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Qualifying for a Medical Marijuana Card in Hawaii

Once you have registered and been approved, you will be sent a medical card. Once you have this, you can start shopping for your medicine from a licensed dispensary.

Book An Appointment
  1. Register on Hawaii’s Medical Cannabis Registry Program

  2. Have your consultation, get approved and receive certification. i

  3. You will receive an email notification to retrieve your 329 card online. This can take up to 7 days.

Quick & Convenient

Your online doctor’s consultation includes

  • 1 Year Doctor’s Recommendation Letter

  • Instant .PDF Download

  • 24/7 Online Verification

  • Speak to a Certified Hawaii Physician

  • HIPAA Compliant

  • Secure Payment

Qualifying Conditions

Common conditions cannabis recommended for include

  • Amyotrophic Lateral Sclerosis (ALS), aka Lou Gehrig's Disease
  • Cachexia or Wasting Syndrome
  • Cancer
  • Epilepsy
  • Glaucoma
  • Lupus
  • Multiple Sclerosis (MS)
  • Post-Traumatic Stress Disorder (PTSD)
  • Rheumatoid Arthritis
  • Severe, Chronic or Intractable Pain
  • Severe Nausea

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I was speaking to doctor, who was extremely easy to talk to, within minutes of accessing the website. Getting a download of my rec. took about the same amount of time. I’d recommend LeafWell to all seeking a medical marijuana rec.

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Hawaii State

Frequently Asked Questions

Hawaii Medical Marijuana Laws – Overview and History

2000 – Governor Ben Cayetano signs Senate Bill 862 (SB 862), removing state-level penalties for the use, possession and cultivation of cannabis by those with a signed statement from a physician recommending cannabis for their condition.

2013 – House Bill 668 (HB 668) is amended, transferring the medical marijuana program from the Department of Public Safety to the Department of Public Health from 2015 onwards. A medical marijuana registry fund is also implemented to pay for the program.

2015 – Senate Bill 642 (SB 642) is amended, defining the a patient’s “adequate supply” as seven plants or less, regardless of the maturity of the cannabis plant.

2015 – PTSD is added to the list of qualifying conditions in Hawaii.

Hawaii Medical Marijuana Qualifying Conditions

Severe autism
Chronic and/or severe pain
Rheumatoid arthritis
Multiple sclerosis (MS), or any condition that causes severe and persistent muscle spasms
Crohn’s disease
Cachexia or wasting syndrome
Severe nausea
Seizures, such as those caused by epilepsy
Post-Traumatic Stress Disorder (PTSD)

Hawaii Possession Limit (Medical Marijuana Patients)

Four ounces of usable marijuana or 3.5 grams of concentrate cannabis in a fifteen (15) day period, jointly possessed between the qualifying patient and the primary caregiver. "Usable marijuana" does not include the seeds, stalks, and roots of the plant.

Can I get a Hawaii medical marijuana card online? Is telehealth available, or do I have to speak to a physician in-person?

Telehealth/telemedicine is available in Hawaii. However, relationship must first be established between patient and physician in-person in order to qualify for medical marijuana in Hawaii.

Cost of getting a Hawaii 429 Card

$38.50 for the application fee for Hawaii citizens. Out-of-state applicants $50. Cost of physician's consultation is not included.

Does Hawaii have medical marijuana reciprocity with other states?

Yes. A qualifying out-of-state patient and a caregiver of a qualifying out-of-state patient may register with the department of health as established by rule.  The registration shall be effective for no more than sixty days and may be renewed for no more than one additional sixty-day period that begins no later than twelve months after the preceding registration date; provided that the department shall not register any qualifying out-of-state patient for a period that exceeds the term of validity of the qualifying out-of-state patient's authority to use medical cannabis in the qualifying out-of-state patient's home jurisdiction.

Does a patient need a caregiver to get medical cannabis in Hawaii?

Yes, if the patient is a minor or needs assistance accessing medical cannabis. Caregivers must be aged 18 or over. Caregivers may only have one (1) patient at a time. No registration fee for caregivers - patients must designate a caregiver on their application form if they need one. After December 31, 2023, caregivers will not be allowed to grow medical cannabis except for minors/adults lacking legal capacity and on islands that do not have a dispensary.

How Long Does it take to Get My Hawaii MMJ Card (Blue Card)?

It usually takes up to 7 days in order to get a Hawaii Blue Card, but in some instances 14 – 30 days.

How Old Do I Have to Be to Apply for a Hawaii Blue Card (Medical Marijuana Card)?

You must be aged 18 years old or over in order to qualify for a Hawaii medical marijuana card (aka 429 card or Blue Card). Caregivers must be 18 years old or over.

What documents do I need to apply for a Hawaii medical marijuana card?

Acceptable ID

Valid state ID

Valid state driver’s license

Valid passport book (cards not accepted in Hawaii)

Proof of residency

An official letter sent to you by the state

A bank statement or utility bill issued to you within the last month

A rental or mortgage agreement with your current primary address. Please note: residency is not required in order to qualify for medical marijuana in Hawaii, although a Hawaiian address will need to be given.

Medical records detailing the condition

This can include progress notes, medical images and a list of medications.

A written certification from a physician for a debilitating medical condition must be obtained for a minor. In addition, the physician must have explained the potential risks and benefits to both the minor and the minor’s parent or legal guardian.

Will insurance cover my cannabis recommendation in Hawaii?

No. Cannabis is federally illegal, so insurance will not cover costs associated with medical marijuana.