CUSTOMER SERVICE HOURS: Monday - Friday: 9-5 CST  |  Saturday: 10-4 CST  |  Sundays/Holidays: CLOSED
855-245-1259
info@delta9.ca
Forms
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Download or Print the Documents

The Medical Document – To be completed by a licensed health care practitioner. This document can be faxed from the doctor's office only or the original sent by mail.

Standard Application Form – To be completed by the applicant, in order to become a registered client of Delta 9. (To be used when submitting a Medical Document)

RC Application Form – To be completed by the applicant, in order to become a registered client of Delta 9. (To be used when submitting a Registration Certificate)

The Amendment Form – To be completed when you require a change to be made on your registration document. (ex. change an address, change a phone number, add/remove a Caregiver/Individual etc.)

Client Referral Form - Use this form when you are applying to become a registered Delta 9 client and you have been referred by a friend or an associate.

The application form and amendment form can be submitted to Delta 9 by email, fax or mail. We are currently working on an online application form with e-signatures that will be available in the coming weeks.

If you require assistance with completing any of the above forms, please contact our office
at 1-855-245-1249.