S’inscrire

Veuillez remplir les champs suivants et envoyer votre inscription.

Pour toute question, appelez-nous au 1-855-RX4-CANN (794-2266).

Veuillez remplir le formulaire.

  • CannTrust décline toute responsabilité pour tout dommage, perte ou blessure résultant de l’utilisation de cannabis médical.
  • Les renseignements donnés dans ce document peuvent être communiqués à nos prestataires de service à des fins d’expédition uniquement.
  • Tous les documents médicaux accompagnant le formulaire ne pourront vous être retournés une fois votre inscription réalisée.
  • CannTrust peut communiquer certains de vos renseignements personnels, y compris des informations figurant dans le présent document, au tiers faisant office d’intermédiaire.
  • Vous devez résider au Canada.
  • Les informations figurant dans cette demande ainsi que dans le document médical sont exactes et complètes.
  • Le document médical joint ne doit pas servir à demander ou à obtenir de la marijuana auprès d’une autre source.
  • Le demandeur utilisera des produits CannTrust à base de marijuana uniquement à ses propres fins médicales.
  • J’ai lu et accepté les conditions d’utilisation et la politique de confidentialité de CannTrust.

 

Loading…

Please hold tight as we submit your registration

Loading...

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

Merci!

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.ca
Toll Free Number: 1-855-794-2266
Secure Fax: 1-844-295-6641