Patient Qualification Free Screening Request Do you have any of these conditions TGA approved?*Chronic Pain | Anxiety | Depression| Chronic Insomnia | Migrane | Neuropathic Pain | Multiple Sclerosis | PTSD | IBS | Cancer Pain | Palliative Care | Epilepsy | Chemotherapy-induced Nausea and Vomiting | Fibromyalgia | Spasticity from Neurological Conditions | Anorexia and Wasting Associated with Chronic IllnessYesNoHave you tried conventional treatments for your condition?*YesNoAre you 18 Years of Age or Older?*YesNoName* First Last Email* Phone** I accept the site terms and conditions. For further Assistance 1 800 845 197 or email@example.comPhoneThis field is for validation purposes and should be left unchanged.