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MedicalMarijuana.ca is very pleased to announce the opening of the Greenleaf Medical Clinic! It is located on the outskirts of Vancouver, British Columbia. This clinic can see patients in person and also from the comfort of their own home, anywhere in Canada through Skype. If you are not familiar with Skype, thats ok, we will help with that too. If you are just down the street or in Newfoundland you will need to complete the following application to see our physician. We thank you for taking the time to apply. You will be hearing from us shortly!

Please fill out the following form that will give us the information we need to help you, whatever stage of the process you are at.

Please Note: We CANNOT provide you with a family doctor or specialist for your primary care. We CAN provide you with a doctor from the Greenleaf Medical Clinic with special interests in medical marijuana that will review your pre-existing medical history and determine your eligibility.

Let's get started!

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Contact Information
  5. Please double check the extension on your email and confirm it is .ca or .com
  13. Female Male

  16. Morning Afternoon Evening Any time
  17. A MM.ca Patient
    Compassion Club
    My Doctor
    MS Society of Canada
    Treating Yourself Medical Marijuana Expo
    Canadian AIDS Society
    Friend
    Canadian Paraplegic Association
    Family Member
    The Arthritis Society
    Internet Research
    Epilepsy Canada
    Magazine/Journal/Newspaper
    Canadian Cancer Society
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
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. Please enter only single numbers (not ranges) based on the unit listed in the question.
  3. $
  4. $
  5. Sativa Indica Hybrid Unknown Kush Hash
  6. Government Street Compassion Club Friend Not Using Grow My Own
MMAR Information
Terms and Conditions

All terms and conditions must be accepted to proceed.

Important - Please Read
For us to process your application we need to confirm that our email messages are getting to you. After you click the apply now button an email will be sent to you with a link allowing you to verify your email so that we can start processing your application.

If you do not receive this email please check your junk/spam mail folders.

To assure you are receiving our emails please add patients@medicalmarijuana.ca to your safe sender list. You can find detailed instructions on how to do that for many email providers here: http://wl.s4m2.com