Patient Referral Form

If you think you may benefit from prescription cannabinoids or medical marijuana, please talk to your doctor about a referral to the CMClinic.  Upon being referred, it is critical that all the appropriate documentation is sent to our clinic with your referral prescription to avoid booking delays.

Completed forms and medical history can be faxed to CMClinic at 1-844-320-9652. 

The CMClinic Patient Process 1 – 2 – 3 

 Step 1 – Obtaining a Referral

Talk to your health care practitioner and discuss if medical marijuana might be an option for you. They can then write you a referral (medical document) for an appointment at CMClinic. You must have a referral to be seen at CMClinic along with details pertaining to your diagnosis including recent consultations with specialists and diagnostic imaging reports.  If you are having trouble obtaining a referral, contact us @ 1-888-282-7763.

Step 2 – Fax the Referral to 1-844-320-9652

Check to make sure the following are included in the fax:

  • Get our referral form – Click here.
  • All supporting documentation pertaining to your diagnosis including recent consultations with specialists and diagnostic imaging reports

Step 3 – Appointment Process

Once the referral form is received from your physician with all other required documents, we will contact you to book your appointment.

Download a Patient Referral Form

Contact Us

Phone: 1-888-282-7763
Fax: 1-844-320-9652

Our Patient Care Centre is open Monday through Friday from 7:30am to 7:00pm (EST) 

1 Eglinton Ave. E., Suite 407
Toronto, ON  

11 Lakeside Terrace, 2nd Floor
Barrie, ON  

1385 Bank St., Suite 305
Ottawa, ON  

Stoney Creek
35 Upper Centennial Pkwy., 2nd Floor
Stoney Creek, ON  

414 Victoria Ave., Suite M8
Hamilton, ON  

2951 Walkers Line, 3rd Floor, Suite 305
Burlington, ON  

130 Thompson Road
London, ON  

725 Arlington Park Place
Kingston, ON  

St Catharines 
Niagara Health Center
180 Vine Street South, Suite 306
St Catherines, ON  

112 Main Street, Unit D
Sackville, NB

5991 Spring Garden Rd., Suite 440
Halifax, NS

2 – 4 Little Road,
Wolfville, NS

St. John’s
8-10 Rowan St., Suite 206
St. John’s, NL  

11010-101 St. NW, Suite 608
Edmonton, AB 

70 Country Hills Landing NW, Suite 103
Calgary, AB   

9181 Main Street, Suite 214
Chilliwack, BC  

3975 Lakeshore Road, Suite #201
Kelowna, BC