Patient Intake Form

Clover CBD is dedicated to making sure you have the best experience possible. We offer free consultations to everyone. Please note, you do NOT need to fill this form out to visit us and we will be able to consult with you if you just walk in.

This form is specifically designed to make sure we are getting all the information we need to help you choose the right CBD program for your lifestyle. We want to make sure that you have every opportunity to communicate your needs to us and we will do our best to help you find the right solution. If you fill out this form, it gives us an opportunity to prepare and research different options for you and give you a more in-depth consultation when you do visit us.

This website is not intended to provide medical information and does not claim to cure or treat any disease. Always speak to your doctor about health concerns. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.