How to Get Medical Cannabis

Registering with Zenabis is a simple, 2-step process

Register

Sign up online or complete this Application Form and submit it by:

  • Email: patients@zenabis.com
  • Fax: 1-855-ZEN-FAX1
  • Mail: Zenabis Ltd., 12 Comeau Ave, Atholville, NB, E3N 4G2
Medical Documents

Ask your Doctor or Nurse Practitioner to complete this Medical Document and submit it on your behalf, by:

  • Fax: 1-855-ZEN-FAX1
  • Mail: Zenabis Ltd., 12 Comeau Ave, Atholville, NB, E3N 4G2

Your documents will be processed within 2-3 business days. You will receive an email once your application has been approved and then you will be able to buy medical cannabis online from Zenabis.

If you need assistance with your application, please contact us today.

Register

Once you've created an account with us and log in, you'll be able to view all the details about our products.

And don't worry, signing up doesn't lock you into anything - you are under no obligation to apply to be a customer or send in application forms.

Primary Residence

Non-Private Residence

Please note, you will need to provide additional information for non-private residence with this form. Please contact our support line for more information. (+1) 855-ZEN-ABIS

ADD A CAREGIVER

Only complete if you are the individual responsible for the applicant *

SHIPPING ADDRESS

Compassionate Pricing Programs

Zenabis understands that life comes with many hardships. We are proud to offer discount programs that can relieve some of the financial burden from purchasing medical cannabis.


Please indicate if you are applying for one of the following Compassionate Pricing Programs:

  • If you have coverage for medical cannabis through the Veterans Affairs Canada (VAC) program, please provide your Medavie Blue Cross insurance number. We will support you with direct billing to VAC on your behalf.
  • Medavie Blue Cross insurance number:

ACKNOWLEDGEMENT OF APPLICANT

Supporting Document refers to either a signed Medical Document or a Registration Certificate issued by Health Canada.

  • The Applicant acknowledges that some of the information provided in this document may be shared with Zenabis and its affiliates, as well as Health Canada, our service providers, Veterans Affairs, and/or insurance providers, as applicable.
  • The Applicant gives Zenabis and its affiliates permission to share their ordering information with their prescribing physician and/or the clinic through which they received their consultation.
  • The Applicant ordinarily resides in Canada.
  • The information in the application, and the medical document or registration certificate, as applicable, is correct and complete.
  • The medical document or registration certificate, as applicable, is not being used to seek or obtain medical cannabis products from another source.
  • The original of the Medical Document accompanies the application.
  • The Applicant will use medical cannabis only for their own medical purposes.
  • The Applicant acknowledges that he/she is using medical cannabis at their own risk and that Zenabis is not liable for any damages, loss, or injury whatsoever that results, either directly or indirectly, from the use of medical cannabis.
  • By signing this acknowledgment form, the Applicant allows Zenabis to (a) send product and registration information to the physical and email addresses provided therein, and (b) communicate with them via email regarding registration status, product availability, order status, and other matters in accordance with Zenabis’ Privacy Policy.
  • Applicant consents to Zenabis’ collection, use and disclosure of necessary personal information in order to process this registration, to provide products or services, to comply with the Cannabis Act and other applicable legislation (including disclosure of personal information to provincial licensing authorities upon request), and otherwise in accordance with Zenabis’ Privacy Policy.
  • At any time, the Applicant may access their personal information contained in Zenabis’ records and correct such information if necessary, by contacting Zenabis.

Date: 2019 December 06

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