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Conditions · Hawaii

Does anxiety qualify for a medical card in Hawaii?

By MyMMJRx Editorial Team · Updated · 5 min read

Very likely. Hawaii doesn't limit certification to a fixed list — providers can recommend cannabis for conditions they believe it will help. That includes patients with anxiety when the provider agrees it's appropriate.

Yes. Providers may certify other medical conditions they find appropriate for a patient they treat, and hospice providers may certify patients in hospice care.

About anxiety

Anxiety disorders include generalized anxiety disorder, social anxiety disorder and panic disorder. They're among the most common mental health conditions in the US.

Limited evidence. Evidence is limited. The National Academies found limited evidence that cannabidiol (CBD) improves anxiety symptoms in a public-speaking test for people with social anxiety. THC can ease anxiety at low doses for some people and worsen it at higher doses for others.

Symptoms Hawaii patients most often hope to ease:

  • Racing thoughts and constant worry
  • Trouble falling asleep because of a busy mind
  • Muscle tension and restlessness
  • Feeling on edge in social or work situations
  • Physical stress symptoms such as a tight chest or upset stomach
Before you start. THC can worsen anxiety and trigger panic attacks, especially at higher amounts or with high-potency products. Cannabis can add to the drowsiness of benzodiazepines, sleep medicines and alcohol.

Read more: medical marijuana for anxiety.

How to get certified in Hawaii

  1. Create an account on the state's online medical cannabis registry portal.
  2. See a Hawaii physician or APRN (in person or by telehealth) who establishes a bona fide relationship with you.
  3. Your provider submits a written certification of your qualifying condition through the registry.
  4. Complete your patient application, including caregiver and grow-site details if you plan to grow.
  5. Pay the $38.50 application fee online.
  6. Once approved, download or print your 329 card and use it at licensed dispensaries.

Hawaii allows the evaluation by telehealth, so you can see a Hawaii-licensed provider by video. Our evaluation starts at $79 and is charged only if you're approved.

Costs and timeline

  • State fee: $38.50
  • Card lasts: 1 year (up to 3 years if the provider states the condition is chronic)
  • Processing: Often within days online
  • Patient limit: Up to 4 ounces of usable cannabis (shared between patient and caregiver)
  • Home grow: Up to 10 plants (mature or immature) per patient at a registered grow site
  • Recreational sales: Not legal
  • First visit online: Yes

See the full Hawaii cost breakdown and Hawaii program overview.

Other qualifying conditions in Hawaii

See every qualifying condition in Hawaii

Anxiety in nearby states

Frequently asked questions

Do I need medical records for anxiety?

Helpful records include: notes or a diagnosis letter from a primary care doctor, psychiatrist or therapist describing your anxiety; a list of current and past treatments, including therapy and medicines you have tried; your current medicine list, especially antidepressants, benzodiazepines and sleep aids. Many patients are still evaluated on their history alone, and your Hawaii provider will tell you if more is needed.

How long does certification take in Hawaii?

The provider visit takes about 15 minutes. Often within days online.

Can I renew online in Hawaii?

In most cases, yes. Patients re-apply through the online registry before their card expires, with a new provider certification and another $38.50 fee. Cards for chronic conditions may be issued for up to three years.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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