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Register with CBA Apotheek

Would you like to use medical cannabis through CBA Apotheek? Complete the form below to register easily and securely. You do not need to switch from your current pharmacy; we provide additional supply.

Complete your registration by following a few simple steps.

1

Contact & Consent

Provide your email address and give consent to get started.
2

Personal Information

Your details are required for identification and processing.
3

Address Information

Your contact and address details for delivery and communication.
4

Healthcare Provider

Your GP’s details are needed to coordinate your treatment.
5

Consent

Provide consent for the secure use and sharing of your medication data.
6

Intake Appointment

Indicate if you would like a free consultation and choose a time.
7

Confirmation & Submission

Review your details and confirm your registration.

Register with CBA Apotheek

Step 1 van 7 Contact & Consent