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

Sleep Aid Self-Referral Form

Click here to view an infographic on sleep. Learn more and download the following self-referral form. Complete the form and email us at

Download the Sleep Aid Self 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) 



Barrie, ON 
11 Lakeside Terrace, 2nd Floor

Bracebridge, ON
345 Ecclestone Drive

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

Hamilton, ON
414 Victoria Ave., Suite M8  

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725 Arlington Park Place  

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130 Thompson Road 

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Niagara Health Center, 180 Vine Street South, Suite 104

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35 Upper Centennial Pkwy., 2nd Floor  

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1 Eglinton Ave. E., Suite 407


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