Let’s start by understanding your patient’s
eligibility for an assessment by our clinic.
You can withdraw your permission at any time
by contacting firstname.lastname@example.org
Any information you share with us in this form
will never be shared with a third party.
Based on the information you have provided
us so far, your patient is eligible for an
assessment. Let’s continue with some
In all other cases, we’ll need to speak
directly to the patient. If they have any
difficulty communicating, please give us
guidance on the best time to call them if
you’d like to be present to assist them.
Unfortunately, based on the information you
shared, your patient doesn’t yet meet the
criteria that would allow us to treat them
with Cannabis-based products for medicinal
Because CBPM can’t be prescribed as a
'first-line' treatment. Your patient needs to
have been prescribed and tried a minimum
of two treatments (licensed medications) to
manage the condition, both of which have
provided inadequate relief.
Speak with your patient to discuss other
first-line treatment options as a starting
point. For more information on prescribing,
We would be happy to reach out to you and
discuss this patient should you have any
questions. If you’d like us to do so, enter
your contact details below.
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If you leave your current tab open when you click the link below, you won’t lose your spot in the form.
I am a new patient.Commence eligibility assessment.
I am a returning patient.Book follow up consultation.