Greenhouse Medical Clinic 
Patient application and consent form

The following patient application and consent form provides an upload link for you to submit your

doctors referral, diagnosis, treatment plan or health summary. Please note that you may complete the patient application process and submit this at a later date here UPLOAD link.

Do you currently drive, drive for work or operate heavy machinery?
Please check if you have any of the following:
Please check if you have any of the following:
Treatments tried in the past?
Upload document

Thank you for choosing Greenhouse medical Clinic to help you access Medicinal Cannabis.

Please note the following information in relation to our services. 

  1. Medicinal Cannabis Eligibility

    There is no predetermined list of conditions for which a cannabis medicine can be prescribed. Some conditions for which patients have been approved to access medicinal cannabis include chronic pain, anxiety, neuropathic pain, fibromyalgia, Irritable Bowel Syndrome, Palliative Care, Adjunct treatment to some cancer treatments, Multiple Sclerosis, Parkinson’s Disease, Epilepsy and a number of others.


    Patients are advised that booking a consultation with a Doctor or talking to one of our nurses does not guarantee access to medicinal cannabis. Each Patient is different, and the doctor will undertake a full history and review your past and current treatments to determine if this therapy is right for you. If deemed appropriate, the Doctor will then apply for relevant state and federal approvals so a prescription can be issued. Patients are able to access medicinal cannabis products in Australia only after such approvals have been received.


  2. Access to your Health Data, Privacy Policy & Use of email

    Please be aware that we will need to collect and store information on your medical history and condition.


    As part of the application process for accessing medicinal cannabis, we may also need to contact your other treating doctors to discuss your medical history and / or retrieve your records from them. The circumstances in which we will collect, use, and store your personal information are detailed in our privacy policy. By using our services you agree to our privacy policy.


    Please note by using email to communicate with us then acknowledge that email and the internet is not considered a secure means of transmitting personally sensitive information and Cannvalate cannot guarantee the security of personal information transmitted by email and does not take any responsibility for any privacy breaches resulting from the use of email to transmit your personal information.


  3. Safety, driving and operating machinery.

    Patients receiving cannabinoid medication should not drive, work at heights, operate heavy machinery, or work in situations where intact reaction times are critical for safety while under the influence of medicinal cannabis. For further information regarding the effects of medicinal cannabis, please contact your doctor.

    Patients should be aware that it may be a criminal offence to drive while medicinal cannabis is detectable in their system. Patients should seek their own advice in this regard.


    Patients accessing medicinal cannabis should seek their doctor’s advice before consuming medicinal cannabis in conjunction with any other medication or substance.


    Most cannabinoid medications are not currently registered by the Therapeutic Goods Administration of Australia and are only available on a case-by-case basis under the Special Access Scheme. This means that unregistered cannabinoid medications have not been evaluated by the Therapeutic Goods Administration or approved through formal clinical trials and are still considered untested.


    Medicinal cannabis treatments are experimental medications in Australia, and are expected to have varying efficacy and (known and unknown) potential side effects.  Patients undergoing this treatment acknowledge that Greenhouse Medical Clinic is not responsible and/or liable for efficacy and/or the potential effect(s) (including side effects, or lack of effects) of these medications, that are unique for each patient.


    Prescribed medicinal cannabis medications are regulated medicines that  free from contaminants, such as heavy metals, parasites and pesticides through rigid third party testing.


  4. Greenhouse Medical Clinic is unable to facilitate a refund for the medical consultation after a Doctor appointment has occurred, or when cancellation requests are 24 hours prior to this consultation. Once Greenhouse Medical Clinic has dispatched the medication a refund for this order cannot be processed.


  5. Informed financial consent


    Fees taken by Greenhouse Medical Clinic are for the cost of the medical consultation. Further costs may relate to processing, and dispatching of medication, in addition to further clinical consultations. Patients will have been notified of any upfront costs prior to the service and may choose to opt out of this service.  Please be aware that these consultations and services are not Medicare-rebatable and Greenhouse Medical Clinic makes no guarentees that you will be able to claim back any costs from a private healthcare service provider.


  6. Scope of services provided


    Greenhouse Medical Clinic's doctors have experience and further training in prescribing and monitoring therapies using medicinal cannabis.  Greenhouse Medical Clinic will work in conjunction with your general practitioner, specialist and other health practitioners but is not a replacement for those services.  Patients must obtain their own medical advice in relation to the management of their condition.



For more information on Medicinal Cannabis and Driving please see the  QLD Cannabis Factsheet.