Hawaii qualifying conditions: the full official list

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

The official list

• ALS (Lou Gehrig's disease) — listed as “Amyotrophic lateral sclerosis (ALS)”
• Arthritis — listed as “Rheumatoid arthritis”
• Cachexia & wasting syndrome — listed as “Chronic or debilitating disease or its treatment that produces cachexia or wasting syndrome”
• Cancer
• Chronic pain — listed as “Chronic or debilitating disease or its treatment that produces cachexia or wasting syndrome”
• Epilepsy & seizures — listed as “Epilepsy”
• Glaucoma
• HIV/AIDS — listed as “Positive status for HIV”
• Lupus
• Multiple sclerosis
• Nausea & appetite loss — listed as “Chronic or debilitating disease or its treatment that produces severe nausea”
• PTSD — listed as “Post-traumatic stress disorder (PTSD)”
• Rheumatoid arthritis
• Severe muscle spasms & spasticity — listed as “Chronic or debilitating disease or its treatment that produces severe and persistent muscle spasms”
• Terminal illness & hospice — listed as “Patients in hospice care (certified by a hospice provider)”

Always confirm against the official Hawaii list, which can change.

What to do next

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.

Sources

• Hawaii eHawaii.gov - Medical Cannabis Registry service page
• Hawaii DOH - Qualifying Medical Conditions
• Hawaii DOH - In-State Patient Application
• Hawaii DOH - Out-of-State Patient Application
• Hawaii DOH - Growing Cannabis
• Hawaii DOH - Registry Program Updates

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.