Last updated: October 1, 2026

How East Honolulu Residents Can Apply for a 329 Medical Cannabis Card

East Honolulu residents who want lawful access to medical cannabis must enroll in the Hawaiʻi Medical Cannabis Registry Program and obtain an active 329 card. Registration generally involves meeting with an eligible medical provider, receiving medical certification, completing an application through the Medical Cannabis Registry portal, paying the required state charges, and receiving approval from the Hawaiʻi Department of Health’s Office of Medical Cannabis Control and Regulation.

Consult an Eligible Hawaiʻi Physician or APRN: East Honolulu patients begin by establishing care with a physician or advanced practice registered nurse who meets Hawaiʻi’s medical cannabis certification requirements. The provider must hold the applicable state licenses and maintain the bona fide provider-patient relationship required under Hawaiʻi law.

Receive Certification for Medical Cannabis: Hawaiʻi does not require a traditional prescription for medical cannabis. Instead, the physician or APRN evaluates the patient’s medical circumstances and determines whether certification is appropriate, including whether the potential therapeutic benefits are likely to outweigh the health risks.

Submit the 329 Registration Application Online: After the medical provider submits the patient’s certification to the Hawaiʻi Department of Health, East Honolulu patients can complete the state registry application electronically. Applicants provide the information requested by Hawaiʻi, which may include identification, qualifying-patient information, primary caregiver details, and grow-site information when applicable.

Pay the Required State Charges: A new one-year 329 registration costs $38.50. This amount includes the $35 Hawaiʻi Department of Health registration fee and a $3.50 administrative charge. Eligible renewal patients may qualify for a three-year registration under the updated process. Any fee charged for medical certification is separate.

Wait for DOH Processing: Once the medical provider submits the required certification and the patient completes the state registration, the registry reviews the submission. Completed applications are generally processed within three to five business days, although an application that is missing information may be returned for correction.

Retrieve the Approved 329 Card: East Honolulu patients with online accounts can access their electronic 329 card after approval. When obtaining medical cannabis from a licensed dispensary, the patient must have both a valid 329 registration card and acceptable identification.

Are Minor Patients Eligible for a 329 Card in East Honolulu?

Yes. Hawaiʻi allows qualifying patients younger than 18 to participate in the Medical Cannabis Registry Program. Additional requirements apply to minors, including the involvement of a parent or legal guardian as the primary caregiver. Families must also complete the registration requirements established specifically for minor patients.

What Medical Conditions May Support 329 Certification in East Honolulu?

Hawaiʻi identifies a number of debilitating medical conditions that can support medical cannabis certification. Current law also allows certain primary treating medical providers to certify other diagnosed conditions when the required statutory criteria are satisfied. Patients receiving hospice care may also be certified by an eligible licensed hospice provider.

Hawaiʻi’s specifically recognized debilitating medical conditions include:

• Amyotrophic lateral sclerosis
• Cancer
• Glaucoma
• Lupus
• Epilepsy
• Multiple sclerosis
• Rheumatoid arthritis
• Positive status for human immunodeficiency virus
• Acquired immune deficiency syndrome
• Post-traumatic stress disorder
• Cachexia or wasting syndrome resulting from a chronic or debilitating disease, medical condition, or its treatment
• Severe pain resulting from a chronic or debilitating disease, medical condition, or its treatment
• Severe nausea resulting from a chronic or debilitating disease, medical condition, or its treatment
• Seizures, including those characteristic of epilepsy
• Severe and persistent muscle spasms, including those characteristic of multiple sclerosis or Crohn’s disease

Changes adopted in 2025 also permit a physician or APRN who meets the definition of a primary treating medical provider to certify another diagnosed condition in certain circumstances. The provider must be responsible for the patient’s continuing care, maintain the required provider-patient relationship, apply appropriate clinical judgment and documentation, and determine that the likely benefits of medical cannabis outweigh the potential health risks.

What Is the Cost of 329 Registration for East Honolulu Patients?

A new East Honolulu applicant pays $38.50 for a one-year Hawaiʻi 329 registration. The total consists of a $35 DOH fee and a $3.50 administrative charge. Medical-provider certification costs are not included in this amount and are paid separately.

Is Free 329 Registration Available to East Honolulu Patients?

No. Hawaiʻi requires payment of the state registration charge for a new 329 application. East Honolulu patients should plan for the $38.50 one-year registration cost as well as any separate charge for the medical certification appointment. Hawaiʻi currently caps a one-year certification fee at $105.

What Type of Medical Certification Do East Honolulu Patients Need?

Applicants must receive certification from a physician or APRN who meets Hawaiʻi’s requirements. The medical provider evaluates the patient within a bona fide provider-patient relationship and determines whether the individual meets the standards for medical cannabis certification. Under Hawaiʻi’s updated registry process, the medical provider first submits the patient’s certification to the Hawaiʻi Department of Health. After the certification is received, the patient can register through the Medical Cannabis Registry portal and complete the required application. A provider may also initiate an application on behalf of a patient when appropriate.

How Long Does 329 Card Processing Take for East Honolulu Patients?

Hawaiʻi’s Medical Cannabis Registry Program generally processes complete applications within three to five business days. After DOH approves the registration, an East Honolulu applicant using the online system receives notification and may access the electronic 329 card through the registry.