Welcome to Cannascribe,
Please click and complete the patient assessment link below to start the application process. Once the form has been signed and submitted Cannascribe will contact you directly via your preferred method of contact to schedule an intake appointment. There is a $100 +tax subscription fee for the year. This includes your prescription for the 12 months, intakes appointments and patient support from Cannascribe. 

This form will take approximately 5-10 min to complete.


Responsible Individual Form
If you are filling out the form on behalf of a patient please click and complete the form below.