Patient (Full name):

CPF:

Address:

I request:

• CBD C'ÁNIMA Tincture 30ml (3,000mg)

• CBD C'ÁNIMA Cream (1,000mg)

1 - CBD Tincture 3,000mg C'Ánima 30mL------ 3 units

Dosage:

Take 10 sublingual drops every 12 hours or

AS PER MEDICAL AND/OR DENTAL ADVICE

2 - CBD Cream 1,000mg C'Ánima 50ml------ 3 units

Dosage:

Apply to the face twice a day (morning and night) or

AS PER MEDICAL AND/OR DENTAL ADVICE

IMPORTANT
Mandatory legible prescriber data:

• Date

• Stamp (CRM or CRO)

• Telephone

• E-mail

INSTRUCTIONS FOR USE OF DYE

• Take medication 1 to 2 hours apart from other medications

• Shake the bottle before taking.

• Swallow the saliva well and then drip it under the tongue, sublingually.

• Do not place the dropper in your mouth (use a mirror if necessary)

• Avoid swallowing in the first minute (spread the oil around your mouth)

• Do not eat or drink water for the next 20 minutes.

• Keep the bottle at room temperature without exposure to sunlight.

• In regions with ambient temperatures above 30 degrees Celsius, store in a refrigerator.

CREAM USE GUIDELINES

• Cleanse your face before application

• Spread evenly over the face

• Wait for absorption before applying the other products in your daily facial treatment routine.

• Always keep the product outlet clean

• Keep the bottle at room temperature without exposure to sunlight.