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CBD Wellness Comprehensive Consultation

This form provides information to the pharmacist prior to your appointment in order to maximize your time with the pharmacist and give you the best value possible for our services.
  • First Name of Patient who will be taking CBD
  • Include vitamins and supplements
  • Drug Allergies, Dye Allergies, Gluten etc.
  • High Blood Pressure, Anxiety, Diabetes, Chronic Pain etc. Please be as thorough as possible
  • Best Number for our pharmacist to reach you for your appointment
  • Best email where our pharmacist can send your appointment summary
  • This field is for validation purposes and should be left unchanged.

Medical Professional Inquiry

This form is for Medical Professionals who have questions about how Hemp/CBD is relevant to their practice.
  • This will allow us to provide more customized information regarding your practice
  • Name of person making inquiry
    Information requests are a one time send. We do not sign you up for a newsletter.
  • If you would like us to send printed information to your office, please let us know the location(s)