Eligibility Test - CDA Clinics

Do you have a medical condition that has lasted more than 3 months?*
- YES
- NO
Have standard medicines failed to fully treat your medical condition or have you avoided treatments due to negative side effects?*
- YES
- NO
Have you avoided standard medicines due to side effects or potential side effects?*
- YES
- NO
It looks like you qualify for Medicinal Cannabis*. Would you like an information pack?*
* subject to confirmation by our doctors in consultation.
- YES
- NO

You're eligible!

Now all you need for a Medial Cannabis Consultation is a referral and health summary from your regular Doctor. Please enquire below for an info pack
You're likely still eligible

Please enquire here and ask for a an eligibility screening over the phone.
I'm**
Patient's First Name**
Patient's Surname**
Carer Full Name**
Carer Email**
Patient's Email**
Phone*
Patient Date of Birth*

DD
MM
YYYY
State/territory**
What is your primary condition diagnosis?**
Other Primary Condition**
How long has the condition lasted?**
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How long has the condition lasted - old
Symptoms**
Other Conditions (Not Required)
Which cannabinoids are you interested in discussing with our doctors?**
- CBD isolate
- Full spectrum CBD
- CBD / THC Hybrid
- THC
- I don't know what these are
Extra Notes (Not Required)
How did you first hear about us?**
Other**
Consent**
- I agree to the CDA Health and CDA Clinics Privacy Policy and Trading Terms & Conditions.
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Thank you for taking part in our eligibility screening.
Check out our FAQs and News pages if you'd like to know more
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Are you eligible for a CDA Clinics Consultation?