more debilitating medical conditions identified in Hawaii State Law