Personalized Plan - CBD International World Clinic

Request A Personalized Treatment Plan - CBD International World Clinic

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Personal Information

First Name(Required)

Last Name

Request Date(Required)

MM slash DD slash YYYY

Date you are submitting this request.

Email(Required)

We will use this email to contact you about your request and shipping information.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Best phone number to reach you if we need to discuss your request.

Are you of legal age in your province?(Required)

Yes

Product Category(Required)

Cannabis Oil's — Custom Formulation

Psilocybin Honey — Custom Formulation

Psilo-Shakes — Psilocybin Drink Mix Sachets

Select the product family you want. Complete the matching section(s) below. If selecting multiple categories, complete each relevant section.

Section A — Cannabis Oil - Custom Formulation

Infusion Type(Required)

Psilocybe cubensis - Powder

Psilocybe cubensis - Oil Extract

Desired Dose Per 15ml sachets (mg)(Required)

Enter the number of milligrams of active cannabinoid you want in each individual sachet of 15ml total.

Number of Sachets requested(Required)

Enter how many Sachets of 15ml you want to order.

Section B — Psilocybin Honey - Custom Formulation

Desired Psilocybin Dose Per 15ml sachet in (mg)(Required)

Enter the number of milligrams of psilocybin per individual 15ml sachet in total mg.

Number of Sachets requested(Required)

Enter how many Sachets of 15ml you want to order.

Section C — Psilo-Shakes Custom Psilocybin Sachets

Format

30 Individual shake sachets per box

Desired Psilocybin Dose Per Sachet (mg)(Required)

Enter the number of milligrams of psilocybin per sachet.

Flavour Selection(Required)

Vanilla

Chocolate

Number of boxes requested(Required)

Enter how many boxes (30 sachets each) you want to order.

Intended Use

General wellness support

Mood support

Sleep support

Pain support

Appetite support

Other

Select all that apply. Use 'Other' to specify a different intended use.

Other

Have you used cannabis products before?(Required)

Yes

Have you used psilocybin products before?(Required)

Yes

Current tolerance level(Required)

New user

Low tolerance

Moderate tolerance

High tolerance

Unsure

If unsure, choose 'Unsure' so we can advise appropriately.

Important Acknowledgment

After submitting your personalized order form, we will review your requirements and email you a customized quotation based on your preferred dosage and volume. You can then review and complete your payment directly from the email.

By submitting this request, I understand that custom infused products should be used responsibly, stored securely, and kept away from children and pets. I confirm that the dose requested is my responsibility and that I will begin with caution, especially if I am new to cannabis or psilocybin products.

Client Signature(Required)

Max. file size: 512 MB.

Signature Date(Required)

MM slash DD slash YYYY

Internal Use Only

Product Approved(Required)

Yes

Requires consultation

Final Dose Confirmed (mg per piece/sachet)(Required)

Enter the confirmed final mg per piece or sachet as approved for production.

Batch Number

Assigned production batch number.

Prepared By (Internal Staff)

First Last

Date Prepared

MM slash DD slash YYYY

Tracking Number

Shipping/tracking number once order is dispatched.

Why Personalize

Because biology isn't uniform.

At CBD International World Clinic, we recognize a simple but often overlooked reality: human biology is not uniform. While people may share similar conditions or symptoms, their responses to cannabinoids or psilocybin-based treatments can vary significantly due to differences in metabolism, receptor sensitivity, tolerance, underlying health factors, and even lifestyle.

Standardized dosing protocols are an important starting point they provide consistency, safety, and a reliable baseline for most individuals. However, they are not universally effective. In practice, some patients may find that standard formulations are either insufficient for symptom relief or produce effects that are not optimally balanced for their needs.

That is precisely why CBD International Clinic offers personalized treatment options by request. These custom formulations allow for adjustments in cannabinoid ratios, potency, delivery method, and dosing structure. The goal is not simply to increase or decrease dosage, but to refine the treatment so it aligns more closely with how an individual’s body responds.

This approach acknowledges that effective care often requires iteration. When standard dosing does not deliver the intended results, a more tailored protocol can provide a better therapeutic fit improving outcomes while maintaining control over consistency and safety.

In short, personalization is not an alternative to standardization — it is a necessary extension of it.

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