Apply Now

For medical purposes, many Canadians are prescribed a daily amount or dosage of marijuana in grams from their healthcare professional. This daily quota ranges considerably and determines how many cannabis plants are allowable for government licensed cultivation and medical use.

Register here if you feel you qualify for medical marijuana in the Health Canada Cannabis Access Program. We can work with you to get you approved and find a high quality, affordable supplier through our network of growers. If you are already a Health Canada Marihuana Medical Access Division (MMAD) licensee please enter your information below and we will contact you about a grower.

Please fill out the following form that will give us the information we need to help you, whatever stage of the process you're at. Once complete, we will contact you and help you to complete your designated marijuana supply registration process with Health Canada.

Let's get started!

Fields marked with an * are required.

Contact Information
  1. Female Male
  2. Minors are eligible provided they meet all requirements set by Health Canada for the MMAR program. We STRONGLY recommend talking to your family and Doctor before applying. We require parental consent even for inquiries. To best serve you please let us know if you are a minor.


  3. Morning Afternoon Evening Any time


  4. MS Society of Canada
    Canadian AIDS Society
    Canadian Paraplegic Association
    The Arthritis Society
    Epilepsy Canada
    Canadian Cancer Society
    A MM.ca Patient
    My Doctor
    Internet Research
    Magazine/Journal/Newspaper
    Friend
    Family Member
    Compassion Club
    Treating Yourself Medical Marijuana Expo


    Other:


  5.  
  6.  
  7.  
Condition Information

What condition(s) have you been diagnosed with and are currently exhibiting symptoms of?

Category 1

Multiple Sclerosis
Spinal Cord Inury/disease
Cancer
HIV/Aids
Severe Arthritis
Epilepsy

Category 2

ADD/ADHD
Eating Disorder
Arthritis
Asthma
Auto Accident(s)
Alzheimer's Disease
Brain Injury
Chronic Pain
Chronic Nausea
Colitis
Crohn's Disease
Kidney Failure/Dialysis
Fibromyalgia
Glaucoma
Head Injury
Hypertension
Irritable Bowel Syndrome
Migraines
Muscular Dystrophy
Muscle Spasms
Nausea
Parkinson's Disease
Sleep Disorders
Depression
Anxiety
Post Traumatic Stress Disorder
Hepatitis C
Gastrointestinal Problems
Bi Polar / BPD
Back & Neck Problems


Other:

Notes To better assist you, please tell us as much as you feel comfortable with in regards to your situation and condition(s). Please be specific in regards to diagnosis, seeing specialists, medical treatments you have received like X-rays and MRIs and what prescriptions you have been on.
Medicine Information
  1. Our goal is to help you find a grower who will provide the right amount of medicine at the price you can afford.

  2. *** Please enter only numbers based on the unit listed in the question.

  3. grams
  4. $ / ounce
  5. $ / ounce
  6. Sativa Indica Hybrid Unknown Kush Hash
  7. Other:
  8. Government Street Compassion Club Friend Not Using
  9. Other:
MMAR Information

I have read, understood and agree to the privacy policy.

I confirm I am a Canadian citizen and currently reside in Canada.

I confirm I am over the age of 18 or have received parental consent to apply.