In-State Patient Information

General Information- What do you need to apply for a 329 card? 

  • Qualifying Debilitating Health Condition
  • Certified by a physician/APRN
    • Applicants need to be certified by & maintain a Bona Fide Relationship with:
      • Physicians who have Hawaii Medical License & Hawaii Controlled Substance License
      • Advance Practice Registered Nurses (APRN) who have prescriptive authority

Bona fide physician/APRN and patient relationship means “ongoing responsibility for the assessment, care and treatment of a qualifying patient’s debilitating medical condition with respect to the medical use of cannabis”

  • Valid I.D.:
    • Valid Drivers License issued by a State of the United States, or
    • State photo identification card issued by a State of the United States, or
    • Valid passport book
  • For Minor patients Only: An original birth certificate with a unique identification number issued by a State of the United States

please visit the Social Security Administration  for more information about the unique identification number.

For New or Renewal patient applications:

1. Schedule an appointment with a certifying physician/APRN

    • Initial applicants need to create/main a bona fide patient relationship and have a face-to-face appointment
    • Renewal applicants may inquire with providers office if tele-health is available

2. Create a ( account with the State of Hawaii or access your account ( 

3. View Instructions Overview video of the application process

4. Fill out the online application.

    • Valid Driver Licensed issued by a State of the United States
    • State Phone ID Card Issued by a State of United States
    • Valid Passport Book
    • Patient/Caregiver/Grow Site Certification Forms as applicable

5. Pay the application fee with Credit/Debt Card or Direct withdrawal from a savings or checking account.

  • Fees Schedule
    • 1-year Registration – $38.20
    • For Renewal Applicant Only – 2-year registration $77.00

6. Submit your application to your certifying physician/APRN.

7. Physician/APRN certifies your condition and submits your application to DOH for review and approval.

8. Applications are reviewed in the order received.

Incomplete applications will be electronically returned to you for corrections and re-submission via

Once approved, you may access your Hawaii 329 Medical Cannabis Card via your medmj.ehawaii account:

In-State Patient Video Tutorial

How to Access Your 329 Card Online

329 Card General Renewal Information

All participants with a medical cannabis registry account will receive renewal notifications via email 60-days prior to the 329 card expiration.

  • Patient can renew their 329 registration 60-days prior to their expiration date.
  • Please take advantage of this opportunity to avoid any lapse in your registration.
  • Your new 329 card does not become valid until your previous 329 card expires.

Only one (1) 329 card will be valid at any given time. Please use your previous 329 card at a dispensary until it expires. Your new 329 registration card will automatically activate once the previous one expires.

If you have any questions, concerns or would like your new card activated please email: [email protected]

Two-Year Renewal Eligibility

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

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

Patients must consult with the certifying physician/APRN PRIOR to applying for a two-year renewal to ensure that the certifying physician/APRN supports a two-year renewal.

All fees are non-refundable.

Please be advised:

  • Patients and caregivers are not authorized for the medical use of cannabis until they receive their 329 registration card in hand from the DOH, Medical Cannabis Registry Program
  • Patients & Caregivers MUST keep their valid ID and valid 329 card on them when in possession of medical cannabis.
  • Your card may be revoked & denied entry into a dispensary if a registration card is tampered, falsified, altered (in any way), modified, or allowing another person to use, tamper, falsify, alter (in any way), or modify a registration card.

It’s NOT okay to drive a motor vehicle when under the influence of medical cannabis.