Registration Successful!

Thank you for registering with Medisenol.

Here are the next steps:

Have your Health Care Provider Complete the Medical Document OR
Connect with a Prescriber Online.

Your Health Care Provider can fill out the downloadable Medical Document.OR send the Health Canada form . Have them complete it and return it to us by secured fax, or mail back to us.

If you don’t have a provider, you can speak to one virtually through HelloMD.


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Here are a few additional forms that may apply to you. If you have any questions don’t hesitate to contact us. Send any completed forms to Customer Care by email, mail or fax.

Veterans Affairs Canada Disclosure Form

Establishment Shipment Authorization Form

Insurance Consent to Disclose Form

Compassionate Pricing Details