Registration and Renewal Forms
For applicants who do not have a permanent address (applicant currently resides in a shelter, hostel, or similar institution.)
For applicants with a permanent residential address and (a) responsible individual(s) and/or (b) who are having their product shipped to their health care practitioner.
Changes to a non-residential address (a shelter, hostel, or similar institution).
If you have your product shipped to your health care practitioner, and your practitioner has had a change of address
Paper forms can be sent to Broken Coast at: 3695 Drinkwater Rd. Duncan, BC V9L 0E9