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Patient Registraton Form
How to Access Medication
Medical Assessment
Merchandise

Get in touch with us at info@bajebud.com

Register Here

First Name

Last Name

Email

Area Code

Phone

Date of Birth **Must Be 18 Years of Age to Register**

Are you a Barbados resident? *

Yes

No

If No, what country are you from?

Home Address

Have you received a prescription for medical cannabis from a licensed doctor? *

Yes

No

Please bring a valid copy of your prescription with you.

Have you used cannabis before? *

Yes

No

Please complete and sign the waiver form prior to registration. This is a required step for submission.

click to sign waiver.jpg

This website/service is intended for individuals who are 18 years of age or older. By accessing and using this website/service, you confirm that you are at least 18 years old. If you are under 18 years of age, please exit this website/service immediately. By continuing to use this website/service, you acknowledge that you are legally allowed to do so under the laws of your jurisdiction. Any misrepresentation of your age may lead to consequences in accordance with applicable laws.

I understand that providing false or misleading information may result in consequences in accordance with applicable guidelines;

I understand that medical cannabis dispensed by Island Therapeutics Inc. is for therapeutic vaporization only and will be used under pharmacist guidance.

I consent to Island Therapeutics Inc. contacting me regarding my registration and treatment plan.

I confirm that I have read and signed the required waiver form. I understand that submission of this registration is not complete without it.

CLICK HERE TO COMPLETE PRE-SCREENING ASSESSMENT FOR DOCTOR'S CONSULT

info@bajebud.com

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