If you do not currently have your own physician or nurse practitioner or are facing difficulties receiving a referral to our clinics from your own physician or nurse practitioner, please fill out our MEDICAL INFORMATION RELEASE FORM and fax it to the number located at the bottom of the form or scan and email it to the email address that appears at the bottom of the form. A Cannabinoid Therapy Educator or Clinic Assistant will then get in touch with you, within 24-48 hours, to discuss next steps.