Medicinal Cannabis Tier 2 Application

Form ID
For providers
General Practitioner
Medical specialist
Specialist (includes all medical specialists in relevant field)

There is a two tiered process to apply for medicinal cannabis through the Repatriation Pharmaceutical Benefits Scheme (RPBS). Use this form for a tier 2 application. To find out about a tier 1 application, go to Medicinal cannabis information for providers.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.

How can I access this form?
Form file format