This chart outlines which CALM form (Standard/Non Standard) and Health Canada forms (B1/B2) you will need according to diagnosis

*Please note: Although it is recommended, you do not need a B1 or B2 form signed by your doctor to become a member of CALM. Please have you doctor fill out a Standard or Non Standard form and fax it to 416-367-4679

Condition	Standard Form	Non-Standard Form	A.T.P. health canada B1	A.T.P. health canada B2
A.D.D/A.D.H.D Severe		*		*
Anorexia		*		*
Anxiety		*		*
Arthritis	*		*
Bell's Palsy		*		*
Bi-Polar Disorder		*		*
Brain Injury	*			*
Bulimia		*		*
Cancer - Specify	*		*
Cerebral Palsy	*			*
Cervical Disc Disease	*			*
Chronic Fatigue Syndrome	*
Chronic Pain	*			*
Colitis	*			*
Crohn's Disease	*			*
Cystic Fibrosis	*			*
Dependence, Alcohol		*		*
Dependence, Cocaine		*		*
Dependence, Amphetamine		*		*
Dependence, Opioid		*		*
Dependence, Sedative		*		*
Severe Depression		*		*
Diabetes		*		*
Endometriosis	*			*
Epilepsy	*		*
Fibromyalgia	*			*
Glaucoma	*			*
HIV/AIDS	*		*
Hepatitis A/B/C	*		*
Huntington's Disease		*		*
Irritable Bowel Syndrome	*			*
Lupus		*		*
Macular Degeneration		*		*
Marfan's Syndrome		*		*
Migraines		*		*
Multiple Sclerosis	*		*
Muscle Spasms/Tremors		*		*
Muscular Dystrophy	*			*
Obsessive Disorder		*		*
Paraplegia	*		*
Parkinson's Disease		*		*
Pelvic Inflammatory Disease		*		*
Post-Traumatic Syndrome		*		*
Quadriplegia	*		*
Sciatica		*		*
Scoliosis		*		*
Pre-Menstrual Syndrome	*			*
Spina Bifida	*
Spinal Damage	*		*
Tourette's Syndrome		*		*

List of symptoms alleviated by cannabis use
Nausea	Loss of appetite
Chronic pain	Weight loss
Muscular spasms

International Classification of Diseases 9 - CM 1996 Chronic Conditions Treated With Cannabis Encountered Between 1990-2001 ©2001 Tod H. Mikuriya, M.D.
Adrenal Cortical Cancer AIDS Related Illness Alcohol Abuse Alcoholism Amphetamine Dependence Amyloidosis Amytrophic Lateral Sclerosis Ankylosis Anorexia Anxiety Disorder Arthrtis, Degenerative Arthritis, Post Tramatic Arthritis, Rheumatoid Arthropathy, Degenerative Asthma, Unspecified Autoimmune Disease Back Sprain Bell's Palsy Bipolar Disorder Brain Malignant Tumor Bulimia Cachexia Cancer, site unspecified Carpal Tunnel Syndrome Cerebellar Ataxia Cerebral Palsy Cervical Disc Disease Charcot-Marie-Tooth Chemotherapy Convales Chronic Fatique Syndrome Cluster Headaches Cocaine Dependence Colitis Colitis, Ulcerative Colon, Diverticulitis Conjuctivtis Cystic Fibrosis Dentofacial Anomaly Pain Dermatomyositis Diabetic Gastroparesis Drusen of Optic Nerve Dumping Syndrome,Post Surgical Dysthymic Disorder Ehlers Danlos Syndrome Endometriosis Eosinophilia-Myalgia Syndrom Epididymitis Epilepsy(ies) Epilepsy/Seizure Disorder Felty's Syndrome Fibromyalgia/Fibrositis Friedreich's Ataxia Glaucoma Grand Mal Seizures Hemiparesis/Plegia Henoch-Schoelein Purpur Huntingtons's Diseases Hypertension Insominia Irritable Bowel Syndrome IVDD Cerv w Myelopathy Jacksonian Epilepsy Knee, Ankle & Foot Injury L-S.Disk dis Sciatic N irrit Jacksonian Epilepsy Limbic Rage Syndrome Lower Back Pain Lumbosacral Back Disease Lupus Lyme Disease Lympho & Reticular ca Macular Degeneration Major Depression, Recurrent Mastocytosis Melorheostosis Meniere's Disease Menopausal Syndrome, Severe Migraine, Classical	Migraines(s) Mononeuritis Lower Limb Multiple Joints Pain Multiple Sclerosis Muscle Spasm Muscular Dystrophies Myeloid Leukemia Myofacial Pain Syndrome Nail Patella Syndrome Nausea Nephritis/Nephropathy Neurasthenia Neuropathy Nonpsychotic Org Brain Disorder Obsessive Compulsive Disorder Opiate Dependence Optic Neuritis Org. Mental Disorder Osteogenesis Imperfecta Other CNS Demyelinating Other Spinal Cord Disease Pain, Ureter Pain, Vaginal Pancreastitis Panic Disorder Paralysis, Unspecified Pancreatitis Panic Disorder Paralysis, Unspecified Paraplegia(s) Parkinsons's Disease Patellar Chondromalacia Pelvic Inflammatory Disease Peptic Ulcer/Dyspepsia Peripheral Enthesopathies Persistent Insomnia Peutz Hehgers Syndrome Polyarteritis Nodosa porphyria Post Cardio Syndrome Post Polio Syndrome PostTramautic Syndrome Post W.E. Enephalitis Prostatitis Psoriasis Psoriatic Arthritis Quadriplegia(s) Radiation Therapy Raynaud's Disease Reflex Sympath Dystrophy Regional Enteritis Crohns Reiters Syndrome Restless Legs Syndrome Scleroderma Scoliosis Sedative Dependence Severe Premenstrual Syndrome Shingles (Herpes Zoster) Shoulder Injury Unspec Spinal Bifida Occulta Spinal Stenosis Sturge-Weber Ey Syndrome T.M.J. Syndrome Tension Headache Testicular Cancer Viral B Hepatitis, chronic Viral C Hepatitis,chronic Vomiting Whiplash