Patient Self-Questionnaire

How do I know if seeking consultation is important? 

Please review the statements below, which are provided to help determine whether seeking professional oversight would be helpful:

Questionnaire
I’m seeking cannabis to manage/improve a chronic or complex medical condition. *
I am currently on opioids/narcotics and would like help with using cannabis for my pain control.
I have been on anti-inflammatory (NSAIDS such as Motrin, Aleve, etc.) medication and would like an alternative with cannabis.
I have been diagnosed with cancer.
I have been diagnosed with diabetes.
I would like to reduce my reliance on pharmaceuticals.
I would like to pursue an individualized approach to optimize my cannabis results.
I have a cardiac or respiratory condition (arrhythmia, hypertension, asthma etc.).
I’m seeking medical cannabis for an ill child or adolescent. [will refer out]
I have a mental health disorder (schizophrenia, bipolar, etc.). [may refer out]
Do you have a registered medical marijuana card through the State of Colorado?
Are you interested in getting a Medical Marijuana Card in the State of Colorado?