New Patients

Rise Dispensary welcomes new patients

Has your GP already told you that you may be eligible for treatment, or have you already determined your eligibility? If so, please complete the following to request an appointment and one of our team will give you a call.

    First Name

    Last Name

    Phone Number

    Email Address

    Date of birth

    Select the primary condition for which you are seeking treatment?

    How long has this condition been present?

    Have you had any prior experience with Medicinal Cannabis?

    Prefer to call us?

    You can get in touch during office hours on (07) 3059 1301

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