To begin the process, you can create an account and complete our eligibility questionnaire. We will then request relevant medical records from you to confirm if medical cannabis is a suitable treatment option. If necessary, we can also obtain the records on your behalf.
Our team of clinicians will review your application and, if appropriate, progress you to the next stage. You will need to confirm that you understand our terms of treatment, and we will verify your identity.
Once you've completed the initial steps, you'll receive an invitation to book a virtual consultation with our clinicians. After your consultation, our Multi-Disciplinary Team (MDT), composed of doctors and pharmacists, will discuss your case to ensure that any medication prescribed is appropriate and safe.
If approved by the MDT, your prescription will be sent to you via recorded delivery or your nominated pharmacy. Our partner pharmacy will contact you to arrange payment and dispensation.
We will keep you up-to-date and provide reminders for any required follow-up consultations. If you need to request more medication, you can do so by logging in and making a prescription request.
Eligibility Assessment
Our application procedure is rather simple and can typically be finished within 10-15 mins. After finishing your application, we'll get in touch with you to verify whether you're most likely to take advantage of clinical cannabis as a therapy choice and if suitable, welcome you for an assessment with among our clinicians.
By submitting my application, I understand that elios clinics will receive my information and may reach out to me via phone, email, or SMS regarding my treatment.
By clicking the 'start' button, I acknowledge that I am fully informed about the costs related to my treatment, including potential fees for appointments and prescriptions.
Account Information
Are you completing form on behalf of some one else?
Please enter your name
Your relationship the patient?
Title
Please specify the Title
First Name
Last Name
Date Of Birth
Email Address
Phone Number
Address line
Address line 2 (optional)
Postcode
City or Town
Country
Sex
Where did you hear about us?
Please specify where you heard about us
About your health
Do you have any allergies?
Please specify your allergies:
Reason you would like to be considered for treatment (Multiple conditions can be selected)
Please specify the reason you would like to be considered for treatment
Have you tried at least 2 medicines / therapies to alleviate the symptoms above?
Please give more details about your medications and symptoms, please specify?
Rate the following on a scale of 0-10, with 0 indicating no symptoms/impact, and 10 indicating severe symptoms/impact on your life:
Pain score:
Sleep score:
Mood score:
Anxiety score:
Quality of life score:
Medical Conditions
Do you have any other medical conditions? (these include but not limited to Heart conditions, liver conditions, cancer treatments)
Please specify the medical conditions
Are you taking any other medication?
Please list the medication
Female patients only: Are you pregnant or breastfeeding?
Have you ever been referred to a psychiatrist or community mental health services?
Will you please provide more details?
Do you have any history of drug abuse or dependency (prescription or recreational)?
Will you please provide more details?
Other Information
Are you taking any over the counter supplements (including products containing CBD)?
Do you already use Cannabis (recreational/medicinal)?
How much and what form?
Do you find if beneficial?
GP Information
GP Name
GP Email Address
GP Telephone
GP Address line
GP Address line 2 (optional)
Postcode
City or Town
Country
Are you seeing a specialist consultant?
Name of the specialist consultant:
Your next of kin
Are you coming from another medical cannabis clinic?
Name of the clinic:
You Medical Records
Select option
Upload your medical records
Max. size: 512.0 MB
Description of files needed (screen shot of NHS records, Downloaded report from NHS APP or Website, Records from GP, Letters from GP, Letters from Consultants, any other information that relates to your medical condition and history). You can add multiple files.
Would you like to provide any other files?
Max. size: 512.0 MB
You can add multiple files.