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Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
Canada medicalcannabisgrowerscoop.ca patient info package pdf
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Canada medicalcannabisgrowerscoop.ca patient info package pdf

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  • 1. Our Coop of Growers are busy applying for new MMPR program released June 2013 and then they can start growing BEST LAB TESTED PESTICIDE FREE MEDICAL CANNABIS; thus please feel free to register http://www.canadamedicalcannabisgrowerscoop.ca/register.sc if have future interest but PLEASE DO NOT SEND MEDICAL FORMS YET. Patients thank you for your info request. Health and Canada MMAR rules require you to fax a copy of your long form ATP to us to keep on file till it expires. New MMPR rules please contact your past or new authorized health care practioner includes physicians in all provinces and territories, and nurse practioner's in provinces and territories where in provinces and territories where prescribing dried marihuana for medical purposes is permitted under the scope of practice. Patients and Practioner new medical form example has to have all this info thus feel free to print: http://www.hc-sc.gc.ca/dhp-mps/alt_formats/pdf/marihuana/info/med-eng.pdf MMPR rules require that our grower / producer have the original practioner ink signature copy mailed to them (please make copy) medical signed and good for one year from issue date. Current MMPR / MMAR rules allow up to 150 grams per month which is up 5g per day. We verify with practioner and ask you to register ASAP for future contact: http://www.canadamedicalcannabisgrowerscoop.ca/register.sc REGULATORY IMPACT ANALYSIS STATEMENT partial info below link: http://www.hc-sc.gc.ca/dhp-mps/marihuana/info/faq-eng.php#a1 How do I access marihuana during the transition period? Until March 2014, individuals, who have the support of a health care practitioner, may access marihuana for medical purposes through either: New MMPR Marihuana for Medical Purposes Regulations (by registering with a licensed producer once they become established). Under the current and up till 2014 MMAR Marihuana Medical Access Regulations, you can apply to Health Canada to access one of the three sources of supply: Health Canada supply; Personal-Use Production Licence; or Designated-Person Production Licence. For more information on how to apply for one of these sources of supply, please visit the "How to Apply" web page. Under the new Marihuana for Medical Purposes Regulations, once licensed producers are established, you can have your health care practitioner complete a medical document. You must submit the original medical document directly to a licensed producer along with a completed registration form from the licensed producer of your choice. Please note that you may only have access to marihuana for medical purposes under either the Marihuana Medical Access Regulations or the new Marihuana for Medical Purposes Regulations, not both. During the transition period, what is my proof of authority to possess marihuana? If you continue to access marihuana under the Marihuana Medical Access Regulations, your Authorization to Possess (ATP) will remain your proof of authority to possess until March 31, 2014. As of
  • 2. April 1, 2014, your ATP can no longer be used as proof that you are authorized to possess marihuana for medical purposes. If you register with a licensed producer under the new Marihuana for Medical Purposes Regulations (regardless of whether it is before or after March 31, 2014) your proof of authority to possess will either be the label on the packaging or a separate document accompanying the shipment of dried marihuana from the licensed producer. How do I find out how much a licensed producer is charging for marihuana? You must contact the licensed producer directly for pricing information. Once licensed producers are established, a list of licensed producers and their contact information will be maintained on the licensed producers web page. I have a valid Personal-Use Production Licence or Designated-Person Production Licence. Can I sell my plants to a licensed producer? Yes. If you hold a valid licence to produce issued under the Marihuana Medical Access Program, you may provide starting materials (plants, seeds or clippings) to a licensed producer. To do so, you must submit an application to Health Canada. Contact us BudTender@CanadaMedicalCannabisGrowersCoop.ca If you hold a Designated-Person Production Licence, the consent of the authorized individual will be required. If you produce for more than one person, you will need to submit this information for each person. Once the application is received, Health Canada will verify the information. If all of the information is valid, a notice will be sent to the licence holder, the authorization holder(s) (if applicable) and the licensed producer authorizing the transfer of materials. All Personal-Use Production Licence or a Designated-Person Production Licence expire no later than March 31, 2014, so this is the last day this type of transfer may take place. Information for Health Care Professionals Cannabis (marihuana, marijuana) and the cannabinoids; 158 page PDF from Health & Welfare http://www.hc-sc.gc.ca/dhp-mps/marihuana/med/infoprof-eng.php http://gazette.gc.ca/rp-pr/p1/2012/2012-12-15/html/reg4-eng.html Issues: In 2001, the Marihuana Medical Access Regulations (MMAR) were promulgated. The MMAR sets out a scheme for Canadians to access marihuana for medical purposes, if they have the support of a medical practitioner. Over the years, stakeholders have expressed various concerns about the Marihuana Medical Access Program (the Program or MMAP). Program participants generally dislike the application process, and the fact that only a single strain of marihuana is available for purchase from Health Canada. Other stakeholders have expressed health, safety, and security concerns relating to the production of marihuana by individuals in homes and communities. Their specific concerns relate to the potential for diversion of marihuana to the illicit market due to limited security requirements, the risk of violent
