Services are available for ALL residents & visitors of all Hawaiian Islands ( including international patients). The process has two parts to obtain your instate 329 card/Medical Marijuana Card: 1. Consultation Evaluation: Book an appointment. There are different types of appointments. 2. 329 Evaluations/ Renewals- streamlined for patients familiar with the process. Requires a completed patient state application & completion of clinic forms prior to the consult appointment, otherwise a late processing fee will be added. Includes a review of your medical history, determination of eligibility, submission of your completed application to the state & information about program rules & regulations. Pricing is $105 for 1 year & $ 210 for 2 years for eligible returning patients. • Cannabis medicine consults combined with 329 evaluations/renewals: includes a review of your medical history, determination of eligibility, evaluation of any drug interactions & cannabis, and a personalized cannabis dosing reccomendations tailored to your condition & health needs. Best for patients new to Cannabis or patients who need help with their dosing or patients who do not meet qualifying conditions. Pricing: $225 • Follow up appointments for dosing: Returning medical cannabis consult patients can book a follow up appointment. Pricing: $125 All patient appointments are telemedicine. You can choose from a video call using a HIPAA compliant platform or as a secure telephone call. 2. Completing a 329 State Application: Complete your patient application with the Hawaii State Department of Health & pay the state Fee. For Certifying provider - add Abir Amirdash, APRN license 2122. Assistance with your application is available during your evaluation for an additional fee. $40 for completing your with application on your behalf. $50 for for completing your with application with caregivers or international applicants. Late State Application Processing Fee $50 During your appointment, your state application is reviewed for accuracy and submitted. If your state application is incomplete or not completed prior to your appointment and you did not indicate during booking that you needed assistance, an additional $50 fee will be applied for the time required to review and submit it later. Full payment for your consultation is due at the time of service . Consult cost is separate from your application state fees. For complete instructions and helpful resources, refer to our [329 Card page]. (https://www.pakalohacare.com/get-a-card)

• ALL Appointments are done as Telehealth. Appointments can be video or telephone . Video visits are conducted using a HIPAA-secure platform. • Returning patients renewals: Completed as a telephone call. • Cannabis medicine Dosing: Can be either a video or a telephone call.

Alongside Cannabis Medicine consults & 329 certifications, I offer cannabis speaking engagements, health & wellness coaching, & Reiki services. For non cannabis related health concerns, Abir is available on HMSA online Care platform for episodic visits- usually covered by your insurance provider. Any cannabis related consults/visits are not covered by any medical insurance due to federal cannabis status. Pricing: • 329 evaluations/ renewals- fast track: $105 for 1 year certificate, Renewals for 2 years is $210 • Cannabis medicine Consult + 329 evaluation: $225 for 1 year • Cannabis medicine consult follow up/ Dosing guidance: $125 Follow up consult for patients requiring extra guidance using cannabis, tailored to your needs. • Health & wellness Coaching: For help managing your health. Pay per session. contact us for pricing. • Cannabis Medicine Speaking engagements: Available for community events & educational support for healthcare colleagues - contact for more info. ​​ Additional Fees: Please note the state application fee is an independent & separate cost from your evaluation cost. • An additional $40 fee will be added for assistance with patient state applications. • An additional $50 fee will be added for assistance with patient state applications that include caregivers &/or grow sites & for international patients requiring assistance. • Late State Application Processing Fee $50 : During your appointment, your state application is reviewed for accuracy and submitted. If the application is incomplete or not completed prior to your appointment, and you did not indicate during booking that you needed assistance, an additional $50 fee will be applied for the time required to review and submit it later. ​​ Payment options: Only digital payments are accepted. We accept all debit & credit cards, Venmo, & Cash app.

In Hawai‘i, only medical cannabis cardholders can access dispensaries. A caregiver is someone you designate to attend dispensaries on your behalf or accompany you, purchase your medicine, and legally carry it for you. A caregiver can also cultivate cannabis for qualifying patients. We especially encourage patients who are disabled or undergoing extensive treatments to assign a caregiver when completing their state application to ensure safe and convenient access to their medicine. Per the state: Primary caregiver” means a person eighteen years of age or older, other than the qualifying patient and the qualifying patient’s physician or advanced practice registered nurse, who has agreed to undertake responsibility for managing the well-being of the qualifying patient with respect to the medical use of cannabis. In the case of a minor or an adult lacking legal capacity, the primary caregiver shall be a parent, guardian, or person having legal custody. for more info contact OMCCR directly at 808-586-4400()

Patients have the choice to cultivate up to 10 cannabis plants & limited to five cards per location with the exception of inhabited islands without a dispensary- currently: Moloka'i, Lanai & of course Ni‘ihau! your plants must be tagged. Tagging & labeling your plants. (https://health.hawaii.gov/medicalcannabisregistry/files/2019/12/0.-Cannabis-Tagging-Be-a-Good-Neighbor.pdf ) Patients opting to grow should consider adding this option initially to avoid additional fees. Medical cannabis may be grown at one of the following locations and that location must be identified on your 329 Card: • the residence of the qualifying patient, or • the residence of the designated primary caregiver, or • another site that is either owned or controlled by the qualifying patient or the designated primary caregiver. Grow site FAQs: Here. (https://health.hawaii.gov/medicalcannabisregistry/growing-cannabis/ )

All use of medical cannabis must be on private proper. Do not use cannabis in your car while on the road, at work, at school or on school grounds, at the beach, at a park, on hiking trails, on a bus, or in any other public space. It is illegal to use or possess cannabis on any federally owned property such as military installations and national parks.

Although medical cannabis is legal in HI, driving under the influence of cannabis is illegal and can be dangerous.

When transporting medical cannabis away from home, ensure it is stored in a sealed container and kept out of public view. You are able to carry up to 4 ounces for personal use. It is important to note that flying, including inter-island travel, with any cannabis remains illegal under federal regulations. Even with a medical certification, patients are not protected when transporting medical cannabis inter-island, between states, or internationally.

Office of Medical Cannabis Control & Regulation (OMCCR)(https://health.hawaii.gov/medicalcannabis/) Application process ( https://health.hawaii.gov/medicalcannabisregistry/application-information/ ) 329 Forms & Resources ( https://health.hawaii.gov/medicalcannabisregistry/329-forms/ ) Questions or Issues About Your State Application or Card?  Please contact the Office of Medical Cannabis Control & Regulation (OMCCR) directly: • 808-586-4400 (Option 2) • DOH.medicalcannabis@doh.hawaii.gov(mailto:DOH.medicalcannabis@doh.hawaii.gov) • eHawaii.gov (http://eHawaii.gov)Help Desk: 808-695-4620