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J I 1 STATE OF WASHINGTON . DEPARTMENT OF CORRECTIONS P.O. 60)(41100' Olympia, Washil1giol1 98504-1100 March 26, 2009 Ms.". Dear Your Medicinal Use of Marijuana request was received on February 6, 2009. Upon review by the Department of Corrections' Health Services physician, your request has been denied. You may appeal this decision by sending your written request within 15 business days, on or before April 17, 2009. Please send your request to' the address below: . Karen Daniels, Assistant Secretary Community Corrections Division Department of Corrections P.O. Box 41126 Qlympi; WA 98504-1126 Your request must provide additional information that was not included with your original request . . Appeals that do not contain new in:formation will be denied. You will receive a response to your . . appeal request WIthin 30 days of receipt. !fIT. . "q) recycled paper Karen Daniels, Assistant Secretary Community Corrections Division KD:md cc: Robert Bromps, Cornnl1:lI1ity Corrections Officer Field File -••• Physician's Office: Attn: Melissa Leggee CBR Medical, Inc .. 3115 E. Mission Ave. Spokane,WA 99202 " Working Together for SAFE Communities" PDU-6655':3 000291
---_._.-» " Distefano, Monica J. (DOC) From: .. Johnson. Deborah A. (DOC) on behalf of Hammond. G. Steven (DOC) Sent: Monday, February 23, 2009 4:37 PM . .. To: Distefano, Monica J. (DOC); Daniels, Karen R. (DOC) .. Cc: _ ammond G. DOC). Subject: .. MM Request _request for authoriz~tion for use of medical marijuana does not meet criteria for medical necessity. 1 PDU-6655-3 000292
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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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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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j I Documentation of MedicarAuthcir
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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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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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Wheeler, Judine L. (DOC) From: Sent
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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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OFFENDER 1.0. DATA: STATE OF WASHIN
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February 17, 2009 STATE OF WASHINGT
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Documentation of Medical Authorizat
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