Repeat prescription order form for existing patients
Not an existing patient yet? Please go to this page.
If you are an existing patient and would like to reorder your Cannabis Oil or ED medication please use the form below and be sure to include your name and email address so we can check against existing records.
For cannabis patients please include a picture of your medical certificate or if you have the new medical certificate please include the link to your online medical certificate or the serial number.
If you do not see the form below click here.
Fill out the form online form.
After submitting the form we will contact you to confirm.