  • 3. home invasion by criminals attempting to steal marihuana, fire hazards due to faulty or overloaded electricity installation to accommodate high intensity lighting for its cultivation, and humidity and poor air quality. Individual producers who are ill may be more vulnerable to health risks associated with mould. As more individuals receive licences to produce marihuana for medical purposes, the overall risk to Canadians increases. Rapid growth in the number of authorized users has also had significant implications for the administration of the Program, leading sometimes to long application processing times and higher Program administration costs for Health Canada. Finally, over the years, Canadian courts have found various parts of the MMAR to be invalid, resulting in changes that impact program delivery. Description: The proposed Marihuana for Medical Purposes Regulations (MMPR) would treat dried marihuana as much as possible like a medication by creating a licensing scheme for the commercial production and distribution of dried marihuana for medical purposes. The proposed MMPR would modify the New Classes of Practitioner Regulations (NCPR), the Narcotic Control Regulations (NCR) and eventually repeal the MMAR. At the same time, changes to the Marihuana Exemption (Food and Drugs Act) Regulations (MER) are also being proposed. Health Canada would no longer issue authorizations to possess marihuana for medical purposes to individuals. This is expected to make accessing marihuana for medical purposes more efficient for program participants. It would also give them more options with respect to obtaining the support of an authorized health care practitioner, more choices of strains and suppliers, and provide increased access to quality-controlled marihuana. This, as well as ending Health Canada’s role in the production and supply of marihuana, would also reduce the cost of running the Program. Following a transition period, individuals would no longer be licensed to produce marihuana, an activity which often occurs in homes. This would address the public health, safety and security concerns raised by stakeholders. The proposed MMPR would authorize three key activities: the possession of dried marihuana for medical purposes by individuals who have the support of an authorized health care practitioner; the production of dried marihuana by licensed producers; and the sale and distribution of dried marihuana by specific regulated parties to individuals who can possess it. Licensed producers would be subject to regulatory requirements related to security; good production practices; packaging, labelling and shipping; record keeping and reporting; and distribution. They would also be subject to Health Canada inspections. Cost-benefit statement: The main economic cost associated with the proposed MMPR would arise from the loss to consumers who may have to pay a higher price for dried marihuana. The analysis assumes a price increase from an estimated $1.80/g to $5.00/g in the status quo to about $7.60/g in 2014, rising to about $8.80/g
  • 4. The objective of the proposed MMPR is to reduce the risks to public health, security and safety of Canadians, while significantly improving the way in which individuals access marihuana for medical purposes. To reduce the risks to public health, security and safety of Canadians, a new supply and distribution system for dried marihuana that relies on commercial production of marihuana for medical purposes would be established. Security requirements would be in place for the production site and key personnel of the licensed producer. Standards for packaging, transportation and record keeping would contribute to achieving security objectives. The process for individuals to access marihuana for medical purposes would no longer require applying to Health Canada. Individuals would be able to obtain marihuana, of any strain commercially available, with information similar to a prescription from an authorized health care practitioner (a physician or, potentially, a nurse practitioner). Quality and sanitation standards appropriate for a product for medical use will be in place. In line with other controlled substances, personal and designated production would be phased out. This would reduce the health and safety risks to individuals and to the public while allowing for a quality-controlled and more secure product for medical use. Health Canada would no longer receive and process applications or issue authorizations and licences, nor continue to produce and supply marihuana for medical purposes. Health Canada would not enter into future contractual arrangements for the production and distribution of marihuana for medical purposes. The new regulatory scheme returns Health Canada to its traditional role of regulator rather than producer and service provider, while striking a better balance between access and risks to public health and safety. Description The proposed Marihuana for Medical Purposes Regulations would authorize the following key activities: the possession of dried marihuana by individuals who have the support of an authorized health care practitioner to use marihuana for medical purposes; the production of dried marihuana by licensed producers only; and the direct sale and distribution of dried marihuana by specific regulated parties to individuals who are eligible to possess it. The proposed MMPR would also allow individuals who hold an authorization to possess under the MMAR to transition to the new framework using their authorization for up to one year after its date of issue (unless a period of usage of less than 12 months has been indicated in the medical declaration). Individuals could also transition using a medical declaration issued under the MMAR. Licences to produce issued under the current MMAR would be phased out, while renewals would continue normally. New licences to produce would not be issued if the application is submitted after September 30, 2013, because there would not be enough time to produce a crop before the repeal of the MMAR on March 31, 2014. Licences to produce would also not be amended for a site change after September 30, 2013, for the same reason (see “Implementation, enforcement and service standards”). All licences to produce would end on March 31, 2014.
