Canadian Medicinal Marijuana Printable Application Forms

Canadian Medicinal Marijuana Printable Application Forms from Health Canada

We recommend that you read the Quick Guide and Information for Patients documents first and then download the forms that are pertinent to the type of access that you are requesting. You will need to fill out the appropriate applications for Authorization to Possess, Licences to Produce and for supply.

Health Canada's examination of the current available information suggests most individuals use an average daily amount of 1 gram to 3 grams of dried marihuana for medical purposes, whether it is taken orally, or inhaled or a combination of both.

The Canadian Medical Protective Association (CMPA) has developed a "Release Form for Medical Practitioners". This form is available on the  CMPA website http://www.cmpa-acpm.ca. This is not a Health Canada form and completing the form is not a requirement to obtain an authorization to possess marihuana for medical purposes. Any questions relating to this form should be discussed with your physician.

Help on accessing alternative formats, such as Portable Document Format (PDF), Microsoft Word and PowerPoint (PPT) files, can be obtained in the alternate format help section.

Table 1 - Forms

Title	View	Print
Information for the Patient - Marihuana (Cannabis)	HTML	PDF Version - 128 K
Applicant's Guide	HTML	PDF Version - 217 K

Table 2 - Application Forms

Document	Title	View	Print
Complete Application	Application for Authorization	HTML	PDF Version - 509 K
Form A	Application for Authorization to Possess Marihuana for Medical Purposes	HTML	PDF Version - 128 K
Form B1	Medical Practitioner's Form for Category 1 Applicants	HTML	PDF Version - 67 K
Form B2	Medical Practitioner's Form for Category 2 Applicants	HTML	PDF Version - 66 K
Form C	Application for Licence to Produce Marihuana by Applicant	HTML	PDF Version - 111 K
Form D	Application for Licence to Produce Marihuana by a Designated Person	HTML	PDF Version - 136 K
Form E1	Application to Obtain Dried Marihuana	HTML	PDF Version - 114 K
Form E2	Application to Obtain Marihuana Seeds	HTML	PDF Version - 114 K
Form F	Consent of Property Owner	HTML	PDF Version - 105 K

You can ONLY use Form R - Renewal if:

1. You have already been authorized at least once using the complete package of new forms
   AND
2. Nothing has changed since your last authorization (e.g. medical situation, physician information, residential and production address, storage site, security measures, etc.)

If you have any questions about Form R, please call the Marihuana Medical Access Division, at: 1-866-337-7705.

Table 3 - Application Forms

Document	Title	View	Print
Form R	Application for Renewal of an Authorization to Possess Marihuana for Medical Purposes	HTML	PDF Version - 103 K