Eligibility - LYPHE Clinic

Name(Required)

First name Last name

Phone

Email(Required)

Consent(Required)

I agree to Lyphe's T&Cs and privacy policy (see footer)(Required)

We'll only reach out to help you access medical cannabis, and to share other medical cannabis information

Have you been diagnosed with schizophrenia or psychosis?

Have you been diagnosed any of the following conditions:(Required)

No

Yes

In Australia, medical cannabis cannot currently be prescribed to those who have been diagnosed with any of the above conditions or illnesses. We advise that you get in touch with your healthcare practitioner to discuss your treatment options.

Are you looking to treat a chronic condition lasting 3 months or longer?

Are you looking to treat a chronic condition (lasting 3 months or longer)?(Required)

Yes

No

Current laws on prescribing medical cannabis require that patients have a chronic condition in order to access cannabis medicine. If you’d like to talk to our clinical staff about your eligibility for medical cannabis and possible treatment options call 1800 296 988.

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Have you previously received treatment for this condition?

Have you previously received treatment for this condition?(Required)

This can include interventions such as but not limited to:

- Medications
- Physiotherapy
- Pain specialist
- Steroid injection
- Psychology/psychiatry

Yes

No

Current laws require that patients must have previously received treatment for their condition in order to access medical cannabis. If you’d like to talk to our clinical staff about your eligibility for medical cannabis and possible treatment options call 1800 296 988.

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Did the previous treatments 'fail' to provide relief from your condition or cause any side effects?

Did the previous treatments 'fail' to provide relief from your condition?(Required)

Yes

No

Please select Yes to confirm you are aware of the clinical costs involved.

Please select Yes to confirm you are aware of the clinical costs involved.(Required)

$129 Initial Doctor Consult
$69 Follow Up Doctor Consult
$49 New Medication Prescription
$39 Repeat Prescription

Yes

Please select Yes to confirm you are aware of monthly medication costs.

Please select Yes to confirm you are aware of monthly medication costs.(Required)

This may be $150-$350 per bottle depending on the brand, strength and formulation.

Yes