  • 5. 1. Possession of dried marihuana by individuals who have the support of an authorized health care practitioner. Possession of dried marihuana: Individuals would no longer have to apply to Health Canada for an authorization to possess dried marihuana for medical purposes. Instead, individuals who require marihuana for medical purposes would be able to legally possess dried marihuana if it was obtained under the proposed MMPR from a pharmacist or licensed producer with a supporting medical document from an authorized health care practitioner, or directly from an authorized health care practitioner. Similarly, an individual responsible for a person who requires marihuana for medical purposes would be able to legally possess dried marihuana under these circumstances. In both cases, individuals would be authorized to possess the lesser of 150 g or 30 times the daily quantity stipulated by the authorized health care practitioner. Under the proposed MMPR, individuals would be able to demonstrate that they are in legal possession of dried marihuana by showing a law enforcement official a client-specific label affixed to the product, or an accompanying client-specific document, as well as an appropriate piece of photo identification (see “Packaging and labelling”). Licensed producers would also be required to confirm to a member of a Canadian police force, in the context of an investigation, whether a named individual is a registered client or an individual responsible for a registered client. Objectives The objective of the proposed MMPR is to reduce the risks to public health, security and safety of Canadians, while significantly improving the way in which individuals access marihuana for medical purposes. To reduce the risks to public health, security and safety of Canadians, a new supply and distribution system for dried marihuana that relies on commercial production of marihuana for medical purposes would be established. Security requirements would be in place for the production site and key personnel of the licensed producer. Standards for packaging, transportation and record keeping would contribute to achieving security objectives. The process for individuals to access marihuana for medical purposes would no longer require applying to Health Canada. Individuals would be able to obtain marihuana, of any strain commercially available, with information similar to a prescription from an authorized health care practitioner (a physician or, potentially, a nurse practitioner). Quality and sanitation standards appropriate for a product for medical use will be in place. In line with other controlled substances, personal and designated production would be phased out. This would reduce the health and safety risks to individuals and to the public while allowing for a quality-controlled and more secure product for medical use. Health Canada would no longer receive and process applications or issue authorizations and licences, nor continue to produce and supply marihuana for medical purposes. Health Canada would not enter into future contractual arrangements for the production and distribution of marihuana for medical purposes. The new regulatory scheme returns Health Canada to its traditional role of regulator rather than producer and service provider, while striking a better balance between access and risks to public health and safety.
  • 6. Description The proposed Marihuana for Medical Purposes Regulations would authorize the following key activities: the possession of dried marihuana by individuals who have the support of an authorized health care practitioner to use marihuana for medical purposes; the production of dried marihuana by licensed producers only; and the direct sale and distribution of dried marihuana by specific regulated parties to individuals who are eligible to possess it. The proposed MMPR would also allow individuals who hold an authorization to possess under the MMAR to transition to the new framework using their authorization for up to one year after its date of issue (unless a period of usage of less than 12 months has been indicated in the medical declaration). Individuals could also transition using a medical declaration issued under the MMAR. Licences to produce issued under the current MMAR would be phased out, while renewals would continue normally. New licences to produce would not be issued if the application is submitted after September 30, 2013, because there would not be enough time to produce a crop before the repeal of the MMAR on March 31, 2014. Licences to produce would also not be amended for a site change after September 30, 2013, for the same reason (see “Implementation, enforcement and service standards”). All licences to produce would end on March 31, 2014. 1. Possession of dried marihuana by individuals who have the support of an authorized health care practitioner Possession of dried marihuana Individuals would no longer have to apply to Health Canada for an authorization to possess dried marihuana for medical purposes. Instead, individuals who require marihuana for medical purposes would be able to legally possess dried marihuana if it was obtained under the proposed MMPR from a pharmacist or licensed producer with a supporting medical document from an authorized health care practitioner, or directly from an authorized health care practitioner. Similarly, an individual responsible for a person who requires marihuana for medical purposes would be able to legally possess dried marihuana under these circumstances. In both cases, individuals would be authorized to possess the lesser of 150 g or 30 times the daily quantity stipulated by the authorized health care practitioner. Under the proposed MMPR, individuals would be able to demonstrate that they are in legal possession of dried marihuana by showing a law enforcement official a client-specific label affixed to the product, or an accompanying client-specific document, as well as an appropriate piece of photo identification (see “Packaging and labelling”). Licensed producers would also be required to confirm to a member of a Canadian police force, in the context of an investigation, whether a named individual is a registered client or an individual responsible for a registered client. Objectives
