Section 21 - Form

1PAGE 1
2PAGE 2
3INFORMED CONSENT FORM
Full description including severity, staging and prognosis where applicable: Example: Chronic Pain, Anxiety, Epilepsy, Fibromyalgia, etc. Please give full description.
Indigenous Africa Medical Cannabis Consultant, Medical Marijuana Supply in Afrika. 

Medicinal Cannabis should be a first priority, not a last resort.

Contacts

+27 (0) 81 582 0205
Johannesburg 
80, 3rd Avenue, Mayfair, Johannesburg, Gauteng, 2033
+27 (0) 68 406 9670
Kempton Park
14 Voortrekker Rd, Kempton Park Cbd, Kempton Park, 1619
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