How to Apply for a 329 Card in Hawaii

Related

• Get Your Hawaii 329 Card
• Qualifying Conditions in Hawaii
• HB 302 Explained: What Hawaii’s Expanded Weed Laws Mean for You

How to Apply for a Medical Card in Hawaii

Applying for a Hawaii 329 card begins with choosing the path that fits your situation. Residents and long-term visitors follow the In-State Process (ISP). Meanwhile, short-term visitors use the Out-of-State Process (OSP) for temporary access during their stay.

In-State Process (ISP) for the 329 Card Hawaii

The In-State Process (ISP) serves two distinct groups: Hawaii residents and visitors planning extended stays in the islands. If you’re a resident, this is your standard path to a 329 card.

If you’re visiting but expect to spend more than 120 days in Hawaii within 12 months, you’ll also need to apply through the ISP rather than the Out-of-State Process (OSP).

You’ll need the following to be eligible for the In-State Process

• Access to a Hawaii cannabis doctor to certify your condition
• Valid Driver’s License, State ID, or Passport

Once you have what you need, here’s how to apply for your Hawaii 329 card through the In-State Process:

1. Create your Quick Med Cards account.
2. Book an appointment with a cannabis doctor in Hawaii.
3. Attend your evaluation over a video call.
4. Receive your medical marijuana certification.
5. Create your account at medmj.ehawaii.gov.
6. Complete the online application form.
7. Pay the $38.50 registration fee.
8. Submit your application to your Hawaii cannabis doctor.
9. Your doctor reviews and forwards it to the Hawaii Department of Health.
10. The Department approves your application.
11. Download your 329 card.

The cost for the In-State application is $38.50. However, you’ll need to pay a $16.50 ammendment fee if you need to make corrections to an already submitted application.

Hawaii Out-of-State Medical Card – Out of State Process (OSP)

Are you visiting Hawaii temporarily and already have a medical cannabis card from another state? Then, the Out-of-State Process (OSP) provides short-term access to Hawaii’s dispensaries.

This option is for visitors who don’t meet the 120-day threshold for In-State registration.

You’ll need the following for an Out-of-State medical marijuana in Hawaii: 

• Valid medical cannabis card from a U.S. state, territory, or D.C.
• Valid state ID or driver’s license from the same state or territory, with the same name
• Certified in your home state for a condition recognized under Hawaii law

Once you have all the requirements above, go ahead and apply for your medical card by following the steps below:

1. Visit medmj.ehawaii.gov and create your account.
2. Select and complete the out-of-state application.
3. Pay the $49.50 fee.
4. The Hawaii Department of Health reviews your application.
5. Download your registration card upon approval.

You can apply up to 60 days before your requested start date. Each term lasts 60 days, and you may apply for no more than two terms in a calendar year. Your “start date” is required, and you can align it with your arrival in Hawaii.

Important: your Hawaii registration will expire on the same date as your home state card, even if that’s before your 60-day term ends.

Check the Status of Your 329 Card Application

Checking your 329 card status helps you know exactly where you are in the process and whether you need to take action.

Follow the steps below to check the status of your application:

1. Log in to your account at medmj.ehawaii.gov.
2. Click on “Application Status.”
3. Review the current status shown on your dashboard.

Here’s what each application status means:

• Unfinished: Your application is incomplete. Complete it by clicking “Finish.”
• Submitted to Doctor/APRN: Your certifying provider has your application.
• Submitted to DOH: The Department of Health has your application and will review it.
• Waiting for Activation: You already have a valid 329 card. Once it expires, this new registration will activate automatically.
• Waiting for patient / Waiting for physician/APRN: Your application is incomplete and needs corrections.

There’s no additional fee to check your application status. This tracking feature is part of the state’s online portal system.

Keeping your medical cannabis access uninterrupted means renewing your 329 card before it expires. The renewal process mirrors your initial application, with an option for eligible patients to extend their registration to two years.

You may qualify for a two-year renewal if:

• You’re renewing with the same medical provider who certified you previously
• Your certifying provider confirms your condition is chronic in nature
• Your provider recommends a two-year registration in your best interest

You’ll receive an email reminder 60 days before your card expires, and you can submit your renewal application anytime during that 60-day window. Remember, your renewed card won’t become active until your current one expires.

Follow the steps below to renew your Hawaii medical card:

1. Complete our questionnaire form and create your Quick Med Cards account.
2. Book an appointment with a Hawaii cannabis doctor.
3. Attend your online consultation via video call and get certified.
4. Log in to your account at medmj.ehawaii.gov.
5. Click on “Application Status.”
6. Click the “Renew” button.
7. Fill out or update your application information.
8. Submit your payment.
9. Click “Submit” to finalize.

The renewal fee is $38.50 for a one-year registration or $77 for a two-year registration if you’re eligible. 

Grow Site Application

If you plan to grow your own medical cannabis in Hawaii, you need to register your grow site.

Hawaii weed laws limit who can grow, where to cultivate, and how many plants you can have at once.

Who can legally grow medical cannabis?

• Medical cannabis dispensary
• Primary caregiver
• Qualifying patient

Where can you grow cannabis in Hawaii?

• The qualifying patient’s residence
• The designated primary caregiver’s residence
• Another property owned or controlled by the patient or caregiver

Follow the steps below to register your grow site through the Hawaii Medical Cannabis Registry Program:

1. Start your patient application.
2. Check “yes, there is an active or planned grow site for this record.”
3. Enter the grow site details as requested.
4. Submit your application for approval.

There’s no extra cost to register a grow site; it’s part of your regular $38.50 card fee.

Remember to tag all your plants with your 329 card registration number and expiration date. Also, the growing limit is ten cannabis plants (immature or mature), and you can possess up to four ounces of usable cannabis at any given time.

About the Hawaii Medical Cannabis Registry Program

Hawaii’s medical cannabis journey began in 2000 when Senate Bill 862 (Act 228) removed criminal penalties for patients using marijuana with a doctor’s recommendation.

The program has evolved over the years. Initially, only patients with specific qualifying conditions could get medical marijuana in Hawaii. Now, doctors can certify you for any medical condition provided they believe it could benefit your health, thanks to HB 302 (Act 241).

Today, the Hawaii Department of Health oversees two connected programs: the Medical Cannabis Patient Registry Program and the Medical Cannabis Dispensary Program. Both work together to ensure patients can access medical cannabis safely while protecting public health.

The registry also serves as a law enforcement tool, giving officials limited database access to verify legitimate medical use and prevent illegal cannabis activity in the community.

The program has grown significantly. As of September 30, 2025, there are:

• 29,057 in-state patients with valid 329 cards
• 2,414 caregivers
• 241 certified medical cannabis physicians and APRNs 
• 773 registered out-of-state visitors from 30 states, territories, and the District of Columbia

The program balances patient access with safety, making Hawaii one of the more progressive medical cannabis states in the nation.

Key Takeaways

• The Hawaii Department of Health oversees the state’s medical cannabis program.
• A Hawaii cannabis doctor must certify you for medical marijuana and submit your 329 card application before you can get a medical card.
• The state fee for the Hawaii 329 card is $38.50.
• Your Hawaii 329 card lets you buy up to 4 ounces of medical marijuana weekly.
• The cultivation limit for cardholders is ten (10) cannabis plants.

Common questions about the Hawaii Medical Cannabis Program

Below are answers to common questions patients have about the Hawaii Medical Cannabis Program.