Get Medical Document - To Be Completed By A Health ... - Medreleaf

Filling out the MEDICAL DOCUMENT for MedReleaf is an essential step in obtaining medical cannabis. This guide provides clear and supportive instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the MEDICAL DOCUMENT and open it in your document editor.
2. In SECTION 1, enter the patient's information. Provide the patient's given first name(s), surname, date of birth in the format DD/MM/YY, and the patient's email address.
3. Move to SECTION 2 to fill in the health care practitioner's details. Input the practitioner's name and title, including given first name(s) and surname. Specify the profession and license number, and provide the health care practitioner's business address or location of consultation. Ensure to include the practitioner's phone number, extension if applicable, fax number, the province(s) they are authorized to practice in, and email address.
4. In SECTION 3, indicate the order for medical marihuana (cannabis). Specify the daily quantity in grams and the duration in number of days for which the medical cannabis is prescribed. Optionally, you may include a diagnosis.
5. Provide the name of the health care practitioner, and ensure to attest that the information is correct and complete by signing and dating the document (DD/MM/YY).
6. If submitting by fax, please initial at the indicated spot and include the health care practitioner’s signature.
7. Once all sections are filled, ensure to save any changes made to the document. You have the option to download, print, or share the completed form as necessary.

Complete your MEDICAL DOCUMENT online today to ensure a smooth application process.