Application Forms

Please Note: Our application to become a licenced producer is currently in processing at Health Canada. Sign up for our Newsletter and you'll be the first to know when our products become available.

Application Form

Complete application form A, B or C. This form registers you with Agrima Botanicals.

Form A

I reside in a private residence
(house, townhouse, apartment etc.)

Form B

I reside in an establishment
(care facility, shelter, hostel etc.)

Form C

My healthcare practitioner is consenting to receive product at their office for me.


Medical Document

Have your healthcare practitioner complete and sign your Medical Document.

Medical Document

This Medical Document is your authorization to purchase medical marijuana.

Membership Information

About Agrima

We've centered our customer experience platform around:

Diverse Strain Selection
Next Day Shipping
No Third Parties
Indoor Production Facility
Multiple Support Channels
Privacy Assurance