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Courtesy Medical Marijuana of Hawaii

Latest News:

Office Closure Notice: We will be closed from February 15th to the 22nd, and March 19th to the 29th.


Be sure to read this entire page as the system has changed!

My medical license number is found here:( (if the system does not take the information or you get an error message, clear your browser's cache and reboot the browser.)

 When contacting me: Please read before calling or writing me.

I have reposted the DOH guidelines, added clarifications below, and outlined the most common errors being made through this link:  

For the most current Oahu office Clinic Hours and Costs: Preparing for your office visit. 

Let's be very clear, in case the new system is confusing. You can not submit an online applications with any errors. It will be rejected by DOH and you will be asked by DOH email to fix it. Patients must submit an online application with a valid email and telephone number. If your online registration application is not certified by the doctor, you will never get your 329 medical cannabis card, and you will not be legal, no matter how many times you tell me you paid the state fee. See their website for why you paid their state fee without the guarantee of a card to be certified and issued.

In order to be certified and to complete your license registration, you must be seen in the clinic by Dr Barton, whether it is for a renewal or a new license. Patients with health issues, whose disability affects their traveling abilities, and non-Oahu patients need to contact me directly.  The current waiting period for cards after being seen in the clinic, using the online process without any registration errors is 3 to 4 weeks with some patients getting their cards within a week now.


PLEASE NOTE: Urgent: The majority of patients are finding that the state's new process for obtaining a medical cannabis card is a bit overwhelming, and too many errors are being made.  The system does not allow us to fix any of your errors. I am NOT able to edit your online forms. I am returning too many applications due to errors and deficiencies, which is NOT sustainable because of the time requirements.  Going forward, I can no longer respond to all the emails and texts asking how to fill out the online registration.  You may be subject to the higher fee schedules as posted under fees, if there are errors and deficiencies. All I can say is follow the directions. Please follow the directions on this site as well as the Dept. of Health's website.

I have reposted the DOH guidelines, added clarifcations below, and outlined the most common errors being made through this link:   My medical license number is found here:(

  The application process of the DEPARTMENT OF HEALTH (DOH) has changed completely as of December 2015. In the past, one reason physicians avoided becoming involved with the program was the huge application burden placed on the medical staff offices. Now, the DOH seems to have made this registration process much harder, and it does require some internet and computer expertice.  If you are having trouble with the new system, please find someone to help you. Our office can help with small issues only.  I do not see how any sane doctor would want to become involved if they did not believe in the use of cannabis as a medicine.

  The online registration does cut down on multiple points of US Postal Service mailings (and expense) that delay and add several weeks to the issuance of cards.  It decreases the delay of returned paper applications due to errors, as well! However, this new method does require a significant amount of time and effort on your part, and still has not resulted in the timely issuance of cards. Three weeks is still too long for cancer patients. The application errors are still being made, but sooner in the process. It is the patient's responsibility to not make errors. We are hoping that this will change. Ultimately, the registration process is between the DOH and the patient. Please review the following link: 

It is all online and there are no more paper applications. There are no more money orders to the state. You will need to do the online portion from home (see below) before coming to the office to be certified. All patients still need to be seen in the office for the medical visit in order to receive the certifiction and my signature on your state application, as required by the law.  The NEW DOH process requires that the physician "sign" the online certification form using a digital signature. We still have our own medical forms and consents that need to be signed every year. The cards are mailed directly to the patient's mailing address by the DOH. We have reduced the office renewal fee to $150 for all patients successfully using the new process from home without our assistance. 

Applying online requires a significant amount of time and effort on your part. If you arrive at the office not having completed it, expecting the office staff to do it for you, then there is a very good chance that you will not be able to be seen, and will need to return once it is completed at home. It is just too disruptive to the clinic. This is especially true if you made no effort.

You may inquire if the office staff is able to help, but we make no guarantee.  The following fees will be collected 

The office fee for having the staff do the entire applcation is $250. This requires making the state accounts, with username and passwords, filling in the multiple online pages, printing, scanning, and making the appropriate files to be uploaded, and uploading them, followed by the submission of your credit card information to pay the state. 

