Protocol Request

Let us know your condition/illness and we will reply with what you need, how much it will cost and what the next step is.


REFERRED by (or if you have an AGENT or DISTRIBUTOR Code/Name) please add it here:


Please select the condition/illness: Please note A MAXIMUM OF 5 PER REQUEST is allowed Please ensure to not select/combine conditions for family members, children, pets etc - these must be requested separately

If you can't find what you are looking for from the Index above, let us know and we will find it for you. Your condition/illness that is not listed above (if applicable):

Year of initial diagnosis (if applicable):

List the medication(s) you are currently on: *

Anything you want to add that we should be aware of:

VERY IMPORTANT: If you suffer from MULTIPLE ILLNESS, we COMBINE the Protocols selected by you into a single Protocol.

Any additional Protocol requests for family members, friends, pets etc MUST BE SUBMITTED SEPARATELY.

EACH SUBMISSION MUST PERTAIN TO ONE PERSON ONLY.

Please make sure your email address is correct before you send.

Please be aware that in some countries cannabis products are still illegal. While we do not sell or trade in any products ourselves we can put you in touch with various groups working with medical cannabis in your area.