Forms

Required documents to be Assessed for a Medical Cannabis Prescription

• Medical referral or a request for consultation from your primary care physician
• Complete a WholeMed Health Contact Form
• Complete a WholeMed Health Medical Referral Form from your family doctor or Medical Release Form to be sent by WMH
• Proof of Government assisted disability to qualify for discounted pricing
• A government Photo ID

Forms:

• WMH Patient Contact Form
• WMH Medical Referral Form