About Us
HiloMarijuana.clinic — Hawaii Medical Cannabis for the City of Rainbows
Hilo is the City of Rainbows — the largest city on the island of Hawaii (the Big Island), seat of Hawaii County, home to the University of Hawaii at Hilo, Rainbow Falls, the Liliuokalani Gardens, and historic Banyan Drive along Hilo Bay. HiloMarijuana.clinic is an online directory and telehealth scheduling platform connecting Hilo residents with Hawaii-licensed physicians and APRNs for 329 medical cannabis certifications.
We are not a medical practice, dispensary, or pharmacy. We connect patients with qualified Hawaii-licensed physicians and APRNs and guide them through the 329 certification and DOH application process — from Downtown Hilo and Banyan Drive to Keaukaha, the Hamakua Coast, and every Hilo District neighborhood.
Every provider on our platform is a Hawaii-licensed physician (MD or DO) or Advanced Practice Registered Nurse registered with the DOH Office of Medical Cannabis Control and Regulation — a broader provider pool than most states in this network.
All telehealth appointments are conducted on HIPAA-compliant platforms. Hilo patients' health information is handled with complete confidentiality throughout the process.
Every certification follows DOH requirements. The $38.50 registration fee is paid directly to the state through medmj.ehawaii.gov — not to this platform.
Hawaii's Medical Cannabis Registry Program, administered by the Department of Health's Office of Medical Cannabis Control and Regulation, is named for HRS Chapter 329 — hence the "329 card." The order of steps matters here. A Hilo patient first books a real-time video appointment with a Hawaii-licensed physician or APRN through this platform; the confirmation email provides the provider's name required for the state application, along with a separate pre-appointment medical intake form. Second, the patient creates an account at medmj.ehawaii.gov, enters the provider's name, uploads a valid ID, and pays the $38.50 registration fee, then submits the application to the assigned provider. Third, the patient completes the intake form and attends the telehealth visit. If the patient's condition is on Hawaii's named debilitating conditions list, the provider can certify it and submit their portion to the DOH. Processing of the complete application typically takes 3 to 5 business days. Once approved, the patient downloads their electronic 329 card — Hawaii issues no physical cards anywhere in the state.
Hawaii recognizes qualifying conditions through three distinct pathways, and it's important Hilo patients understand which one applies to them before booking. The first and most common pathway is a list of named debilitating medical conditions under HRS Section 329-121: cancer, glaucoma, HIV/AIDS, PTSD (added under Act 241, SLH 2015), ALS, lupus, epilepsy, multiple sclerosis, and rheumatoid arthritis (added under Act 041, SLH 2017), or a chronic condition producing cachexia or wasting syndrome, severe pain, severe nausea, seizures, or severe and persistent muscle spasms (including those associated with MS or Crohn's disease). Any Hawaii-licensed physician or APRN — including through a first-time telehealth visit — may certify a patient under this list.
The second pathway, created by Act 241, SLH 2025, covers "Other Medical Conditions" not on the named list. Certification here requires a Primary Treating Medical Provider: the patient's own primary care provider, or a specialist already treating that specific condition, in a bona fide, ongoing provider-patient relationship supported by medical documentation. A first-time telehealth certification visit through this platform generally cannot satisfy this requirement, because the law specifically requires an established treating relationship, not a single evaluation. If your condition is not on the named list, we recommend speaking with your own primary care provider or specialist about certification rather than booking here. The third pathway is hospice: patients receiving hospice care may be certified by their licensed hospice provider while under that care.
Two rules make Hawaii's program distinct. First, all 329 cards are electronic only — there is no physical card to wait for in the mail. Second, inter-island transport of cannabis is prohibited under HRS Section 329-122, even for registered patients, because airports are federal property. Hilo patients traveling between islands must purchase from a licensed dispensary on whichever island they are currently on. Registered patients may possess up to 4 ounces of usable cannabis and cultivate up to 10 plants at a single DOH-registered grow site.
HiloMarijuana.clinic is an advertising platform. Hawaii-licensed physicians and APRNs pay for patient connection and marketing services. Those commercial relationships are disclosed in our Advertising Disclosure and play no role in any provider's clinical decisions. Questions? Use the contact form on our Terms & Policies page.