Please fill out the form below and a Plants Not Pills client care team member will be in touch shortly to assist you in accessing medical cannabis coverage.
First Name and Last Name:*
Preferred Method of Contact:*PhoneEmail
Province of Residence:* AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukon
ARE YOU COVERED UNDER A GROUP HEALTH PLAN OR AN EXTENDED HEALTH BENEFITS PACKAGE? YES NO
DO YOU HAVE INSURANCE COVERAGE AS A RESULT OF A MOTOR VEHICLE COLLISSION OR PERSONAL INJURY CLAIM? YES NO