Section 56 Application Medical Screening Form

This form has been created by the Alberta Medical Team with ATMA including a Psychiatrist and a Palliative Care physician. ATMA has previously provided this psychedelic-assisted therapy for previous Section 56 Exemption applications that have been approved by Health Canada.

This form is for the exclusive use in the named clients application to the office of The Honourable Patty Hadju. Please review the following and provide additional information as required.

You may either fill out this form online and submit below directly to ATMA Journey Center, or you may print this form, fill it out manually and fax to ATMA Journey Center at (403) 270-1556.

If you would like to find more information about the safety and efficacy of psilocybin treatment, one such article linked here describes one of the rigorous scientific studies that has been done.

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