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Form Downloads

Patient Registration Documents

Thank you for choosing to register with Northern Green Canada! If you have any questions, or need help at any point throughout this process, please contact our Client Services Team at:

ClientServices@northerngreencanada.com
1-866-233-3707

Download the Registration Form

Registration Form

To register as a client of Northern Green Canada for the purchase of medicinal cannabis, complete, sign, and send this paper Registration Form to us.

Alternatively, you can complete our quick and easy Online Registration Form here.

Download
Download the Registration Form

Medical Document

This form is to be completed only by a Healthcare Professional, such as a Family Physician, Specialist, or Nurse Practitioner.

Contact our Client Services team to schedule an assessment with an NGC Partner Clinic, or you can organize your own assessment with your preferred physician to complete and submit this form.

Download
Download the Registration Form

Compassionate Pricing

Northern Green Canada offers a Compassionate Pricing Program to our clients who qualify for financial assistance to obtain medical cannabis.

To become eligible, clients must complete this form and submit with appropriate supporting documentation.

Download
Download the Registration Form

Veterans Affairs Canada - Consent to Disclose

To arrange direct billing for veterans, Veterans Affairs Canada requires Northern Green Canada to provide some of your registration and medical information, for which we will need your permission.

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Paper forms can be submitted to Northern Green Canada by scanning the completed forms and emailing to: registration@northerngreencanada.com, OR mailing the completed forms to:

ATTN: Client Services Team
RPO City Centre
PO Box 51075
Brampton, ON
L6T 5M2

Note: Please send by Canada Post only; couriers such as UPS and FedEx cannot deliver to PO Boxes.