Access to medicinal cannabis isn’t challenging.

The Peace Naturals Project has created a stress free ACMPR registration process for both clients and practitioners because we understand Health Canada ACMPR registration can be worrisome. Our ACMPR forms are easy to understand and follow. Don’t be stressed. Be peaceful knowing our Client Care Department will spend as much time as needed speaking with potential clients or physicians assisting their patients with their ACMPR registration.

Step 1:Client Registration

Register Online To Begin The Process Today
The Peace Naturals client application process begins right here by completing our secure online registration form. The documentation may also be printed then mailed or faxed to our Client Care Department.

Step 2:The Medical Document

To Be Completed By Your Practitioner
The Medical Document must be completed and signed by your practitioner and we must receive the original copy. There are 2 documents available here for you to download. Please take both documents to your practitioner.

Step 3:Document Verification

Welcoming New Clients To Peace
Upon receiving your Medical Document, we will quickly begin the verification process. Once verified, clients may use our online shopping portal or order by phone. Our Client Care team will communicate each step of the way.

Questions? Contact our Client Care team.

Here are the required registration forms

 

All new clients must complete a Registration Form, Medical Document and Consent to Disclose. Please read the instructions below carefully. Be sure to download the appropriate client registration form if you choose not to register online.

If you prefer to speak with someone, we are here to help: 1(888) 64-PEACE (73223)

Client Registration Form A
The most commonly used registration form - This document is for those individuals who have a permanent residence to which their medicine will be delivered.

Client Registration Form B
For clients who do not have a permanent residence. (For example: if you live in a nursing home, shelter, hostel or other similar institution in Canada)

Client Registration Form C
For clients who would like their medicine delivered to their health care practitioner’s office. Your health care practitioner must first agree to receive medicine on your behalf.

The Medical Document
This document acts as your prescription. It must be completed, signed and dated by your health care practitioner. We must receive the original signed version either by mail or secure fax. Please print this form and take it with you when you go to see your doctor or clinic specialist.

Consent to Disclose
This form must also be taken to your practitioner or clinic specialist. To verify your Medical Document, we are required to contact your practitioner's office to confirm the details. In order to do this, we must have this form completed. A copy of this form is to be retained by your health care practitioner and a second copy must be sent to Peace Naturals by mail or secure fax.

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Peace Naturals Medical Cannabis Signing Doctor MMPR

Forms For Your Doctor

Click below to download both the Medical Document and the Consent to Disclose. Both documents are to be completed by your health care practitioner. Please be sure to take them with you to your appointment.

The Medical Document
This document acts as your prescription. It must be completed, signed and dated by your health care practitioner. We must receive the original signed version either by mail or secure fax. Please print this form and take it with you when you go to see your doctor or clinic specialist.

Consent to Disclose
This form must also be taken to your practitioner or clinic specialist. To verify your Medical Document, we are required to contact your practitioner's office to confirm the details. In order to do this, we must have this form completed. A copy of this form is to be retained by your health care practitioner and a second copy must be sent to Peace Naturals by mail or secure fax.

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Peace Naturals Telephone

Enter your information below to be contacted by our Client Care team.

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Peace Naturals Medical Cannabis Signing Doctor MMPR

Forms For Your Doctor

 

Click below to download both the Medical Document and the Consent to Disclose. Both documents are to be completed by your health care practitioner. Please be sure to take them with you to your appointment and that you mention that you are part of the Peace Naturals Share the Love Referral Program.

The Medical Document

This document acts as your prescription. It must be completed, signed and dated by your health care practitioner. We must receive the original signed version either by mail or secure fax. Please print this form and take it with you when you go to see your doctor or clinic specialist.

Consent to Disclose

This form must also be taken to your practitioner or clinic specialist. To verify your Medical Document, we are required to contact your practitioner's office to confirm the details. In order to do this, we must have this form completed. A copy of this form is to be retained by your health care practitioner and a second copy must be sent to Peace Naturals by mail or secure fax.

You have Successfully Subscribed!

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