Patient Qualification - Medical Cannabis Services

1 Qualification

2 Personal Details

3 Result

Do you have any of these conditions?*
Anxiety | Neuropathic Pain | Multiple Sclerosis | PTSD | Cancer Pain | Palliative Care | Epilepsy | Chemotherapy-induced Nausea and Vomiting | Fibromyalgia | Spasticity from Neurological Conditions | Anorexia and Wasting Associated with Chronic Illness (such as cancer)
- Yes
- No
Have you tried conventional treatments for your condition?*
- Yes
- No
Are you an Australian Resident?*
- Yes
- No
Are you 18 Years of Age or Older?*
- Yes
- No

Title*
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Postcode*
Date of Birth*
Other Comments
- I understand Medical Cannabis Services may need to transfer my medical records
- I accept the site terms and conditions.
- I understand that if an appointment is made, this does not guarantee approval and access to Medicinal Cannabis
- Please see our FAQ for Medical Cannabis Services costs.

From your responses we feel you are ELIGIBLE TO APPLY.

Please make sure you have the following:

*GOVERNMENT PHOTO ID (DRIVERS LICENSE OR PASSPORT)

*WE WILL REQUIRE THE FAX NUMBER OF BOTH YOUR GP AND SPECIALIST (IF APPLICABLE).

Apply Online Now
You have failed to qualify for Medical Cannabis because:
You do not have any of the conditions approved for medical cannabis.
- The TGA specifies you must first seek conventional approved treatments before trying Medical Cannabis.
- You are not an Australian Resident.
- You are not 18 Years Old or Older as Required by Australian Regulations.
Contact Us for more information or explanation of Medical Cannabis Regulations