The office fee for applications that require assistance to print, scan and upload the government issued ID/DL/Passport and cetificates is $225.

The office fee for uploading your ID file only is $200.

I will be blunt: My goal is for everyone to do the online process at home, pay only the office renewal fee of $150, and not depend on the office staff. I can no longer respond to all the emails and texts asking how to fill out the online registration. 


Priority will be given to those with completed online applications. TAKE NOTE: You must upload your Government issued ID file to the state while applying through the DOH portal. Otherwise, the application is rejected until it is corrected. If required, the grow site certifications as well as caregiver certifications have to be uploaded as well, using the DOH website uploading mechanism. 

Once registered online, patients must be seen and certified by the physician. My medical license number is found here:(  Medical offices will still have their own paperwork to complete. We have consents and medical information updates that must be completed every year. The DOH registration card is good for one year only. Also, I would request that you give us an idea by email or texting as to when you expect to be seen in the clinic. Otherwise, I will empty the queue by returning your application to you electronically to be resubmitted when your medical office visit gets near.  Our clinics are open, but not "walk in" clinics, and patients are seen on a first come first serve basis if they have completed the online process.  For the most current office Clinic Hours and Costs: Preparing for your office visit. When contacting me: Please read before calling or writing me.





  • Schedule a follow-up appointment with your physician to be certified or re-certified (i.e. annual renewals)
  • Go to and create a “free” secure account.  Be sure to remember your username and password so you can check on the status of your application!
  • Go to and login (click here for an Instructions OVERVIEWvideo of the application process).  Although you can create your “free” account now, you will not be able to submit an application to your physician until after the system is launched (on or after December 1, 2015).
  • Fill out the online application and upload any required documents (i.e. clear copy of your valid ID).  Click here for DETAILED INSTRUCTIONS on how to complete the online application.
  • Pay – the cost is $38.50 ($35 application fee + $3.50 portal administration fee); you must pay with a credit/debit card or direct withdrawal from a savings or checking account. All fees are non-refundable, even if a card is NOT issued. Applications that utilize direct withdrawals from savings or checking accounts will not be processed until a minimum of 10 business days from date debit (to be sure it clears your account). Applications that utilize credit/debit card payment will have the shortest turnaround time.
  • Submit your application to your physician.
  • Once your physician certifies your condition and submits your application to DOH, your application will be in queue for processing. Patients can NOT submit their application directly to DOH.  
  • DOH will review the items submitted and issue the 329 card for complete applications in the order received.  All 329 cards will be mailed directly to the patient.  Patients are responsible for ensuring that their caregiver gets the caregiver 329 card.


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PTSD has been recently approved by the DOH to qualify patients for a cannabis license, to accomodate all the military vets with service connected injuries, and combat related conditions.


It should be noted that the Department of Health states that they are currently processing cards within 3 to 5 weeks. However, the holiday season traditionally has seen a slowdown in processing speed. We are hoping that their new system will prevent that, and in fact, we hope that the card issuance time will be dramatically improved. 

We will no longer be checking the status of cards. The cards are mailed directly to patients. There are some residual cards being issued through the old system, but all new cards after December 1st are sent by the state and we do not have any control over them.

Please be careful and try not to make any errors. 

The DOH says that you can't possess medical cannabis or grow until you take possession of your license, so the waiting for the issuance of cards is very important. It affects medical care directly. The law says you only need a medical doctors certifcate, so this is one area that needs to be resolved. I am not a lawyer and I do not give any legal advice on what to do if you do not have a current valid registration card.  As written in law:

Haw. Rev. Stat. § 329-122 : Hawaii Statutes - Section 329-122: Medical use of marijuana; conditions of use.

