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Fax III CBR Medicai, Inc 3115 E. Mission Ave Spokane, WA 99202 To: MONICA DISTEFANO From: Melissa(alcbrmedical.com ! r ~ r ! Fax: 360-586-0252 Date: 0411012009 Phone: 360-725-8796 Pages: _R_e: __ ~I1111111111~ ____ ~ __ ~~ ______ ~D~O~C~i~~~-~A~P~P~EA~L~ ______ ___ o Urgent o For Review o Please Comment 0 Please Reply o Please Recycle Monica, Enclosed is the Appeal for the Medicinal Use of Marijuana for We . sincerely appreciate the time and effort that you personally take in handling on behalf of our patients. I have also enclosed nedical records and authoriZation from Dr. Mohammad H. Said and from Dr. Antoine Johnson. Additionally I have' added more information on the conditions for which_suffers. Again thanks so much for your time and efforts. They truly are appreciated. \ I ~ r I Sincerely, Melissa Leggee 509·570-2886 CBR Medical, Inc .• 3115 E, Mission Ave .. Spokan~, Wa 99202 Seattle P~one 206-774-6493 Fax 206-418-6659 Spokane Phone 509-242-8624 Fax 509-340-2710 Tri~Cities Phone 509-416-2267 Fax 509-340-2710' Vancouver Phone 360-635-6464 Fax 206-418-6659 CONFIDENTIALITY NOTICE: This communication is intended for the sale Lise of the individual and entity to whom it is addressed, and may contain information that is privileged, or confidential and exempt from disclosure under applicable law. You are hereby notified that any dissemination, distribution, or duplication of this commlJnication by someone other than the intended addressee or its - designated agent is strictly prohibited. All Information is Protected Under U.S. Federal Law ! i I .;. i· ! i t ~ I.l ~ I . I I ! I ! PDU-6655-3 000287
t j. 1 l·, r , ! , i ; . 3115 E. Mission Ave Spokane, WA 99202 o Urgent 0 For Review o Please Comment 0 \Please. Reply . 0 Please RecycUe ·Comments: . corvo ., i j I ~ ~' i I .:; i ! i i ! i· ~ C8R Medical, Inc. - 3115 E. Mission Ave, Spol
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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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OCT/ Oct. B. LUO~, 11: ::J9AM T ~co
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... ""'"'''' f~ STATEOFWA$HINGTON ~
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Distefano, Monica J. (DOC) From: Se
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eRR Medical, Il1c 3115 E. Mission A
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Fax : ' 3115,E. Mission Ave Spokane
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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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STATE OF WASHINGTON DEPA'RTMENTOF C
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311S'E. Mission Ave Spokane, WA 992
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''' .. r.~ l~} STATEOFWASHINGTON "1
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j I Documentation of MedicarAuthcir
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, • J ' -1. d; z.. 00 g-' /Vo v.
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Chapter 69.51 A RCW: Medical marij1
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Chapter 69.S1A RCW: Medical marijua
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Chapter 69.511). RCW: Medical111ari
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OFFENDER 1.0. DATA: STATE OF WASHIN
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Prescriber's Name (Print) License#:
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3115 E. Mission Ave Spokane, WA 992
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. ! STATE OF WASHINGTON DEPARTMENT
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STATE OF WASHINGTON .DEPARTMENT OF
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T.)' ~x.. MARIJUANA MEDICINE'· 'EV
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Nov. 26. 2008 4:37PM CBR Medical In
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No'v, 26, 2008 4:48PM CB R Me d i c
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.~. :.' '. ATTEN1':tON LAW ENFORCEM
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\"'Ior"'.~ OFFENDER 1.0. DATA: I f
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Wheeler, Judine L. (DOC) From: Sent
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OMNI: Chrollos Quick Search , •
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-...... THCF MEDICAL CLINICS 1813 1
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Prescdbar's Name (pnnt) . Prasc~jje
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I I do ncit want to ruffle feathers
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Let me know if you have questions f
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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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, ' ~. With Community Corrections S
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I FW: 380200 Community Supervision
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Distefano, Monica J. (DOC) · From:
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Distefano, Moriica J. (DOC) From: .
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E.... KIOSK reporting may be used i
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RE: 380 200 Community Supervision o
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RE: 380200 Community Supervision of
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to be processed now. If this was re
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FW: 380200 Community Supervision of
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Distefano. Monica J. (DOC) From: Di
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" \ Prescriber's Name (Print) PreSC
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Nov, 26, 2008 4:39PM CBR Medical In
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I OFFENDER 1.0. DATA: ..# ....""..'
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Documentation of Medical Authorizat
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Distefano. Monica J. (DOC) From: Se
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11/06/2008 13:05 - PAGE ./"""-1. II
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Dec .. l0. 2008 1:34PM CBR Medical
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~ec,.10, 2008 1:35PM CBR Med ic"a 1
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Stern, Marc F. 'Dir Hlth Svc' (~OC)
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I J i Date License type: Prescriber
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Distefano, Monica J: (DOC) From: Se
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STATE OF WASHINGTON . DEPARTMENT OF
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OCT/08/2008/WED 01: 39 PM Tael FAX
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.Distefano, Monica J. (DOC) From: S
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~ec. 23. 2UUB 9:U,PM' (;~K Medj'cal
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Dec.23. 2008 5:07PM ,CBR Medical In
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., FAX No. 509-921-2346 P.' 004 Pr~
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Fax 36027706511· Apr 20 2009 04;31
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Page 295 and 296: ---_._.-» " Distefano, Monica J. (
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i I Documentation of Medical Author
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3115 E. Mission Ave Spokcme, WA 992
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OFFENDGR I,D, DATA: STATE OF WASHIN
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.IL , Documentation of Medical Auth
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J STATE OF WASHINGTON DEPARTMENT OF
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3115 E. Mission Ave 'Spokane, WA 99
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OFFENDER 1.0. DATA: STATE OF WASHIN
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Scott L. Havsy, DO, DAApM -Board Ce
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February 17, 2009 STATE OF WASHINGT
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Documentation of Medical Authorizat
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