Conditions · Hawaii

Does epilepsy and seizures qualify in Hawaii?

Yes. The Hawaii Medical Cannabis Registry Program lists Epilepsy as a qualifying condition. A Hawaii-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About epilepsy and seizures

Epilepsy is a brain disorder that causes repeated seizures. Some forms, like Dravet syndrome and Lennox-Gastaut syndrome, don't respond well to standard medications.

Stronger evidence. The FDA has approved a prescription CBD medicine (Epidiolex) for seizures linked to Lennox-Gastaut syndrome, Dravet syndrome and tuberous sclerosis complex, based on controlled trials.

Symptoms Hawaii patients most often hope to ease:

  • Seizures that continue despite trying two or more medicines
  • Side effects such as tiredness and fogginess from seizure medicines
  • Poor sleep that can make seizures more likely
  • Anxiety about when the next seizure will happen
  • Mood and behavior changes linked to epilepsy
Before you start. Never stop or lower your seizure medicines on your own, because this can trigger severe or prolonged seizures. CBD can raise levels of clobazam and increase liver enzyme problems with valproate, and it can raise levels of everolimus used in tuberous sclerosis complex.

Read more: medical marijuana for epilepsy and seizures.

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

Epilepsy & seizures in nearby states

Frequently asked questions

Do I need medical records for epilepsy and seizures?

Helpful records include: a neurologist's note confirming epilepsy and the seizure type or syndrome; EEG and MRI reports; a complete list of current and past seizure medicines, with doses and side effects. 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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