Last updated: October 1, 2026

How Kahului Residents Can Register for a 329 Medical Cannabis Card

Kahului residents who want to participate in Hawaiʻi’s medical cannabis program must obtain registration through the Hawaiʻi Medical Cannabis Registry Program. Receiving a 329 card generally involves meeting with an eligible Hawaiʻi medical provider, obtaining medical cannabis certification, completing the required patient application, paying the state registration charge, and receiving approval from the Hawaiʻi Department of Health.

Begin With an Eligible Hawaiʻi Medical Provider: A Kahului applicant needs to establish a bona fide provider-patient relationship with a physician or advanced practice registered nurse who meets Hawaiʻi’s requirements. Physicians must hold the appropriate Hawaiʻi medical and controlled substance credentials, while APRNs must have the required prescriptive authority.

Receive an Individual Medical Cannabis Assessment: The physician or APRN evaluates the patient’s medical condition and determines whether certification is appropriate. Hawaiʻi uses medical cannabis certification rather than a conventional prescription, and the provider remains responsible for the medical assessment supporting that certification.

Complete the Patient Registration Application: After an authorized physician or APRN submits the required medical certification to the Hawaiʻi Department of Health, Kahului patients can proceed with their online registration. Applicants must provide the identification and supporting information requested by the state, including caregiver or registered cultivation-site details when applicable.

Pay the Hawaiʻi Registration Fee: First-time Kahului applicants must pay the applicable state registration charge for a one-year 329 card. Under the updated program, qualifying renewal patients may obtain a three-year registration. Medical certification expenses are charged separately by the physician or APRN.

Wait for DOH to Process the Application: Once the provider's medical certification has been received and the patient has completed the required registration, the Hawaiʻi Department of Health evaluates the application. Complete submissions are generally reviewed within three to five business days, while applications requiring corrections may take longer.

Access the 329 Card Once Approved: When registration is approved, patients with online accounts can retrieve their electronic 329 card. Kahului patients and their caregivers must have both a valid 329 card and valid identification when possessing medical cannabis.

Can Minor Patients Obtain a 329 Card in Kahului?

Yes. Hawaiʻi permits qualifying patients under 18 to participate in the Medical Cannabis Registry Program. Minor patients must meet additional registration requirements, and a parent or legal guardian must be involved as the appropriate caregiver.

Which Medical Conditions May Qualify Kahului Patients?

Hawaiʻi allows certification for specifically recognized debilitating medical conditions. Current program eligibility also includes certain other diagnosed medical conditions when an eligible primary treating medical provider provides certification, as well as qualifying patients certified by a hospice provider while receiving hospice care.

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

A patient may therefore have a possible certification pathway even when the diagnosis is not one of the specifically listed conditions. An eligible primary treating medical provider must determine whether the other diagnosed condition satisfies Hawaiʻi’s current certification requirements.

How Much Does Hawaiʻi 329 Registration Cost for Kahului Patients?

New Kahului patients must first obtain the required medical certification before applying for a one-year 329 registration. The state application fee is paid separately from the provider's medical evaluation and certification charges.

Can Kahului Patients Get a 329 Card Without Paying the State Fee?

No. Kahului residents must pay Hawaiʻi's required registration fee to receive a 329 card. They should also account for the cost of medical certification, which is separate from the state payment. Hawaiʻi limits the provider's certification charge to $105 for a one-year certification.

What Medical Certification Is Needed for a Kahului 329 Application?

Kahului applicants must receive certification from an eligible Hawaiʻi physician or APRN before registering through the state system. Following an appropriate medical evaluation, the provider submits the required certification to the Hawaiʻi Department of Health. Patients can then complete their registration application.

For provider-initiated applications, the Hawaiʻi Medical Cannabis Registry Program provides medical provider certification forms for qualifying patients, minors or adults lacking legal capacity, primary caregivers, and registered grow sites.

How Soon Can Kahului Patients Receive Their 329 Card?

Hawaiʻi generally aims to process complete patient applications within three to five business days after receipt. Once an application is approved, patients with online accounts can access the electronic 329 card through the registry system.