Patient Referral Forms

Patient Referral Forms 2019-05-01T15:11:59+00:00

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
Printable Referral Form (French)
Online Patient Referral Form
Online Self-referral Sleep Aid Form
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