  • 7. The objective of the proposed MMPR is to reduce the risks to public health, security and safety of Canadians, while significantly improving the way in which individuals access marihuana for medical purposes. To reduce the risks to public health, security and safety of Canadians, a new supply and distribution system for dried marihuana that relies on commercial production of marihuana for medical purposes would be established. Security requirements would be in place for the production site and key personnel of the licensed producer. Standards for packaging, transportation and record keeping would contribute to achieving security objectives. The process for individuals to access marihuana for medical purposes would no longer require applying to Health Canada. Individuals would be able to obtain marihuana, of any strain commercially available, with information similar to a prescription from an authorized health care practitioner (a physician or, potentially, a nurse practitioner). Quality and sanitation standards appropriate for a product for medical use will be in place. In line with other controlled substances, personal and designated production would be phased out. This would reduce the health and safety risks to individuals and to the public while allowing for a quality-controlled and more secure product for medical use. Health Canada would no longer receive and process applications or issue authorizations and licences, nor continue to produce and supply marihuana for medical purposes. Health Canada would not enter into future contractual arrangements for the production and distribution of marihuana for medical purposes. The new regulatory scheme returns Health Canada to its traditional role of regulator rather than producer and service provider, while striking a better balance between access and risks to public health and safety. Description The proposed Marihuana for Medical Purposes Regulations would authorize the following key activities: the possession of dried marihuana by individuals who have the support of an authorized health care practitioner to use marihuana for medical purposes; the production of dried marihuana by licensed producers only; and the direct sale and distribution of dried marihuana by specific regulated parties to individuals who are eligible to possess it. The proposed MMPR would also allow individuals who hold an authorization to possess under the MMAR to transition to the new framework using their authorization for up to one year after its date of issue (unless a period of usage of less than 12 months has been indicated in the medical declaration). Individuals could also transition using a medical declaration issued under the MMAR. Licences to produce issued under the current MMAR would be phased out, while renewals would continue normally. New licences to produce would not be issued if the application is submitted after September 30, 2013, because there would not be enough time to produce a crop before the repeal of
  • 8. the MMAR on March 31, 2014. Licences to produce would also not be amended for a site change after September 30, 2013, for the same reason (see “Implementation, enforcement and service standards”). All licences to produce would end on March 31, 2014. 1. Possession of dried marihuana by individuals who have the support of an authorized health care practitioner Possession of dried marihuana Individuals would no longer have to apply to Health Canada for an authorization to possess dried marihuana for medical purposes. Instead, individuals who require marihuana for medical purposes would be able to legally possess dried marihuana if it was obtained under the proposed MMPR from a pharmacist or licensed producer with a supporting medical document from an authorized health care practitioner, or directly from an authorized health care practitioner. Similarly, an individual responsible for a person who requires marihuana for medical purposes would be able to legally possess dried marihuana under these circumstances. In both cases, individuals would be authorized to possess the lesser of 150 g or 30 times the daily quantity stipulated by the authorized health care practitioner. Under the proposed MMPR, individuals would be able to demonstrate that they are in legal possession of dried marihuana by showing a law enforcement official a client-specific label affixed to the product, or an accompanying client-specific document, as well as an appropriate piece of photo identification (see “Packaging and labelling”). Licensed producers would also be required to confirm to a member of a Canadian police force, in the context of an investigation, whether a named individual is a registered client or an individual responsible for a registered client. CLIENT REGISTRATION AND ORDERING REGISTRATION Eligibility 107. An individual is eligible to be a client of a licensed producer only if they ordinarily reside in Canada. Registration application 108. (1) Before registering an individual as a client, a licensed producer must obtain from the individual or an individual who is responsible for the individual an application that contains the following information: (a) the applicant’s given name, surname, date of birth and gender; (b) either, (i) the address of the place in Canada where the applicant ordinarily resides, as well as, if applicable, the applicant’s telephone number, facsimile number and email address, or (ii) if the applicant ordinarily resides in Canada but has no dwelling place, the address, as well as, if applicable, the telephone number, facsimile number and email address of a shelter, hostel or similar institution, located in Canada, that provides food, lodging or other social services to the applicant;
  • 9. (c) the mailing address of the place referred to in paragraph (b), if different from the address provided under that paragraph; (d) if applicable, the given name, surname, date of birth and gender of one or more individuals who are responsible for the applicant ; (e) if the place referred to in subparagraph (b)(i) is an establishment that is not a private residence, the type and name of the establishment; and (f) an indication as to which of the following is to be their shipping address: (i) the address referred to in subparagraph (b)(i), (ii) the mailing address of the place referred to in subparagraph (b)(i), or (iii) subject to section 109, the address of the health care practitioner who provided the medical document referred to in subsection (2). Medical document (2) The applicant must include with the application the original of their medical document. Statement by applicant or responsible individual (3) The application must be signed and dated by the applicant or an individual who is responsible for the applicant and include a statement that (a) the applicant is ordinarily resident in Canada; (b) the information in the application and the medical document is correct and complete; (c) the medical document is not being used to seek or obtain dried marihuana from another source; (d) the original of the medical document accompanies the application; and (e) the applicant will use dried marihuana only for their own medical purposes. Statement by responsible individual (4) If the application is signed and dated by an individual who is responsible for the applicant, it must include a statement by that individual that they are responsible for the applicant.Homeless applicant (5) If an application includes the information referred to in subparagraph (1)(b)(ii), the applicant must include with the application an attestation of residence signed and dated by a manager of the specified shelter, hostel or similar institution confirming that the institution provides food, lodging or other social services to the applicant. Health care practitioner’s consent to receive dried marihuana
