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State of Hawaii, Department of Health
Medical Cannabis Registry Program
Ka ʻOihana Olakino
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In-State Patients
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Minor Applicants
Minor Applicants
Application for a Minor
If you are applying for a minor, please complete this form, and we will contact you to ensure you are submitting all required documents.
Email
*
Enter Email
Confirm Email
Please enter the valid email that you can be reached at.
Please enter your first name:
*
Is this a new or renewal application?
*
Yes, this is a new application
No, this is a renewal application
What is the last known registration number (10 digits) or application number (6 digits) (if applicable)?
Please make sure the number entered is either 6 digits for the application number OR 10 digits for the registration number.
Do you share joint legal custody of the minor applicant?
*
Yes
No
Do you intend to grow cannabis for your minor applicant?
*
Yes
No
I'm not sure yet.
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