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 *By creating and account you are under NO obligation to complete the registration process with Broken Coast.


 

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Download the Medical Document HERE. This document must be signed by your health care practitioner.

Have your practitioner send us your medical document via Secure fax: 1-844-860-1194 
OR
Send us the original by mail: Box 1150, Ladysmith, BC, V9G1A8
*Please mail via Canada Post. Couriers such as FedEx and UPS cannot deliver to PO boxes.


 

Complete one of the following

Standard Registration Form (Online)- Applicants with a permanent address who are applying for themselves

Expanded Registration Form (Online) - Applicants who have: No permanent address, have a caregiver, or are having their marijuana shipped to their doctor.

PDF copies of our forms can be downloaded here. Please send paper forms to us at Box 1150, Ladysmith, BC, V9G1A8
*Please mail via Canada Post. Couriers such as FedEx and UPS cannot deliver to PO boxes.

 

 

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You can also contact us by telephone at 1-888-486-7579, or by email at info@brokencoast.ca.

Our office hours are from 8 a.m. to 4 p.m. PST, Monday to Friday.

Our office will be closed on Monday, December 25th & Tuesday, December 26th for the Christmas Holidays & January 1st for New Years Day. 

Mailing Address:

Box 1150 Ladysmith, BC, V9G 1A8

 

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