There are three avenues for Hybrid Pharm to help you gain access to Medical Cannabis
This is a Medical Cannabis prescription form for your Healthcare Practitioners to complete and return to us.
Healthcare Practitioners who are not comfortable prescribing Medical Cannabis can complete and return the referral form, allowing you to consult with one of our specialists.
Complete your Screening Questionnaire For Inactivated Injectable Influenza Vaccine before your visit and reduce your wait time! Drop in’s welcome or call to make an appointment.
Download prior authorization request and submission forms from various insurance providers here.
Canada Life Cannabis Authorization Form
Green Shield Claim Submission Form
Here you can find some convenient info PDFs about Medical Cannabis programs and plans.
Manulife Medical Cannabis Plan
At Hybrid Pharm, our certified, medically trained staff assists patients with access, information and education in regards to their personal medical cannabis journey. We educate patients on licensed producers, strain selections, and safe and effective use. Through consistent monitoring and follow up, feel at ease knowing your patients are cared for.
RX forms: By filling out this form you consent to your patient having access to the ACMPR system. The grams per day and duration period spots MUST be filled out appropriately. Questions? Contact Us
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