Forms

Forms

New Member Application Package

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

Forms

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.