A password will be sent to your email address.

Government issued ID card or valid passport

Reason for the application to use unregistered medication: full description including severity, staging and prognosis where applicable. Example: Chronic Pain - experience major depressive disorder, persistent feelings of sadness, loss of interest, inability to concentrate, sleep disturbances, appetite changes, self-isolation, low self-worth.

Example: aspirin, ibuprofen, naproxen, Serotonin and norepinephrine.

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.