GST APPLICATION

FOLLOW INFORMATION BELOW TO COMPLETE FULLY

Incomplete applications WILL NOT BE PROCESSED
  • A Patient Card does NOT certify that you're a 'Qualifying Patient' - This is why we need your Physician Certification (Also why its called a 'Certification' =)
  • We need a selfie to ensure You are A Patient who possess a Hard Card at the time of application (A copy of your card and license will not suffice)
  • ATTACH ALL REQUIRED DOCUMENTS LISTED BELOW OR APPLICATION WILL NOT BE COMPLETED!
  • WE GET YOUR APPLICATION - NO NEED TO CALL US - WE WILL CALL YOU (IF YOU COMPLETED IT SUCCESSFULLY)


  • *Clear* Selfie holding both State ID / License & Registry Card (Front)

    *Clear* Image of State ID / License & Registry Card (Front)

    *Clear* Image of State ID / License & Registry Card (Back)

    *Signed* Physician Certification Form - Page 3 - (Sections A, B, C, D ALL COMPLETED)