Patient's Medical Questionnaire

Are you currently pregnant, breastfeeding or lactating?
As you are currently pregnant, breastfeeding and or lactating, the doctor does NOT recommend using nor will the doctor prescribe medical cannabis. If you feel you would like to discuss this further, please continue to book a consultation with the doctor.

Have you been diagnosed by a doctor with a chronic condition that has lasted more than 3 months?

Examples – chronic pain, depression, anxiety, insomnia?
Have you been taking prescribed medication for your medical condition?
Has the prescribed medication failed to treat your symptoms or do you suffer from any negative side effects?

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