Patient Registration

Registration & Forms

Patient Registration

Download the required forms to your computer and fill out using Adobe Reader (Download Adobe Reader). You can also download, print and fill out by hand. Have your doctor fill out the Medical Document. *The patient must fill out the correct registration document. Once complete call us at 1-905-892-6788 or toll free at 1-844-892-6788 to pick up the forms or return them to:

RedeCan Pharm
PO Box 138
Ridgeville Ontario
L0S 1M0

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Patient Registration With Residence


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Medical Document