• Wellness and Lifestyle Services

    Requesting Medicinal Cannabinoids Specialised services for your care
  • Is this your first request with us (Arataki Wellness Center)?*

  • Registration

  • Gender*
  • Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Which ethnic group(s) do you associate with? Others (such as Dutch, Japanese, Tokelauan)*
  •  - -

  • Returning Customer

  •  - -
  • Date of birth
     - -
    2 digit month, 2 digit day, 4 digit year

  • This form is intended for returning customers of Medicinal Cannabinoid prescription requests. 

     

    For non-Medicinal Cannabinoid prescriptions, please click here

     

    For IV Nutrition requests, please click here

  • Type of Product

  • Last days dosage:

  • During the last two weeks, have your symptoms for which you are taking Medicinal Cannabinoids have:
  • Do you wish to:
  • Repeat for

  • Medicinal Cannabinoids

  • Do you have any of these? Please tick if applicable
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  • Unfortunately, we are unable to issue a prescription for medicinal cannabinoids. 

    Please contact your general practitioner.

     

  • Do you have any of the following conditions? (only if repeat)
  • Do you have any of these symptoms
  • History of use of Cannabinoids?
    Rows
  • Are you currently using Medicinal Cannabinoids?
  • What products have you taken?
  • Do you have any of these conditions:
  • I am accessing this service as I am unable to access my enrolled GP*

  • Your information will be evaluated within the next 2 working days.

    By proceeding to payment I understand and accept the T&C of this service as stated above.

    AWC services is to evaluate the safety, appropriateness and eligibility of prescriptions to meet patient needs.

    AWC will endeavour to reconcile your request with the information available online.

    Failure to pay will result in your request not being completed.

  • Please pay and submit the form.

  • Services available*

    prevnext( X )
                IVN   Evaluation 
                $175.00 NZD$175.00NZD
                  
                IVN Evaluation PP
                $50.00 NZD$50.00NZD
                  
                Cannabinoid Evaluation 

                1st encounter

                $40.00 NZD$40.00NZD
                  
                Cannabinoid Evaluation 

                Subsequent Repeat 

                $30.00 NZD$30.00NZD
                  
                Cannabinoid  VC (phone and/or video)
                $150.00 NZD$150.00NZD
                  
                Second opinion/ referrals   by booked appointment VC/AC  

                20 minute consultation

                $150.00 NZD$150.00NZD
                  
                Total
                $0.00 NZD$0.00NZD

              • Payment Methods

                Choose from one of the PayPal options to make your payment.

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