Thank you for choosing Organigram as your licensed producer of medical marijuana. Before we can authorize a caregiver to be responsible for you as a substitute decision maker, you will need to complete the following application.


IMPORTANT: Please read and sign below I, the client, declare that my caregiver is fully responsible as a substitute decision maker on my behalf.

Client Information

Caregiver Information

IMPORTANT: Please read and sign below I, the caregiver, declare that I am fully responsible as a substitute decision maker for the client.

Caregiver Signature

Client Signature

Have a question for us?

Call 1-844-644-4726 (1-844-OGI-GRAM) and the folks on our client support team like Nicole, Bhreagh and Jastine can answer any question you have.

Monday to Thursday: 8:30 AM to 8:00 PM 
Friday: 8:30 AM to 6:30 PM 
Fax: 1-855-267-1386

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