Medicine Wheel Compassionate Discount Program
Effective Nov 1, 2018, Medicine Wheel Natural Healing is proud to offer our Compassionate Healing Program (CHP). This program is designed to allow access to medicinal cannabis for individuals facing financial hardship who earn an annual income of $25,000 or less and receive support from a government program.

To quality, individuals must fill out the form below and submit proof of enrolment in a Federal or Provincial Assistance Program. The required documentation includes: proof of Federal or Provincial Assistance Program, a copy of Notice of Assessment (NOA) from Canada Revenue Agency, and picture ID.

Once all documentation has been received, our Client Service team will review the information and notify you of your eligibility for the program. All information will be kept confidential. Medicine Wheel Natural Healing maintains the right to cancel at anytime.

Accounts will be reviewed every 12 months.

What is your name? *
Your answer
What is your phone number? *
Your answer
What is your email? *
Your answer
Please tell us about who you are and how you came to find out about Medicine Wheel. *
Your answer
Are you currently using cannabis for medicinal purposes? *
Have you consulted your doctor or other health professional in regards to treating yourself with cannabis? *
Your answer
What medical ailment(s) are you seeking to treat with cannabis? *
Your answer
Why do you require compassionate pricing for your medicines? *
Your answer
Is there something that you'd be willing to trade or exchange with Medicine Wheel in return for compassionate pricing?
Your answer
Would you be willing to write or otherwise record a testimonial about how medicinal cannabis has improved your quality of life?
Your answer
Please select which of the following Federal Government Programs (if any) you are enrolled in.
Please select which if any of the following Provincial Programs you are enrolled in.
Is there anything else you'd like to add?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Medicine Wheel Natural Healing. Report Abuse - Terms of Service