Thank you for selecting AgMedica Bioscience Inc. as your licensed producer of choice! At AgMedica Bioscience Inc. our medical cannabis is produced in compliance with industry standards. All of our products are laboratory tested to ensure patients have access to safe and consistent products.

To become an AgMedica Bioscience Inc. client, you must complete this application in full. Our client care team are always available to answer any questions.

Important Information

AgMedica Bioscience Inc. is required to collect the following information of the Application pursuant to the Access to Cannabis for Medical Purposes Regulations (the “ACMPR”) and may be amended from time to time. AgMedica collects, uses and discloses personal information only in accordance with the provisions of the Personal Information Protection and Electronic Documents Act, the Ontario Personal Information Protection Act, the ACMPR, and AgMedica’s Privacy Policy and only for the purpose of providing medical cannabis and related services to Applicants.

At any time, Applicants may access their personal information contained in AgMedica’s records and correct such information if necessary by submitting an Amendment Application to AgMedica.

Need Help During Registration?

Please contact our Client Care Team, toll-free, at 1-844-5MY-CARE (1-844-569-2273) if you require assistance while completing this application.

Application Form

Please note that the personal information provided on this form must match the information that appears on your Medical Document.