This package contains everything you need to successfully complete your Membership application. A checklist to make sure your membership package is complete,
- Membership Application
- Membership Code of Conduct
- Consent to disclose Form / Medical Information Release Form –
WNAM is required to verify the information on your Medical Document or Practitioner’s Statement with your healthcare practitioner, but we cannot do this without your permission as provided on this form. This Consent to Disclose Form needs to be completed at and submitted along with your completed Medical Document.
This package contains a letter for your health care provider which explains the Women for Natural Alternative medicine’s purpose, an information sheet on the Effective Use of Medicinal Cannabis, the Medical Document and Physicians Statement (your health care provider must complete one of the two forms to confirm your diagnosis and/or recommend the use of cannabis as a medicine.).
- Medical Document – To be completed by your Health Care Practitioner (Preferred)
- Practitioner’s Statement – To be Completed by your Health Care provider even if the Health care provider is not willing to recommend medical Marijuana but can confirm diagnoses of medical condition.
Use this form to renew your membership file via the Mail Order system.
This package contains both the Application for your Pet, and the Veterinarian Statement (your Pet’s Veterinarian must fill out this form to confirm your Pet’s diagnosis and/or recommend the use of cannabis as a medicine.) all in one package.