• Form A
    Authorization to Possess Marihuana for Medical Purposes
    Print Form
  • Form B1 Medical Practitioner's Form For Category 1 Patients
    Print Fom
  • Form B2 Medical Practitioner's Form for Category 2 Patients
    Print Form
  • Form C Licence to Produce Marijuana
    Print Form
  • Form D Licence to Produce Marijuana by a Designated Person
    Print Form
  • Form E1 Application to Obtain Dried Marijuana
    Print Form
  • Form E2 Application to Obtain Marijuana Seeds
    Print Form
  • Form F Consent of Property Owner
    Print Form

Category 1 Patients

Application Form B1


Medical Condition(s) and Symptoms(s)..

  • SEVERE PAIN PERSISTENT
  • MUSCLE SPASMS
  • CACHEXIA
  • ANOREXIA WEIGHT LOSS
  • SEVERE NAUSEA SEIZURES
  • MULTIPLE SCLEROSIS
  • SPINAL CORDINJURY
  • SPINAL CORD DISEASE
  • CANCER
  • AIDS
  • HIV INFECTION
  • SEVERE ARTHRITIS
  • EPILEPSY

    • OR

  • If the applicant is treated within the context of compassionate end-of-life care, please specify the medical condition(s) and the symptom(s)

Category 2 Patients

Application Form B2


  • Please specify the medical condition(s) and symptom(s) that are the basis for the application.

All medical condition not falling under Category 1, qualifies the patient as a Categoy 2 patient.




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