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Before you can order medical cannabis, it is required that you complete a medical document with a licensed health care practitioner. Once we receive your medical document and approve it, you are able to make your first medical cannabis order. A service provided by our partner Wayfare Nursing for medical cannabis assessments and personalized programs. Please check your inbox as you will need to complete the intake form sent by Wayfare to confirm your appointment. You already have a medical document ready. We will need to receive and verify it before you can make your first medical cannabis order. Print or show these instructions to your health care practitioner. Connect with a health care professional online now it will take under 30 minutes or book an appointment for later. You must download your medical document and PA forms if applicable and complete them with your health care practitioner. We are unable to schedule a practitioner appointment for you at this time as we've been informed that your benefits policy may have changed. For further information, please contact your benefit provider:. You will be entering a wait room, please hold while a patient coordinator connects with you. Please select the location you are able to attend in person. If none of these options work, please consider an online consultation. Do we have permission to leave you a voicemail? Please send your medical document to your health care practitioner. Once we receive it from them, we will process your registration. Remember me for 30 days. Local and its cannabis safety partner JADEO have deemed it essential for all members to complete a short training series to understand safety around cannabis use and work. The quick, 5-minute series is called On The Job Site, and upon successful completion, you qualify for medical cannabis reimbursement! Step 1 Register with Starseed We make registering for medical cannabis quick and seamless. Begin the registration now. Step 2 Get Medical Document Before you can order medical cannabis, it is required that you complete a medical document with a licensed health care practitioner. Patient Signature — Sign via touch. I acknowledge, attest, agree and consent to the following information covered in Starseed's Applicant Consent Required. I have read and understood Starseed's Privacy Policy Required. Back Next. Let us know a bit more about yourself First Name First Name. Last Name Last Name. Birth Date Birth Date. Gender Select Male Female X. Telephone Telephone. How did you hear about us? Select Internet Search e. I am completing this application For myself On behalf of someone else. Date of Birth Date of Birth. Caregiver 1 Signature — Sign via touch. Date Date. Would you like to add another Caregiver? Yes No. Caregiver 2 Signature — Sign via touch. Add Your Address Add your primary residence address, as well as any other addresses if necessary. Residence Address required. Choose as my shipping address. Alternate Mailing Address optional. Edit x. Practitioner Address optional Add your practitioner's address only if you want us to ship to your practitioner instead. Find Your Address Please enter your address in order to complete the registration document I don't have a permanent address I can't find my address. Finish your Address Please check to see if your address is correct and add a unit number if necessary. Residence Establishment. Address Contact. Practitioner Information. Practitioner Signature — Sign via touch. Back Continue. Please confirm the following: My Local. Insurance Company. Group Insurance Number. Are these details correct? If not, please click here. Full Name of Primary Plan Member. Membership Number. Last two numbers of drug card Last two numbers of drug card. Email Email. Telephone Number Telephone Number. Fax Number Fax Number. Are you under other benefits plan? Start Date Start Date. Company Company. Policy Number Policy Number. Member Number Member Number. Does the patient have drug coverage under any other group benefits plan? Relationship to Patient Relationship to Patient. Provide details and attach documentation of acceptance or decline Provide details and attach documentation of acceptance or decline. Is the patient currently on, or previously been on this drug? Coverage Company Coverage Company. Does the patient have coverage under a provincial program or from any other source? Name of program or other source Name of program or other source. Is the patient currently receiving disability benefits for the condition for which this drug has been prescribed? Has the patient enrolled in the patient assistance program for this drug? Phone Number Phone Number. Do you have your own insurance? Do you have Medical Cannabis Coverage? Group Policy Group Policy. Are you a Veteran? What is your Veteran K Number? Thank you for registering with us! Click below to complete your registration. Complimentary At Home Consultation A service provided by our partner Wayfare Nursing for medical cannabis assessments and personalized programs. Back Finished. Instruction for your Health Care Practitioner Great! Email sent Something is wrong. Please try again later. Download Benefit Form. Step 2 - Send us your completed form and medical document Please note your health care practitioner must complete page 3 of your PA form if applicable Secure Fax Sfax Print and mail to: Entourage Brands Corp. Connect to Healthcare Professional Connect with a health care professional online now it will take under 30 minutes or book an appointment for later. Online Appointment. I will go to my own HCP. Medical Document Download Benefit Form. You Must Connect to a Medical Doctor We are unable to schedule a practitioner appointment for you at this time as we've been informed that your benefits policy may have changed. I will visit my own Healthcare Professional. Back End Session. Select appointment type In Person. Select Location Please select the location you are able to attend in person. Appointment Calendar. Version Version. Contact Preference Email. YES NO. Confirm Appointment Back. Appointment Time. Health Card Number. Health Card Version. Complete Step 2 Thank you for registering with us If you booked an appointment, you will receive an email from our clinic partner. Complete Step 2. We will wait for your documents to be sent from your Health Care Practitioner Please send your medical document to your health care practitioner. Finish Step 2. Step starts here Back Next. Step starts here Back Complete. Patient Login Physician Login. Welcome to Starseed Please confirm that you are over the legal age in your province of residence. Continue Shopping. Take the Course.

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