For New Patients

Registration Application

New patients or patients transferring from another licensed producer can register online to create a new account.

If you prefer to print out the form and submit offline, please download the registration application form here.

For expired patients wishing to renew,  please see our FAQ to find out how to renew your registration.

Medical Document

A medical document authorizes use of cannabis for medical purposes. This form must be completed by a healthcare practitioner to prescribe medical cannabis, specify dosage requirements and duration. It is valid for up to one year then must be renewed.

The original signed Medical Document must be faxed to us by a licensed healthcare practitioner or cannabis clinic.

For Registered Patients

Registration Renewal

Registration Renewal Applications are required when submitting a new Medical Document for expired prescriptions in order to continue ordering products.

To submit any changes to your registration that require a signature from a secondary party, such as an institution or for adding a caregiver, please use the form below.

Account Amendment

To request updated to your personal information, such as change of address, phone number, surname, or to add/remove a caregiver, please submit your new information using the Account Amendment Form.

Form Submission

Send your completed forms to us either by email, fax or mail:


Secure Fax: 437-826-9005

Mail to:  Opticann
ATTN: Patient Care
333 Jarvis St.
Fort Erie, ON L2A 2S9

Once we have verified your registration information, you will receive an email notification and/or phone call.

If you have any questions, our dedicated Patient Care Team is here to help! Contact us: 1-855-437-2266. Our office hours are Monday through Friday from 8:30 a.m. to 6:00 p.m. EST.

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