Register

Please complete the following fields and submit your registration.

If you have any questions, call us at 1-855-RX4-CANN (794-2266)

Please complete this form

First name *

Last name *

Gender

Email *

Phone *

Birthday *

Address

Unit #

City

Province

Postal Code

Is your shipping address the same as your residential address?

Yes No

Address

Unit #

City

Province

Postal Code

Is this a private address?

Yes No

Name of establishment:

First Name (person receiving package)

Last Name (person receiving package)

ACKNOWLEDGEMENT OF APPLICANT OR RESPONSIBLE INDIVIDUAL(S)

CannTrust is not liable for any damages, loss, or injury that results from the use of medical marijuana.
Information provided in this document may be shared with our service providers for shipping purposes only.
Any medical documents sent with this form can not be returned to you once registration is complete.
CannTrust may share some personal information, including information provided in this document, with the applicable third-party intermediary.
You must reside in Canada.
The information in this application and the Medical Document is correct and complete.
The Medical Document is not being used to seek or obtain marijuana from another source.
The applicant will use CannTrust marijuana products only for their own medical purposes.
You must read and consent to the CannTrust Terms and Conditions and Privacy Policy.

I understand and agree to the above

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Please hold tight as we submit your registration

You’re Already Registered

You are already registered in our database.

If you are an existing customer, go to the shop.canntrust.ca login page and click on the ‘Forgot your password?’ link. Your login name is your Client/Patient ID found on the top right corner of your membership card.

If you are a new customer and have not placed your first order, please call our customer care team at 1-855-794-2266

Thank You!

Your patient registration form has been submitted.

PLEASE READ: Important Next Steps

Thank you for registering as a patient with CannTrust. We appreciate your trust in us and we are confident that we will earn your continued loyalty with our fine products and our dedication to personal, professional service.

CannTrust’s registration process is simple.

Step 1: Obtain a Medical Document (PDF DOWNLOAD) for medical cannabis from a Health Care Practitioner.

Step 2: Submit your completed documents to CannTrust by mail or via secure fax to 1-844-295-6641.

Note: If you would like to have a family member or caregiver communicate with us or place orders on your behalf, please note this on your Medical Document.

Keep an eye out for our email notifying you that we have verified your documents and that you are now an active client. This email will confirm that you are ready to place your first order!

In the meantime, please visit www.canntrust.ca/products to view our latest product offerings. We look forward to being your trusted health care partner.

Sincerely,

Customer Care Team
customerservice@canntrust.ca
Toll Free Number: 1-855-794-2266
Secure Fax: 1-844-295-6641