Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 160 - MEDICAL USE OF CANNABIS › Subchapter 4 - QUALIFYING PATIENT AND PRIMARY CAREGIVER REGISTRATION › Section 11-160-16 - Qualifying patient and primary caregiver registration requirements

Current through June, 2024
(a) To apply for or renew a qualifying
				  patient's registration, an applicant shall submit the following to the
				  department on a form and in a manner prescribed by the department:
(1) The qualifying patient's full name,
				  residential, mailing, and email addresses, date of birth, and
				  signature;
(2) For a qualifying
				  patient who is a minor or an adult lacking legal capacity, the full name,
				  residential, mailing, and email addresses, and date of birth of a parent,
				  guardian, or person having legal custody of the minor or the adult lacking
				  legal capacity;
(3) A written
				  certification from the qualifying patient's certifying physician or certifying
				  advanced practice registered nurse;
(4) A statement of whether the qualifying
				  patient or the primary caregiver will be cultivating cannabis, if at all, for
				  the qualifying patient's use;
(5)
				  The location of the grow site, if any;
(6) Whether the qualifying patient or the
				  primary caregiver is claiming the grow site as the qualifying patient's or
				  primary caregiver's residential address or other location under the qualifying
				  patient's or primary caregiver's ownership or control;
(7) An attestation by the qualifying patient
				  or the primary caregiver that the qualifying patient or the primary caregiver
				  resides at, owns, or controls the grow site;
(8) A clear photocopy of the qualifying
				  patient's identification document showing the patient identification
				  number;
(9) A consent by the
				  qualifying patient or the qualifying patient's parent, guardian, or person
				  having legal custody of the qualifying patient if the qualifying patient is a
				  minor or an adult lacking legal capacity, for the certifying physician or
				  certifying advanced practice registered nurse to release health information
				  pertaining to the qualifying patient's debilitating medical condition to the
				  department for the purpose of registration, monitoring, or
				  investigation;
(10) If the
				  qualifying patient is a minor or an adult lacking legal capacity, written
				  consent by the parent, guardian, or person having legal custody of the
				  qualifying patient to:
(A) Allow the
				  qualifying patient's medical use of cannabis;
(B) Serve as the qualifying patient's primary
				  caregiver; and
(C) Control the
				  acquisition of the cannabis, the dosage, and the frequency of the medical use
				  of cannabis by the qualifying patient;
(11) If the qualifying patient is a minor or
				  an adult lacking legal capacity, an attestation by the person applying to
				  register the minor or the adult lacking legal capacity that the person is a
				  parent, guardian, or person having legal custody; provided that the department
				  may require documentation confirming the legal status of the parent, guardian,
				  or person having legal custody of the qualifying patient, including, but not
				  limited to, a birth certificate, power of attorney, guardianship documents,
				  divorce decrees, or other court orders;
(12) An attestation that the information
				  provided in the application is true and correct;
(13) An attestation that the qualifying
				  patient has read, understands, and agrees to abide by part IX of chapter
				  329, HRS, and this chapter;
(14) Payment of registration fees in
				  accordance with section
				  11-160-17;
				  and
(15) Any other information
				  reasonably required by the department to process a qualifying patient's
				  registration, to determine the qualifying patient's suitability for
				  registration, or to protect public health and safety.