Accès au portail de commande

Request for access to the regular product ordering site

*Please note that all fields are required.

CDMV Account number *

Name of the establishment *

Personal account *

Yes

No

Job title *

First name *

Last name *

Phone number *

Email address (will be used as your login when you connect) *

Consent is required to store and process the data in this form. *

I agree that my data will be stored so that CDMV can analyze my request.

Turnstile Captcha *

Information on regular products:
1-800-668-2368
[email protected]

Information related to controlled substances:
1-800-668-2368
[email protected]

Regular products

Controlled substances

You don’t have access? Make a request here.