Auraceuticals Patient Assessment Form

Welcome to The Auraceuticals powered by our Online Medical Cannabis Prescription Services portal. You are about to fill out the Patient Assessment Form. This form will be used to collect your physician's info as well as your personal health info. All information is securely stored and is not shared with anyone outside The Auraceuticals network.

Step 1 of 6

  • Drop files here or
  • Drop files here or
  • Preferred Date & Time For Health Practitioner to Call

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