*note: these forms are in PDF format, and you will need Adobe Acrobat Reader to access them. 

 

1) Dear Health Care Practitioner  ( PDF)
This is a letter that explains to your health care practitioner (Physician, Naturopath or Dr. of Traditional Medicine) who we are and how to support you in becoming a members of the BCCCS.

2) Health Care Practitioner Statement ( PDF)
This is the form that we ask your practitioner to complete on your behalf and fax back to us from their office.

3) Release of Information (PDF) - 
This form may be helpful if your practitioner is reluctant to provide us with your diagnosis.

4) Release from Liability ( PDF)  ( french version) 
This form may be helpful if your practitioner is concerned about liability arising from recommending the use of cannabis, or facilitating your membership with us. It is  from the Canadian Medical Protective Association. Though designed for the MMAR programme, it also may be applicable to use of marijuana outside of that programme.