Medical Document Form

In order to access marijuana for medical purposes you must first obtain a medical document from your physician or authorized nurse practitioner which includes this information:

Your full name
Your date of birth
Address where you consulted with the physician/ practitioner
Amount Authorized - daily grams of dried marijuana you are authorized to use, the period of use  (i.e. number of days, weeks or months), which cannot exceed one year from the date the medical document is signed by the health care practitioner
The health care practitioner's name and, administrative information (profession, license number, province of license, business address, phone number, fax number and email address, if applicable)
An attestation by the health care practitioner that the information contained in the document is true and complete.

For a Medical Document Form which includes the above information, Click here