Telehealth Registration

/ Telehealth Registration

Telehealth Registration Form

Interested in booking a natural Medicine consultation with a CDA Clinics specialist over the phone? Our telehealth service is available to any patient across the country. To begin your journey and book a telehealth consultation, the first step is to register below. Simply fill out the registration form to start the process. Once registered, you’ll receive and information pack containing everything you need to know before you book your consultation with CDA Clinics.

Step 1 of 4
Registration Type**
Patient's First Name**
Patient's Surname**

Step 3 of 4
Please provide a brief summary around the patients condition, length of condition/symptoms and any previous or current treatments/medications.
Patient's Gender**
Patient's Date of Birth*

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What is your primary condition diagnosis?**
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Other primary condition**
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How long has the condition lasted?**
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What are your primary symptom/s?**
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Other primary symptoms**
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Do you have any previous experience or knowledge of Medicinal Cannabis?**
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Which cannabinoids are you interested in discussing with our doctors?**
Extra Notes (Not Required)
How did you hear about us?**

How It works

1. Register

If you’re suffering from a chronic condition and seeking alternative methods with your regular GP to relieve symptoms and pain, register with CDA Clinics today.

2. Telehealth Consult

Once we’ve received a Referral and Health Summary from your Doctor, and a CDA Consent Form, you can book in for a consultation to explore treatment options.

Telehealth Patient Registration

Telehealth Registration Form

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Step 2 of 4

Step 3 of 4

Step 4 of 4

How It works

1. Register

If you’re suffering from a chronic condition and seeking alternative methods with your regular GP to relieve symptoms and pain, register with CDA Clinics today.

2. Telehealth Consult

Once we’ve received a Referral and Health Summary from your Doctor, and a CDA Consent Form, you can book in for a consultation to explore treatment options.

3. Receive

If approved, gain access to the widest range of products, securely shipped to your door.