Medical Cannabis Pre-Qualification

Are you a Canadian Citizen? (required)

Sorry, we can only service Canadian Citizens with valid health cards.

Please Provide Your Age

Our apologies, but at this time, we are unable to offer services to those under the age of 18.

Please note that a parental and/or guardian consent form is required along with your application in accordance with Health Canada regulations.

Are you a Military Veteran?

Do you suffer from any of the following medical conditions?

What is your current status?

Do you suffer from any of the following medical conditions?

Please provide your contact information





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