  • 10. 109. (1) If the shipping address specified in a registration application is the one referred to in subparagraph 108(1)(f)(iii), the applicant must include with the application a statement signed and dated by the health care practitioner who provided the medical document to the applicant indicating that the practitioner consents to receive dried marihuana on behalf of the applicant. Withdrawal of consent (2) If the applicant becomes a client of a licensed producer in accordance with section 111 and the health care practitioner ceases to consent to receive dried marihuana on behalf of the client, the practitioner must send a written notice to that effect to the client and the licensed producer. No further shipments (3) A licensed producer who receives such a notice must not send any further shipments of dried marihuana to that health care practitioner for that client. Amendment to registration (4) A client who receives such a notice and wishes to specify a new shipping address must submit to the licensed producer a registration amendment application in accordance with section 115. Verification of medical document 110. A licensed producer who receives an application under section 108 and intends to register the applicant must ensure that (a) the medical document accompanying the application meets all of the requirements of section 129; (b) the person who provided the applicant with the medical document (i) is a health care practitioner, (ii) is entitled to practise their profession in the province in which the applicant consulted with that person, and (iii) is not named in a notice issued under section 59 of the Narcotic Control Regulations that has not been retracted under section 60 of those Regulations; and (c) the applicant has consulted with the person referred to in paragraph (b) and that the information set out in the medical document is correct and complete, by confirming these matters with the office of that person. Registration of client 111. (1) Subject to section 113, a licensed producer may register an applicant as a client. Registration document and unique identifier (2) If the licensed producer registers the applicant as a client, the producer must
  • 11. (a) send the client a registration document that contains the following information: (i) the name of the producer, and (ii) in respect of the client, (A) the client’s given name, surname, date of birth and gender, (B) the address referred to in subparagraph 108(1)(b)(i) or (ii), (C) the client’s shipping address in Canada, and (D) the expiry date of the registration; and (b) provide the client with information that will permit the client to use a unique identifier for the purpose of ordering dried marihuana. Expiry of registration 112. A client’s registration expires at the end of the period of validity of the medical document supporting the registration, as determined in accordance with subsections 129(2) and (3). Refusal to register 113. A licensed producer must refuse to register an applicant as a client if (a) the application does not meet the requirements of section 108; (b) the licensed producer has reasonable grounds to believe that false or misleading information or false or falsified documents were submitted in or with the application; (c) the requirements of section 110 are not met; (d) the medical document that is submitted with the application is no longer valid; (e) the given name, surname or date of birth of the applicant is different from the given name, surname or date of birth that appears on the medical document; (f) the health care practitioner who provided the medical document to the applicant notifies the licensed producer in writing that the use of dried marihuana by the applicant is no longer supported for clinical reasons; or (g) the address specified in the application under subparagraph 108(1)(b)(i) or (ii) is not in Canada. Notice — refusal to register 114. (1) A licensed producer who proposes to refuse to register an applicant for a ground set out in section 113 or for a business reason must without delay send the applicant a notice that indicates the reason for the refusal. Opportunity to be heard
  • 12. (2) The applicant may, within 10 days after receipt of the notice, provide the licensed producer with reasons why the refusal is unfounded. Return of medical document (3) A licensed producer who refuses to register an applicant must return the medical document to the applicant without delay. Application to amend registration 115. (1) An application to amend a registration must be made to the licensed producer by the client or an individual responsible for the client when a change occurs in respect of any of the information provided under subsection 108(1). Content of application (2) The application must include (a) the requested amendment; (b) in the case of a change to any of the information provided under paragraph 108(1)(a), proof of the change; and (c) in the case of a change to the information provided under subparagraph 108(1)(f)(iii), the statement referred to in subsection 109(1). Statement (3) The application must be signed and dated by the client or an individual who is responsible for the client and include a statement that (a) the client is ordinarily resident in Canada; and (b) the information contained in the application is correct and complete. Statement by responsible individual (4) If the application is signed and dated by an individual who is responsible for the client, it must include a statement by that individual that they are responsible for the client. Amendment 116. (1) A licensed producer must amend a client’s registration if the client’s amendment application meets the requirements of subsections 115(2) and (3). Amended registration document
  • 13. (2) If the licensed producer amends the client’s registration, the producer must send the client an amended registration document that contains the information referred to in subparagraphs 111(2)(a)(i) and (ii). Cancellation of registration 117. (1) A licensed producer must cancel the registration of a client if (a) the client or an individual who is responsible for the client requests the licensed producer to cancel the registration; (b) the client dies, ceases to be ordinarily resident in Canada or ceases to have a shipping address in Canada; (c) the licensed producer has reasonable grounds to believe that (i) the registration was made on the basis of false or misleading information or false or falsified documents submitted in or with the registration application, or (ii) false or misleading information or false or falsified documents were submitted in or with the application to amend the registration; (d) the health care practitioner who provided the medical document to the client notifies the licensed producer in writing that the use of dried marihuana by the client is no longer supported for clinical reasons; or (e) the health care practitioner who provided the medical document to the client is named in a notice issued under section 59 of the Narcotic Control Regulations that has not been retracted under section 60 of those Regulations. Time of cancellation (2) The licensed producer must cancel the registration of the client without delay if the producer (a) receives a request referred to in paragraph (1)(a) or a written notice under paragraph (1)(d); (b) becomes aware of a ground referred to in paragraph (1)(b) or (e) and has verified in a reasonable manner the existence of the ground; or (c) has reasonable grounds to believe that a ground referred to in subparagraph (1)(c)(i) or (ii) exists. Cancellation of all registrations (3) A licensed producer must cancel the registrations of all of its clients without delay if the producer’s licence is revoked. Cancellation by producer for business reason (4) A licensed producer may cancel the registration of a client for a business reason.
