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DOC request three complete - Cannabis Defense Coalition

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.... "-'" .. __ . - .-.-... -... ----.--.-.. ,~~ ... _-.-.. "~-'--'-"'"<br />

. D.ec .• 10. 2008 1:35PM CBR Mdical Inc. No. 2605 P. 5<br />

Documentation of Medical Authorization to [·'ossess Marijuana<br />

for Medica[ Purposes in Washington State<br />

PATIENT NAME: --' _ __.II •• DATE OF BIRTH:~<br />

Ir Dr. Mohammad H. Said • am a physician licensed in the State pf Washington·<br />

and I am treating the above patient for a terminal illness or a debilitating condition as d,,!tined by<br />

RCW 69,51A010.<br />

I have advised the above named patient about the potential risks and benefits of the medical use<br />

of marijuana. I have assessed the above named patient's medical history and medical condition.<br />

It is my medic.";!1 opinion that the potential benefits of the medical use of marijuana may outweigh<br />

the health risks for this patient. .<br />

Physician Name: _ ...... D'"""r.._M_o;oo.h""'a"-"m'-A m ...;;a;.;od_<br />

n<br />

..... ~!S.'id r'57;:"ffibec<br />

6<br />

Physician Signature: j/': ~ c::..) ...... V\.,. Data: 11/16f2008<br />

This recommendation expires on:<br />

Oif16/2009<br />

MD00018311<br />

Risks and benefits of medIcal marijuana<br />

Under Washington law, the use of medical marijuana is now penn is sible for some patients<br />

with terminal or debilitating illnesses. The Jaw regulating this (RCW 69.51 A) allows physicians<br />

to advise p·atients about the risKS and benefits of the medical use of marijuana.<br />

T!o\e Mccliool ::lnd "",ion~ific Q\lirlr.mrp

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