Last updated: October 1, 2026
Renewing a Hawaiʻi 329 Card in Hilo
Hilo patients may begin renewing their Hawaiʻi medical cannabis registration up to 60 days before their existing card expires. Starting within this renewal period gives Hilo patients time to obtain updated certification from an eligible medical provider, complete the required renewal information, pay the applicable registration charge, and allow for DOH review.
Do Hilo Patients Have to Renew Their 329 Card?
Yes. Patients need a current 329 registration to maintain their status within Hawaiʻi’s medical cannabis program. DOH sends electronic renewal notifications approximately 60 days before expiration to participants with registry accounts.
When a renewal application is approved before the existing card expires, the replacement registration normally does not become active immediately. Only one 329 card is valid at a time, and the renewed card generally activates when the previous registration expires.
What Is the 329 Renewal Process for Hilo Patients?
Renewal generally begins with updated medical certification from an eligible provider, followed by completion of the state renewal registration and payment of the applicable fee.
Arrange the Renewal Certification: Hilo patients should contact the physician or APRN responsible for certifying the renewal. Depending on the provider and circumstances, telehealth may be available. Hawaiʻi’s Medical Cannabis Registry Program recommends communicating with the certifying provider before submitting the renewal application.
Update the Patient Application: After the medical provider submits the required renewal certification to the Hawaiʻi Department of Health, the patient can review the information associated with the 329 registration, make any necessary changes, provide required documents, and complete the renewal through the registry.
Pay the Applicable Renewal Fee: A one-year renewal costs $38.50. Under the updated process, qualifying patients may be eligible for a three-year renewal period. State registration payments are non-refundable.
Retrieve the Renewed Registration: Following DOH approval, the updated 329 card becomes available electronically. Patients should continue using the existing card until it expires because the new registration ordinarily activates afterward.
How Long Is a Hilo Patient’s 329 Registration Valid?
A new registration is generally issued for one year. Eligible renewal patients may qualify for a registration period of up to three years under Hawaiʻi’s updated medical cannabis process.
How Much Does 329 Renewal Cost for Hilo Patients?
Hilo patients pay $38.50 for a one-year state renewal. Qualifying patients may be eligible for a three-year renewal period under the updated process. Medical-provider certification is billed separately from the state registration fee.