Haw. Code R. § 11-160-43.01 - Registration requirements for qualifying out-of-state patients and caregivers of qualifying out-of-state patients
(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.
(b)
The department may register two caregivers for a qualifying out-of-state
patient who is a minor; provided that each caregiver is a parent, guardian, or
person having legal custody of the qualifying out-of-state patient; provided
further that each caregiver shall comply with subsection (a) and section
11-160-43.05.
(c) A qualifying
out-of-state patient or a caregiver of a qualifying out-of-state patient shall
submit an application for a new registration or renewal of a registration no
earlier than sixty days before the desired effective date of the registration
or renewal.
Notes
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