Contact Consult the CBD Experts Today Contact Us Questions regarding our products, services or any other customer service issue Name* First Last Email* Message*PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. 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. Patient First Name*First Name of Patient who will be taking CBDLast Initial*Patient Date of Birth*Who will be speaking with the Pharmacist?* Patient Parent Caregiver Owner (for Veterinary Patients) Please List Current Medications*Include vitamins and supplementsPatient Allergies*Drug Allergies, Dye Allergies, Gluten etc.Current Health Conditions*High Blood Pressure, Anxiety, Diabetes, Chronic Pain etc. Please be as thorough as possiblePhone Number*Best Number for our pharmacist to reach you for your appointmentEmail*Best email where our pharmacist can send your appointment summaryCommentsThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms. Medical Professional Inquiry This form is for Medical Professionals who have questions about how Hemp/CBD is relevant to their practice. Name of Practice/Type of PracticeThis will allow us to provide more customized information regarding your practiceContact Name*Name of person making inquiryHow Can We Help You Today?*Are You Interested In A FREE 15 min phone consultation with our Pharmacist A FREE 30 min Presentation at your practice by our Pharmacist Emailed information about Hemp/CBD and our products Standard Mail information about Hemp/CBD and our products Information requests are a one time send. We do not sign you up for a newsletter. Mailing AddressIf you would like us to send printed information to your office, please let us know the location(s)Contact Email This iframe contains the logic required to handle Ajax powered Gravity Forms.