Patient Portal

To register and purchase medical cannabis from EastCann, a Registration Application is required, as well as a valid Medical Document.

Form A – Registration Application

To be completed by applicant

Form B – Medical Document

This document is typically sent directly from the Healthcare Practitioner and must be submitted via secure fax at 902-932-8584. 

Form C – Caregiver Application

To be completed by Caregiver / Person Responsible

You can submit your Registration Application in several ways:

Online

Complete the Online Registration Form below.

Email

Send your completed forms to medical@eastcann.ca

Secure Fax

Send completed forms via secure fax at 902-932-8584

Mail

Send completed forms by mail to:

Attn: Patient Care Team
PO Box 50024
205 Pleasant Street
Dartmouth, NS
B2Y 3R0

Only a patient or their registered caregiver can initiate the transfer of a medical document from their current licensed provider of medical cannabis.

The patient is required to provide direct consent to their current provider (by phone or email) in order to transfer the medical document to EastCann. The current provider is required to send the Medical Document to EastCann via secure fax at 902-932-8584.

Once a patient has requested their medical document transfer, the next step is to complete the Registration Application. Please review the process above for the options to submit a Registration Application.

If you have any questions or require assistance with the registration process, please contact a member of our Patient Care Team by email at medical@eastcann.ca or by phone at 902-932-8584.

Hours of Operation are 8:30 am – 4:30 pm (AST) Monday to Friday.

902-932-8584

medical@eastcann.ca

Online Registration Form

Physical Address
Primary physical residence must be in Canada. If providing a PO Box number, you must also include your physical residence.
Mailing Address
Declaration of the Applicant or the Person Responsible for the Applicant

Important - please read and sign below:

  • The Applicant acknowledges that medical cannabis is not approved for the use as a drug in Canada, that its indications, safety and risks have not been adequately studied and the appropriate dosage is unclear.
  • The Applicant acknowledges and agrees that he or she is using any medical cannabis product obtained from EASTCANN at his or her own risk, and releases EASTCANN (and its production partners) from any and all actions, claims, complaints and demands for damages, loss or injury whatsoever arising directly or indirectly as a consequence of the use of medical cannabis obtained from EASTCANN.
  • The Applicant is ordinarily a resident in Canada.
  • The information in the application and Medical Document is correct and complete.
  • The original Medical Document is provided in support of this application or has/will be sent separately.
  • The Medical Document is not being used to seek or obtain fresh or dried cannabis, or cannabis extracts from another source.
  • The Applicant will use fresh or dried cannabis, or cannabis extracts, only for their own medical purposes.
  • The Applicant gives consent to EASTCANN to forward the necessary personal information to our production licensed producer, the applicant’s health care practitioner, and service providers for purchasing, shipping, verification and distribution purposes only.
  • The Applicant gives consent to his or her health care practitioner to forward the necessary personal information to EASTCANN in order to register the Applicant and fulfill his or her orders.
  • The Applicant may revoke the consent given at any time by providing written notice to EASTCANN.
*EASTCANN is a business name of the license holder “Prime Pot Inc.”

902-932-8584

info@eastcann.ca

Form B - Medical Document

(To be completed by a Health Care Practitioner)

To register and purchase medical cannabis from EastCANN, a Registration Application is required, as well as a valid Medical Document.

You can submit your Registration Application via:

  • Email / Mail – download this form, complete it and submit to info@eastcann.ca or mail it to the address on the form.
  • Online Registration – complete the online registration form below.

Online Registration

Business Address
Health care practitioner’s business address OR Full business address of the location at which the patient consulted with the health care practitioner (if different).

902-932-8584

info@eastcann.ca

Form C - Caregiver Application

(To be completed by Caregiver / Person Responsible)

You can submit the Application via:

  • Email / Mail – download this form, complete it and submit to info@eastcann.ca or mail it to the address on the form.
  • Online Registration – complete the online registration form below.

Online Registration

By indicating you are a veteran, you give permission for EASTCANN to share your details with Veterans Affairs Canada.
Address(es) must be in Canada
Primary Residence

Alternate Shipping Address (Applicable ONLY if your primary residence has no postal service)
(Please submit a copy of your Registration Certificate with this application)

CAREGIVER/PERSON RESPONSIBLE DECLARATION
Declaration of the Applicant or the Person Responsible for the Applicant

Important - please read and sign below:

  • The Applicant acknowledges that medical cannabis is not approved for use as a drug in Canada, that its indications, safety and risks have not been adequately studied and the appropriate dosage is unclear.
  • The Applicant acknowledges and agrees that he or she is using any medical cannabis product obtained from EASTCANN at his or her own risk, and releases EASTCANN (and its production partners) from any and all actions, claims, complaints and demands for damages, loss or injury whatsoever arising directly or indirectly as a consequence of the use of medical cannabis obtained from EASTCANN.
  • The Applicant is ordinarily a resident in Canada.
  • The information in the application and Medical Document is correct and complete.
  • The original Medical Document is provided in support of this application or has/will be sent separately.
  • The Medical Document is not being used to seek or obtain fresh or dried cannabis, or cannabis extracts from another source.
  • The Applicant will use fresh or dried cannabis, or cannabis extracts, only for their own medical purposes.
  • The Applicant gives consent to EASTCANN to forward the necessary personal information to our production licensed producer, the applicant’s health care practitioner, and service providers for purchasing, shipping, verification and distribution purposes only.
  • The Applicant gives consent to his or her health care practitioner to forward the necessary personal information to EASTCANN in order to register the Applicant and fulfill his or her orders.
  • The Applicant may revoke the consent given at any time by providing written notice to EASTCANN.

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