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healingChronic Pain

Arthritis
Ankylosing Spondylitis
Pain
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Lower Back Pain
Migraines

psychologyMental Health

Arthritis
Ankylosing Spondylitis
Pain
Cluster Headache
Complex Regional Pain Syndrome
Lower Back Pain
Migraines

bedtimeSleeping Disorders

Arthritis
Ankylosing Spondylitis
Pain
Cluster Headache
Complex Regional Pain Syndrome
Lower Back Pain
Migraines

boltNeurological

Arthritis
Ankylosing Spondylitis
Pain
Cluster Headache
Complex Regional Pain Syndrome
Lower Back Pain
Migraines

femaleWomen’s Health

Arthritis
Ankylosing Spondylitis
Pain
Cluster Headache
Complex Regional Pain Syndrome
Lower Back Pain
Migraines

lunch_diningGastroenterological

Arthritis
Ankylosing Spondylitis
Pain
Cluster Headache
Complex Regional Pain Syndrome
Lower Back Pain
Migraines

masksCancer Support

Arthritis
Ankylosing Spondylitis
Pain
Cluster Headache
Complex Regional Pain Syndrome
Lower Back Pain
Migraines

Medical Cannabis Prescription

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Eligibility Test

"*" indicates required fields

1Eligibility

2Personal Details

3Medical History

4Documents & Consent

What is your name?*

Forename Surname

NHS Number

Email Address*

Phone Number*

Are you seeking a prescription for medical cannabis?

Yes

No

Are you 18 years old or older?

Yes

No

Are you currently pregnant or nursing?

Yes

No

Have you been diagnosed with any untreated mental health conditions?

Yes

No

Do you currently use, or have you previously used, cannabis for recreational purposes?

Yes

No

Gender

Male

Female

Date of Birth

DD slash MM slash YYYY

Your Address

Street Address Address Line 2 Town ZIP / Postal Code Country

Have you been diagnosed with any health conditions or illnesses?

What treatments, medications, or therapies have you tried so far to manage your condition(s)?

Have you had any surgeries or medical procedures in the past?

Are you currently using any medications, supplements, or herbal remedies?

What specific symptoms or concerns are you experiencing related to your condition(s)?

How long have you been experiencing these symptoms?

Have there been any recent changes or new developments in your condition?

Is there anything else you'd like to share about your health or symptoms?

Were you referred by another clinic?

Yes

No

Clinic Name

Clinic Address

Clinic Phone Number

Clinic Email

Enter GP info:

GP Name

Practice Name

GP Address

Address Town/City County Postcode

GP Phone Number

Upload Summary Care Record (SCR)

Do you have a copy of your Summary Care Record (SCR)?

Yes, I will upload it now

No, I will provide it later.

If not, you will need to request this from your GP and provide it before your consultation.

Upload SCR

Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 50 MB.

Upload Photo ID

Please upload a valid photo ID (either a driving license or passport).

Do you have your Photo ID available to upload now?

Yes, I will upload it now

No, I will provide it later

Upload Photo ID

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB.

Consent to Share Information*

I consent to sharing my information with my General Practitioner (GP) and other relevant healthcare professionals involved in my care.

If you don’t have these documents available right now, please ensure they are provided before your initial consultation.

How it Works

Your Simple 5 Step Process

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Check Eligibility
Answer a few questions to check if you’re eligible for medical cannabis.

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Create Account
Sign up quickly and securely using your email and basic personal details.

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Medical History
Provide a summary of your health and any conditions you want to treat.

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Online Consultation
Speak to a licensed clinician in a secure online video consultation.

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Prescription Delivery
If approved, your medication is delivered discreetly to your door.

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