How to get a medical card in Hawaii
Hawaii’s program is run by the Hawaii Department of Health Medical Cannabis Registry Program. Here is the process for a 329 registration card, taken from the program’s own website, with fees only where the state publishes them. Initial applicants need a bona fide patient relationship with a certifying medical provider, set up in person or by telehealth (Hawaii DOH).
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Key Takeaways
- Initial applicants need a bona fide patient relationship with a certifying medical provider, set up in person or by telehealth (Hawaii DOH). You will need a valid driver license, state or territory ID, or valid passport (passport cards are not accepted).
- Fee: $36.05 for a one-year registration ($35.00 DOH fee plus $1.05 administrative fee).
- Requirements change; confirm on the official program site before you apply.
Who can apply
- Initial applicants need a bona fide patient relationship with a certifying medical provider, set up in person or by telehealth (Hawaii DOH). You will need a valid driver license, state or territory ID, or valid passport (passport cards are not accepted).
Step by step
- Schedule an appointment with a certifying medical provider.
- If you qualify, the provider completes an electronic certification (E-Cert).
- Log in to the registry with your email address and upload your ID.
- Pay the fee by card or bank withdrawal.
- After approval, download your electronic 329 card from your medmj.ehawaii.gov account.
Fees
- $36.05 for a one-year registration ($35.00 DOH fee plus $1.05 administrative fee).
- $108.15 for a three-year registration, for eligible renewal patients only.
- The provider may charge for the certification visit, but no more than three times the DOH registration fee.
Processing time and renewal
- Applications are reviewed in the order received, typically within 3–5 business days.
- You can renew 60 days before expiration. A three-year renewal requires the same provider, a condition the provider states is chronic, and the provider’s recommendation.
Using your card
- You are not authorized until you have received your 329 card. Keep your valid ID and 329 card with you when you possess medical cannabis.
Medical cards and your job
A state card does not change federal workplace testing. For DOT-regulated jobs, a Medical Review Officer must not verify a test as negative because of a state medical recommendation (49 CFR § 40.151(e)).
See cannabis employment law by state for the states we have sourced.
Common questions
How much does a medical card cost in Hawaii?
$36.05 for a one-year registration ($35.00 DOH fee plus $1.05 administrative fee). Practitioner visits are usually a separate cost.
How long does it take to get a Hawaii medical card?
Applications are reviewed in the order received, typically within 3–5 business days.
Does a Hawaii medical card protect me at work?
Not necessarily. Workplace protections vary by state, and federal DOT testing rules apply regardless of a state card.
Sources
- government Hawaii Department of Health, Medical Cannabis Registry Program – In-State Patient Application ↗ accessed 2026-10-03
- government eCFR, 49 CFR § 40.151 — What are MROs prohibited from doing as part of the verification process? (U.S. DOT) ↗ accessed 2026-10-03