Register

Please complete this form

Please complete the following fields and submit your registration. If you have any questions, call us at 1-855-RX4-CANN (794-2266)

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.
I have 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.thedev.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 quality products and our dedication to personal, professional service.

In order to activate your account, we need to verify your medical document which would be completed by your Health Care Practitioner. Once we have matched your medical document to your registration, you will receive an email confirming that you are now an active client and you can place your first order!

If do not have a valid Medical Document, please follow the steps below to obtain one:

Step 1: Talk with you Health Care Practitioner about medical cannabis and if it is right for you. If you do not have a Health Care Practitioner to talk to, click here to find a clinic near you.

Step 2: Download a Medical Document (PDF DOWNLOAD) for medical cannabis and have your Health Care Practitioner complete it.

Step 3: 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 fill out the Caregiver Amendment Form and submit to CannTrust by mail or via secure fax to 1-844-295-6641.

We look forward to being your trusted health care partner.

Sincerely,

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