  • 14. Notice (5) Except in the case of the death of a client, a licensed producer who proposes to cancel a client’s registration must without delay send a notice that indicates the reason for the cancellation to the client. Opportunity to be heard (6) Within 10 days after receipt of the notice, the client or an individual responsible for the client may provide the licensed producer with reasons why the cancellation is unfounded. Medical document (7) A licensed producer who cancels a client’s registration must not return the medical document. Prohibition — transfer of medical document 118. A licensed producer must not transfer to any person a medical document on the basis of which a client has been registered. NEW MEDICAL DOCUMENT New application 119. A licensed producer must not sell or provide dried marihuana to a client or an individual who is responsible for the client on the basis of a new medical document unless the client or the individual submits to the producer a new registration application that meets the requirements of section 108. Applicable provisions 120. Sections 109 to 114 apply to an application under section 119 in the same way that they apply to an application under section 108. PROCESSING AN ORDER Order required 121. (1) A licensed producer must not sell or provide dried marihuana to a client or an individual responsible for the client unless the producer has first received, from the client or the individual, a written order in accordance with subsection (2) or a verbal order recorded in accordance with subsection (3). Written orders (2) A written order for dried marihuana must (a) be dated as of the day on which it is made; (b) set out (i) the given name, surname and date of birth of the client for whom the order is made,
  • 15. (ii) the given name and surname of the individual making the order, (iii) the shipping address specified in the client’s registration document, and (iv) the client’s unique identifier; and (c) set out the quantity and the brand name of the dried marihuana being ordered. Verbal orders (3) A licensed producer who receives a verbal order must, before filling the order, make a record of the information referred to in section 137. Shipping 122. In filling an order referred to in section 121, a licensed producer must not transfer physical possession of the dried marihuana to the client or to an individual responsible for that client other than by shipping it to that person. Refusal 123. (1) A licensed producer must refuse to fill an order referred to in section 121 if (a) the order does not meet the requirements of section 121; (b) any of the information that is referred to in subparagraph 121(2)(b)(i) or (iii) does not correspond to the information set out in the client’s registration document in accordance with clause 111(2)(a)(ii)(A) or (C); (c) the client’s unique identifier referred to in subparagraph 121(2)(b)(iv) is not correct; (d) the client’s registration has expired or been cancelled; (e) the order specifies a quantity of dried marihuana that exceeds 150 g; (f) the order has been previously filled in whole or in part; or (g) more than 30 days have elapsed since the date referred to in paragraph 121(2)(a) or 137(a). Notice of refusal to fill order (2) The licensed producer must send the client a written notice of the reason for the refusal. Thirty-day limit 124. (1) A licensed producer must not sell or provide to a client or an individual responsible for the client in any 30-day period a total quantity of dried marihuana that exceeds 30 times the daily quantity referred to in paragraph 129(1)(d).
