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I J 63/64/2669 14:18 '1-'- --- '" 2654185559 . CBR MEDICAL PAGE' 62 STATE OF. WASHINGTON DEPARTMENT OF CORRl'!C'l'IONS AUTHORIZATION FOR DISCLOSURE TION Ol'~ENOF.R 1.0. OA'I'A: hereby authorl%e the use or disclosure of my health Information ~rn"'lii.,.
STATEOFWASHINGTON . DEPARTMENT OF CORRECTIONS P.O. Box 41100 • Olympia, Washington 98504-1100 April 29, 2009 Chewelah, VV A 99109 Dear Ms._ I re:ceived your <strong>request</strong>"to appeal the denial of your initial Medicinal Use of Marijuana . Verification. . In the interest of public safety and protection of the community at large, I find·your <strong>request</strong> for Medicinal Use of Marijuana, while under the supervision of the Department of Corrections, is denied. . . I would encourage you to continue to program in a positive manner, following the direction of yoUr assigned CCO and your conditions of supervision.· . . Sincerely Karen Daniels, Assistant Secretary Community Corrections Division KD:md cc: RobeD Bro~mmunity Cqrrections Officer Field File ___ . Physician's Office: ____-----=Attn:.....Melissa..Legge.e
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STATE OF WASHINGTON DEPARTMENT OF C
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RECORDS PROVIDED WITH REDACTIONS ~~
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(".- " ~"""'":.~ Inr ... ~ STATEOFW
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i ( Documentation of Physician Auth
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eRR Medical, Il1c 3115 E. Mission A
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Or-FENDER 1.0. DATA, j' STATE OF WA
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DoCumentation of Medical AuthoriZat
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j I Documentation of MedicarAuthcir
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. ! STATE OF WASHINGTON DEPARTMENT
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STATE OF WASHINGTON .DEPARTMENT OF
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Wheeler, Judine L. (DOC) From: Sent
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I I do ncit want to ruffle feathers
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Interpretation of Medical Marijuana
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From: Sent: To: Duggan, Brenda J. (
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NIELSEN TO COME UPSTAIRS. CCO NIELS
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Date & Tirpe Created: 12/16/2008 11
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PRIMARY CARE PHYSICIAN AND LOOKED O
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Distefano, Monica J; (DOC) From: Se
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3. High Non-Violent 4. Moderate, an
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