Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 160 - MEDICAL USE OF CANNABIS › Subchapter 6.5 - REGISTRATION FOR QUALIFYING OUT-OF-STATE PATIENTS AND CAREGIVERS OF QUALIFYING OUT-OF-STATE PATIENTS › Section 11-160-43.01 - Registration requirements for qualifying out-of-state patients and caregivers of qualifying out-of-state patients

Current through June, 2024
(a) To apply for or
				  renew a qualifying out-of-state patient's registration, an out-of-state
				  applicant shall submit the following to the department electronically on a form
				  and in a manner prescribed by the department:
(1) The qualifying out-of-state patient's
				  full name, residential, mailing, and email addresses, date of birth, and
				  signature;
(2) For a qualifying
				  out-of-state patient who is a minor, the full name, residential, mailing, and
				  email addresses, and date of birth of a caregiver of the qualifying
				  out-of-state patient;
(3) A clear
				  photocopy of the valid government-issued medical cannabis card issued to the
				  qualifying out-of-state patient by another state or territory of the United
				  States or the District of Columbia; provided that the medical cannabis card has
				  an expiration date and has not expired;
(4) A clear photocopy of the valid photo
				  identification card or driver's license issued to the qualifying out-of-state
				  patient or the caregiver of the qualifying out-of-state patient from the same
				  jurisdiction as the issuing entity;
(5) An attestation by the qualifying
				  out-of-state patient or the caregiver of the qualifying out-of-state patient,
				  under penalty of law pursuant to section
				  710-1063,
				  HRS, that the condition for which the qualifying out-of-state patient is
				  legally authorized to use cannabis for medical purposes is a debilitating
				  medical condition as defined in section
				  329-121,
				  HRS;
(6) A consent by the
				  qualifying out-of-state patient or the caregiver of the qualifying out-of-state
				  patient for the certifying medical provider and the issuing entity to release
				  information to the department for the purpose of verifying registration,
				  monitoring, or investigation;
(7)
				  If the qualifying out-of-state patient is a minor, written consent by the
				  caregiver of the qualifying out-of-state patient to:
(A) Allow the qualifying out-of-state
				  patient's medical use of cannabis;
(B) Undertake the responsibility for managing
				  the well-being of the qualifying out-of-state patient with respect to the
				  medical use of cannabis; and
(C)
				  Control the acquisition of the cannabis, the dosage, and the frequency of the
				  medical use of cannabis by the qualifying out-of-state patient;
(8) If the qualifying out-of-state
				  patient is a minor, an attestation that the caregiver of the qualifying
				  out-of-state patient is a parent, guardian, or person having legal custody of
				  the qualifying out-of-state patient; provided that the department may require
				  documentation confirming the legal status of the parent, guardian, or person
				  having legal custody of the qualifying out-of-state patient, including, but not
				  limited to, a birth certificate, power of attorney, guardianship documents,
				  divorce decrees, or other court orders;
(9) An attestation that the information
				  provided in the application is true and correct;
(10) An attestation that the qualifying
				  out-of-state patient or the caregiver of the qualifying out-of-state patient
				  has read, understands, and agrees to abide by part IX of chapter
				  329, HRS, and this chapter;
(11) Payment of registration fees in
				  accordance with section 11-160-43.02; and
(12) Any other information reasonably
				  required by the department to process the registration of a qualifying
				  out-of-state patient or the caregiver of a qualifying out-of-state patient, to
				  determine the suitability for registration of a qualifying out-of-state patient
				  or a caregiver of a qualifying out-of-state patient, or to protect public
				  health and safety.