Check Eligibility Check your eligibility by completing the form below Eligibility Test 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 Are you pregnant or breastfeeding? Yes No Do you have a history of Psychosis/ Schizophrenia/ unstable mental health problems? Yes No Do you have a history of hypersensitivity to any cannabis products? Yes No Do you have severe and unstable cardiopulmonary disease ? Yes No Do you have a history of drug misuse or dependence? Yes No Are you under 18? Yes No We are sorry, you are not eligible to proceed at this stage until after childbirth and not breastfeeding. "We Can! You may be eligible, it appears that you are eligible. Please go ahead and schedule an appointment with one of our specialists Schedule an appointment You may still be eligible Please enquire here and ask for a an eligibility screening over the phone. I'm* - Please Select -enquiring for myself (patient)enquiring for someone else (carer) Patient's Fname* Patient's Last name* Patient's Email* Phone Patient Date of Birth State/territory* - Please Select -QLDNSWVICACTNTWATASSA What is your primary condition diagnosis?* ADHDAIDS Nausea & VomitingAllergyAnorexia / WastingAnxietyAutismAutoimmune DisorderBlood Sugar Control / DiabetesCancerCancer - PainCancer - OtherChemotherapy-Induced NauseaDementiaDepressionEpilepsy / Seizure ManagementFibromyalgiaGlaucomaIBS / Chrohns DiseaseInsomnia / Sleep DisorderInflammatory conditionMultiple SclerosisParkinson's DiseasePain - ChronicPain - DegenerativePain - NueropathicPain - OtherPalliative care / TerminalPsych Condition OtherPTSDRheumatological conditionsSchizophreniaSpasm / Dystonia / DyskinesiaTourettes syndromeOther - Please Specify How long has the condition lasted?* Symptoms* Other Conditions (Optional) 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 (Optional) How did you first hear about us?* - Please Select -InstagramWord of Mouth / FriendExpo Or EventRadioFacebookMedia TV/NewsA PharmacyYouTubeInternet SearchA Health ProfessionalOther Consent* I agree to the WeCan Health and WeCan Clinics Privacy Policy and Trading Terms & Conditions. When you click submit, a submission confirmation will appear on a new page. Please wait for this before clicking submit again. Δ
