Health Canada Forms
Cliquez ici pour obtenir les formulaires officiels médicaux de marihuana Programme d'accès. français
| Document | Title | |
| Complete Application |
Application for Authorization | Complete |
| Form A | Application for Authorization to Possess Marihuana for Medical Purposes | Form A |
| Form B1 | Medical Practitioner's Form for Category 1 Applicants | Form B1 |
| Form B2 | Medical Practitioner's Form for Category 2 Applicants | Form B2 |
| Form C | Application for Licence to Produce Marihuana by Applicant | Form C |
| Form D | Application for Licence to Produce Marihuana by a Designated Person | Form D |
| Form E1 | Application to Obtain Dried Marihuana | Form E1 |
| Form E2 | Application to Obtain Marihuana Seeds | Form E2 |
| Form F | Consent of Property Owner | Form F |
| Form R | Application for Renewal of an Authorization to Possess Marihuana for Medical Purposes | Form R |
| Guide | Applicant's Guide | Guide |
| Information | Information for the Patient - Marihuana (Cannabis) | Information |
We understand that the paperwork required to apply with the Marihuana Medical Access Division (MMAD) can be complicated and hope this will help you.
By answering a few simple questions we will provide you with a list of the application forms you will need, detailed instructions and important things to remember when filling them in.
Is your doctor reluctant to sign your MMAR forms?
Often it is useful to show, explain and sign this
Marihuana Liability Release Form that releases them from the liability of signing your application.
- Multiple Sclerosis
- Spinal Cord Injury / Disease
- Cancer, AIDS / HIV Infection
- Severe Arthritis
- Epilepsy
Symptoms treated within the context of providing compassionate end of life care If you do not suffer from one of these conditions you will need to apply as a Category 2 patient.
Get more information on our Who Is Eligible page.
- An assessment of your case by a specialist is required, if your medical practitioner is not already a specialist in the field you are diagnosed
- Your medical practitioner can fill out this form and confirm that a specialist has assessed you condition
- Get more information on our Who Is Eligible page
- Currently hold an Authorization to Possess issued under the provisions of the Marihuana Medical Access Regulations
- Have had no changes to the information provided since their last approved application for an Authorization to Possess
- If you are making a change to your address you must submit Form A along with Form R.
- If you are making a change to your prescription size you must submit Form B2 - whichever is applicable for your condition.
MedicalMarijuana.ca has a large network of professional growers that can provide you with the right strains at an affordable price.
If you would like more choice than Health Canada, cannot afford a compassion club or have difficulty growing your own, let us help by applying now for a designated grower.
Before you decide to make your friend your designated grower make sure you know they have the knowledge and skill to grow you safe, high quality medicine and deliver it you reliably.
Often a friendly offer to produce your medicine can put stress on a friendship when problems arise in the quality, price or timeliness of it.
Additionally, this person cannot have a conviction for a drug offence in the last 10 years and be able to properly secure his/her facility to satisfy Health Canada.
Whether you are an old pro or new to the art of growing make sure you have the right knowledge and the right supplies.
Check out our section for growers.
Health Canada provides the ability to purchase a single strain at $5/gram (plus taxes) from them directly.
Reviews have been mixed regarding its medicinal benefit because of the ability to only purchase one strain.
If you or the designated grower owns the growing location no additional forms need to be filled out.
If the growing location is rented you must get the landlord's consent on Form F.
Important Information About This Form
- This form is used to provide all necessary background information about you.
- To complete Form A you will need 2 passport size photographs of yourself if you have not already submitted photos within the last 5 years.
- These photographs have to be signed by your Medical Practitioner that is signing your application.
Front Page - Select if this is an original authorization or a renewal but some information has changed.
Section A-1 - Fill in your personal information. Select if your home is a private residence or a non private residence. If you live in a residence please provide the name.
If you have a different mailing address than your home (eg. P.O Box) please provide.
Section A-2 - Check that you have included 2 photographs of yourself and that they have been signed by the medical practitioner endorsing your application.
Section A-3 - This is an optional section. If you wish to have a representative speak to Health Canada on your behalf, fill out their personal contact information.
Section A-4 - Check the box indicating how you are planning to get your medication.
Section A-6 - Your signature and printed name.
Important Information About This Form
- This form is used to provide all necessary background information about you.
- To complete Form A you will need 2 passport size photographs of yourself if you have not already submitted photos within the last 5 years.
- These photographs have to be signed by your Medical Practitioner that is signing your application.
Section B1-1 - For your doctor to complete with their information.
Section B1-2 - For your doctor to complete in regards to your health information.
Section B1-3 - For your doctor to indicate your prescriptive amount.
Section B1-5 - Your doctor's signature and printed name.
Important Information About This Form
- This form must be completed by a medical practitioner.
- A specialist's confirmation of diagnosis is required.
Section B2-1 - For your doctor to complete with their information.
Section B2-2 - For your doctor to complete in regards to your health information.
Section B2-3 - For your doctor to indicate your prescriptive amount.
Section B2-5 - Indicate your specialist's information and the date you saw him/her. Your doctor's signature and printed name.
Important Information About This Form
- You have already been authorized at least once and nothing has changed since your last authorization.
- A new photograph, signed by the treating medical practitioner is required every five years.
- Make sure you and the treating medical practitioner has signed the renewal application.
- If you are changing your method of obtaining medication to use a designated grower, you must complete Form C
- If you are changing your method of obtaining medication to grow your own, you must complete Form D
Section R1 - Your personal information.
Section R2 - Indicate how you are currently obtaining your medication.
Section R3 - For your doctor to fill out with their information.
Section R4-A - Your doctor's signature and printed name.
Section R4-B - Your signature and printed name.
