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Forms

Forms

New Member Application Package

This package contains everything you need to successfully complete your Membership application.

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Mail Order Membership Renewal Form

Use this form to update your membership file via the Mail Order system.

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Becoming Eligible to Receive Services

This form explains how to qualify to receive our services and purchase medicinal cannabis products.

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Parental Consent Package

This form is for Parents or Guardians of a minor. A completed Caregiver Package is also required.

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Caregiver Package

This package allows a member to assign a caregiver to assist with their needs.

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Practitioner's Package

Contains a letter for your health care provider; Vancouver Dispensary Society's purpose; Effective Use of Medicinal Cannabis; and Physician's Statement.

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CMPA Release Form for Medical Practitioners

This form from the Canadian Medical Protective Association reduces your doctor's liability.

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Medical Information Release Form

This form empowers your health care provider to send us your confirmation of diagnosis.

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ACMPR Medical Document

This is the form your Health Care Provider will sign to give you access to the ACMPR program in Canada.

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ACMPR Personal Production Form

This is the form you fill out to register your Personal Production Garden under the ACMPR program in Canada.

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ACMPR Designated Person Production Form

This is the form you fill out to register the Person that you have designated to Produce your Medicine under the ACMPR program in Canada.

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Veterinarian Pet Package

This is your Pet Application and the Veterinarian's Statement.