Get Your Medicinal Cannabis Card.

Cannabis Clinic Card Application Form

Fill in the form below and provide the following information to successfully apply for your Medicinal Cannabis Card.

Please note that the card costs $25, which includes administration set-up cost & a year of validity.

Medicinal Cannabis User Medical Card

  • Patient's Personal Information

  • Patient Identification

  • Valid form of ID such as a passport or a driver's license
    Max. file size: 25 MB.
  • A clear, full-face selfie with a white background
    Max. file size: 25 MB.
  • Patient's Consent & Declaration

  • To the best of my knowledge, the information that I have supplied is complete and correct.
  • Price:
  • This field is for validation purposes and should be left unchanged.