Register as a medical cannabis authorizer form

Physicians who choose to authorize cannabis for medical purposes must register with CPSA.

This information is not shared with the public.

Name*
First Last
Email*
Enter Email Confirm Email
CPSA Registration Number*
What is the physical address where you will authorize the use of cannabis for medical purposes? *
This cannot be a PO box.

Street Address Address Line 2 City Province Postal Code
Comments
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Innovation at CPSA

We are the only medical regulator in Canada with an in-house Analytics, Innovation & Research (AIR) team. Learn how CPSA's regulatory-based research supports quality medical practice.