British Columbia
Form Downloads |
Registration and Renewal Forms
Medical Document
To be filled out by your health care practitioner.
Medical Client Registration
For applicants with a permanent address.
Expanded Medical Client Registration
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.
Amendment Forms
Address
Changes to your residential, mailing, or shipping address.
Name/Date of Birth
Changes to your name or date of birth.
Responsible Individual(s)
Changes to your Responsible Individual(s).
Non-Residential Address
Changes to a non-residential address (a shelter, hostel, or similar institution).
Physician Address
If you have your product shipped to your health care practitioner, and your practitioner has had a change of address
Phone number and/or Email address
Changes to your phone number or email address.
Paper forms can be sent to Broken Coast at: 3695 Drinkwater Rd. Duncan, BC V9L 0E9