  • 16. Date of sale (2) A quantity of dried marihuana is deemed to be sold or provided, for the purpose of subsection (1), on the date that the licensed producer reasonably anticipates that it will be received by the client. Return ( NO RETURNS FOR MANY REASONS www.CanadaMedicalCannabisGrowersCoop.ca ) (3) If the client or an individual responsible for the client returns to the licensed producer dried marihuana that the producer sold or provided to them, the producer may replace the returned marihuana with an equal quantity, to a maximum of 150 g. Exclusion (4) The quantity of any dried marihuana that the licensed producer provides to the client or an individual responsible for the client to replace the returned marihuana is to be excluded for the purpose of calculating the total quantity referred to in subsection (1). PART 3 CLIENTS AND OTHER AUTHORIZED USERS Proof of authority to possess 125. On demand, an individual who, in accordance with these Regulations, obtains dried marihuana for their own medical purposes must show to a police officer proof that they are authorized to possess the dried marihuana. Prohibition — obtaining from more than one source 126. It is prohibited to seek or obtain dried marihuana from more than one source at a time on the basis of the same medical document. Return ( NO RETURNS FOR MANY REASONS www.CanadaMedicalCannabisGrowersCoop.ca ) 127. (1) An individual who, in accordance with these Regulations or subsection 65(2.1) of the Narcotic Control Regulations, obtains dried marihuana for their own medical purposes or for those of another individual for whom they are responsible may return the dried marihuana to the person who sold or provided it to them if that person accepts the return of that dried marihuana. Return by shipping ( NO RETURNS FOR MANY REASONS www.CanadaMedicalCannabisGrowersCoop.ca ) (2) If the individual returns the dried marihuana by means of shipping it to the person who sold or provided it to them, they must (a) ship it in a package that meets the requirements of paragraph 73(1)(b); and (b) use a shipping method that meets the requirements of paragraph 73(1)(c).
  • 17. Return to licensed producer(3) If the individual returns the dried marihuana to the licensed producer who sold or provided it to them, they must do so by shipping it to the producer’s site in accordance with paragraphs (2)(a) and (b). What to Look for in a Licensed Producer 2.2-approved_DSC9107_smaller Production of medical marijuana in Canada is a highly regulated, controlled, commercial industry. To be legally licensed, producers must comply with extremely high standards of inspection across all areas of operations, from quality control to safety and security of distribution. Governing laws Health Canada provides licenses to medical marijuana producers who are inspected and found in compliance with applicable sections of the following Canadian acts and regulations: Food and Drug Act (FDA) Controlled Drugs and Substances Act (CDSA) Food and Drug Regulations (FDR) Natural Health Product Regulations (NHPR) Narcotic Control Regulations (NCR) Marihuana Medical Access Regulations (MMAR) (In effect until March 31, 2014) Marihuana for Medical Purposes (MMPR) (introduced June 19, 2013) Under MMAR, licensed marijuana producers must also abide by standards set in Good Manufacturing Practices (GMP), ensuring a controlled, procedure-driven cultivation, processing and testing systems. For instance, if a question of safety or potency is raised, a licensed, GMP-compliant grower should be able to fully trace a specific product or dose, and answer concisely to the medical community and patients. Scientifically trained staff A licensed producer employs personnel with advanced degrees in chemistry and pharmacology to manage production quality systems. The work depends on intelligent, reliable, trustworthy, creative staff who ensure that breeding, growing, drying, packaging, storage, testing and distribution of medical marijuana is robust, ensuring a consistent product for patients. Keeping patients’ best interests in mind, licensed producers adhere to tight contamination and potency limits through validated analytical tests. Safety testing occurs at every stage of production, with full traceability, and the same standards used with common pharmaceutical products. Regulated potency
  • 18. ensures that patients know what to expect from the product and can measure the dosage required for their desired effect. Security with zero tolerance for abuse Marijuana is an illegal narcotic in Canada, and only legally cultivated by licensed producers. As such, it is imperative that everything produced, including all waste streams and distribution to patients can be accounted for, proving zero tolerance associations with illegal markets. Licensed producers are required to provide infallible security to the premises that produce and store medical marijuana. How Much Marijuana Will I Need to Take? 3.3_dosingSeveral surveys have shown that the average consumption of marijuana for medical purposes is 1 to 3 g per day.1,2,3 Currently, the maximum daily amount approved for patient use is 5 g/day. The optimal amount for you will be set out by your medical practitioner. (See Medical Marijuana Access) Precise dosages of inhaled cannabis have not been established. In one recent Canadian study, 25 mg of dried marijuana (THC (delta-9-tetrahydrocannabinol) 9.4%) smoked as a single inhalation 3x/day for five days, was effective in reducing intensity of pain, improved sleep and was well tolerated.4 Suggested guidelines for dosing medical marijuana are to “start low and go slow.” Patients who are new to cannabis are cautioned to start with a very low dose and to stop therapy if any undesirable or unacceptable effects occur. Patients should wait between puffs for a few minutes to gauge the strength of the effects. Delivery mechanisms Inhalation by smoking/vaporization is the most common delivery