How to become a member

Forms and PDF

1Online form and...   
2 To downloadClinique la croix verte - Certificate of diagnosis from a doctor
* Must be filled by your doctor.

What is required

18+ or accompanied by a parent or guardian.

Provide all the documents you have in that list:
  • Medical diagnosis from a doctor
  • Precise name of your illness and/or CHRONIC CONDITION
  • Prescription from a health care professional
  • Resume of your medical file
  • Up to date list of prescribed medications
  • MMPR or ACMPR license
  • ID with your picture

You can send your documents by email at: or bring them in person at our clinic.

We will contact you if we need more information to process your file.

Every file is confidential.

We reserve the right to refuse a file deemed incomplete.

Note: a simple prescription for the use of medical cannabis doesn’t automatically gives you access to our services. Every file has to be approved.


Processing your request

  • A delay of one week is needed by our professionals to process and analyze your request.
  • Once a request is approved, an appointment is scheduled to inform you of the options and services provided at our clinic.
  • A member card with your picture and a member number will be issued for ID purposes and access to our clinic and services.
  • No membership or admission fee.
  • Private consultation fees can be charged to our members upon request of an appointment.

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Clinique la croix verte - Become a member