(a) Notwithstanding any law to the contrary, the medical use of marijuana by a qualifying patient shall be permitted only if:

(1) The qualifying patient has been diagnosed by a physician as having a debilitating medical condition;
(2) The qualifying patient's physician has certified in writing that, in the physician's professional opinion, the potential benefits of the medical use of marijuana would likely outweigh the health risks for the particular qualifying patient; and
(3) The amount of marijuana possessed by the qualifying patient does not exceed an adequate supply.

The issue involves only the use of medical cannabis by patients. One should not have to wait for the state to issue a document in order to receive medical care in the form of medicine. NO WHERE else in medicine are patients required to wait. You are seen by a licensed physician and receive a prescription. Then you go get the medicine at the pharmacy , THAT VERY DAY, if needed. Cancer patients need immediate protection, as they have immediate needs due to chemotherapy and other treatments. Children with severe seizure disorders are being told to wait as well.  As a father and grandfather, I can imagine the distress that this condition causes. There are lots of people who have immediate needs, and the state is making ALL wait for their process. I would be sued for medical malpractice if I forced cancer patients to wait weeks to months for care, without medical cause or reason.  Now, It looks like it will require the Hawaii State Legislature to revise the statutes in the upcoming 2016 Legislative Session.  I want to pubicly thank Sen. Wil Espero and Rep Della Belatti for their efforts on patients' behalf. 

EVERYONE is free to contact the DOH themselves, and to complain to the governor. I do not know of any quick number into the DOH. The phone number is mostly busy for us too! We are not state employees. If you want to be rude to us for the card delays, we will ask you to go elsewhere for your future needs. We are just as unhappy about the waiting as you are. This is an issue between you and the State of Hawaii Government and the Department of Health.

All I can say is to be careful with the application/ certifications so that it is filled out perfectly with no errors, and to be patient.


You DO NOT need to have a second physician sign your application. I am your primary care physician as far as your cannabinoid  therapy is concerned.

When visiting the Waimanalo office, the village requests that you park outside the gate on the left side to allow the locals access as you wait for the gate to open. Past the gate, drive very slowly to the office. Please be curteous to others, cooperative,  and non-aggressive.

Medical Marijuana of Hawaii


Clinic Information



Board Certified Physician


We offer more than just a signature on your Hawaii Medical Marijuana Program application.  At Hawaiian-Pacific Pain and Palliative Care, you will be seen by a:

  • Board certified Pain Medicine Physician

  • With over three decades of clinical experience

  • Fully trained double boarded surgeon, with extensive cancer surgery experience.
  • More information about Dr. Barton

Cannabinoid Medicine is serious medicine, and needs to be taken seriously.   


Benefits of Medicinal Cannabis

As recognized by the US National Institutes of Health/ National Cancer Institute:The potential benefits of medicinal Cannabis for people living with cancer include:

  • Antiemetic effects (effective against vomiting and nausea)

  • Appetite stimulation

  • Pain relief

  • Improved sleep

  • Symptom management

  • Direct antitumor effect

  • End of life care


Alternative to Traditional Medications


Cannabis medicine is a legitimate alternative to the usual traditional medications being prescribed for:


  • Pain

  • Muscular spasm

  • Neuropathy

It is safer and more effective than many, if not all, traditional medications used for a variety of conditions. Our goal is to combine traditional non-pill pain medicine therapies with your right to use cannabis in a medicinal fashion.


Legal in Hawaii for Medical Use


Marijuana can be used legally in Hawaii to treat a variety of illnesses, including:


  • Cancer

  • Glaucoma


  • Chronic or debilitating disease or medical condition

  • Cachexia or wasting syndrome

  • Severe pain

  • Fibromyalgia

  • Severe nausea

  • Seizures, including those characteristic of epilepsy

  • Severe and persistent muscle spasms, including those characteristic of multiple sclerosis Crohn's disease

  • Any other medical condition approved by the department of health pursuant to administrative rules in response to a request from a physician or potentially qualifying patient.


More Information


Click the links to learn more about the following topics:


Signed: David J. Barton, MD

(I am still reviewing the content of the website, which has been revamped)

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