Patient Referral Forms

Patient Referral Forms 2019-09-26T21:32:13+00:00

For Physicians

If you think your patient may benefit from prescription cannabinoids or medical cannabis, please download and complete the Patient Referral Form below. Completed forms can be faxed to CMClinic at 1-844-320-9652.

Printable Referral Form For Physicians
Printable Referral Form (French) For Physicians

Patient Self Referral

Online Patient Self Referral Form
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