system for users to get the active ingredients, THC (delta-9-tetrahydrocannabinol), CBD (cannabidiol), and CBN (cannabinol), in marijuana. With this method, THC blood levels peak in just two minutes, while the medical effects peak at 15 minutes and may last as long as several hours. After approximately two hours, blood concentrations are reduced by half. This predictable behaviour (onset/half-life) for THC delivered by inhalation makes it easy for most patients to determine how much they need to take for the medical effect that they want. Since inhalation delivers the THC quickly, it is the system most suitable for treating acute symptoms such as nausea, seizures, sleep initiation, appetite stimulation, and for unexpected pain. Some people prefer to bake/cook with marijuana or use it to prepare tea. When ingested orally in these ways, the active ingredients are absorbed throughout the gastro-intestinal tract. Again, the recommendation is to start low and go slow. Wait 30 to 60 minutes between bites of baked goods to gauge the strength and effect. This delivery system is slower to produce THC effects (one to two hours for onset) but lasts longer than inhalation (up to six hours). For chronic pain, multiple sclerosis spasticity or sleep maintenance, oral delivery may be preferred. However, since it takes effect more slowly, care must be taken not to take
  • 19. more while the ingredients are still being absorbed. Overdosing with cannabinoids, while not immediately life-threatening or toxic, can produce undesirable psychological side-effects and dosages above 5 g per day may increase the risk of health and psychological side effects. 1 G.T. Carter, P. Weydt, M. Kyashna-Tocha and D.I. Abrams. “Medicinal cannabis: rational guidelines for dosing,” IDrugs. (2004), 7:464-470. 2 A.J. Clark, M.A. Ware, E. Yazer, T.J. Murray et al. “Patterns of cannabis use among patients with multiple sclerosis,” Neurology. (2004), 62:2098-2100. 3 M.A. Ware, H. Adams, and G.W. Guy. “The medicinal use of cannabis in the UK: results of a nationwide survey,” Int.J.Clin.Pract. (2005), 59:291-295. 4 M. Ware, T. Want, S. Shapiro, A. Robinson et al. “Smoked cannabis for neuropathic pain: a randomized controlled trial,” CMAJ. (2010), 182:E694-701. Side Effects 3.2 approved shutterstock_116261065Like any drug, medical marijuana can have side effects. It’s important to be aware of these when deciding whether it’s an appropriate treatment for you. Because THC is psychoactive, its use may result in acute psychosis, including feelings of paranoia, delusions, and distorted sensory perceptions. Evidence suggests that individuals with schizophrenia have a higher likelihood of suffering adverse psychiatric effects. Precautions for the use of medical marijuana are based on evidence of potential side effects in affecting the following areas. Lungs Generally, it is not recommended that any medicinal product be smoked. However, smoking is a common delivery method for the THC and CBD found in medical marijuana. There are negative pulmonary side effects related to smoking marijuana. In vitro studies provide strong evidence that smoked marijuana is carcinogenic, although epidemiological evidence is inconclusive. Studies suggest that heavy marijuana smokers have decreased lung function and often experience symptoms of bronchitis and chronic coughs, implicating it as a long-term risk factor for chronic obstructive pulmonary disease. Heart Upon taking marijuana, some patients experience a rapid heart beat (tachycardia). This side effect can be problematic or even dangerous for patients who have angina or a pre-existing heart condition. Smoking marijuana also causes blood vessels to expand (vasodilation), resulting in reddening of the eyes and affecting the body’s ability to counteract low blood pressure. Central nervous system
  • 20. Side effects to the central nervous system include intoxication-like symptoms such as drowsiness, dizziness, and getting a “high” sensation (elation and laughing). Cognitive impairment such as reduced short-term memory and difficulty concentrating have also been reported. In addition, marijuana use impairs psychomotor performance; driving under the influence is not advised. Liver Marijuana use has been implicated in chronic liver disease. A significant association has been seen between its use and severe liver fibrosis in patients with hepatitis C. Fertility Epidemiological, clinical and non-clinical studies agree that marijuana and THC have negative reproductive side effects on sperm count, motility, and morphology. Pregnancy and breastfeeding Use of marijuana should be avoided if you are planning a pregnancy, pregnant or breastfeeding because of potential risks to your fetus or child. Granny Storm Crow is a remarkable lady who has been single-handedly compiling a vast annotated database of hyperlinks to medical studies and reports on cannabis for years, carefully saving it in PDF form, and giving it all away. http://www.mediafire.com/download/v3pqua6cqmup9zr/Granny+Storm+Crow+MMJ+Reference+List+J an+2013.zip Granny Storm Crow Lists 1000 Pages of Cannabis Research Links I’m proud to say that Granny Storm Crow is both a resident of California and a member of my generation. We may have come from different sides of the country, but we learned the same kind of moral code. She was taught “When the truth won’t do, then something is wrong!” I was taught “When something is wrong, let everyone know!” So together, we’re finding out what is wrong (and more importantly, what is right!) and letting everyone know. That’s why people like us want to share this information far and wide. Here is where you can download the latest copy of her list as of January 2013. It’s a ZIP file containing the list itself, plus a separate glossary and index. Enjoy…and share it with anyone who wants to learn more about what cannabis can really do as a medicine.

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