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Little Green Pharma Cannatrek Customer Feedback Form

This form is for feedback or complaints relating to Little Green Pharma or Cannatrek sponsored products. Information provided will support the investigation of the reported issue and ongoing improvements to our products and internal processes.

Important: This form must be completed by the dispensing pharmacy, prescriber or consignment partner.

Medical concerns: Patients should discuss any medical concerns relating to their treatment or medication with their prescribing doctor or dispensing pharmacy. If a serious side effect is suspected, seek medical attention immediately. For emergencies, call triple zero (000). If too much medicine may have been taken, contact the Poisons Information Centre on 13 11 26, available 24 hours a day.

REPORTED BY

Organisation type(Required)
Contact number(Required)
We may contact you using these details regarding your submission and any next steps.

PURCHASE DETAILS

Where was the product purchased from?(Required)

PRODUCT DETAILS

Has the product been opened / used?
Is the product available for return?
What is the product feedback relating to?(Required)

FEEDBACK DETAILS

SUPPORTING INFORMATION

For perceived faulty products, please provide available images of the product, packaging and/or issue with this form.
Drop files here or
Accepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 128 MB, Max. files: 4.
    Privacy acknowledgement(Required)

    Address:
    PO Box 21 Balaclava 3183 VIC Australia

    Contact:
    1300 122 662
    info@cannatrek.com

    Cannatrek acknowledges the Traditional Owners and Custodians of the land on which we work and live, and recognises their continuing connection to land, water and community. We pay our respects to their Elders past, present and emerging.

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