Prescription renewal formOperated in compliance with Thai medical cannabis regulations. Name * First Name Last Name Email * Phone * Country (###) ### #### Preferred Contact Method * LINE Whatsapp Phone Contact ID / Username * Additional Notes ( Optional ) 🎉 Thank you — your renewal request has been submitted.✅ Once your payment is verified, our doctor will renew your prescription and notify you via your selected contact method.💰 Payment Details (for reference):SCB – Siam Commercial BankAccount Name: HERBILANA ORGANIC CO., LTD.Account Number: 410-180067-4Amount: ฿300📸 If you didn’t upload your slip, please send it via LINE or WhatsApp.🌿 Once approved, you’ll receive access to our latest Treehouse Patient Menu with current strains and exclusive products.Thank you again from the Treehouse team 🌱