DOC request three complete - Cannabis Defense Coalition

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i 2008-12-16 ;7:17 3605869060 P 1/3
THCF MEDICAL CLINICS
1813 1301h Alenue NE. SuHe #21 0
Bellevue, W A 98005
Phone: (425) 869-6186
. FAX; (425)·869-6378
W'J.w, thc_foundation.om
. . . . Medical Authorization to possess
Documentation of . poses in WasbiBgton State
Marijuana for MedIcal urp
. Date of ". I am treating the above n~ed
a hysician licensed in the ~~te ofW~shi~o~CW 69.51A.OI0.lhav~ adVlsed the
1, Thomas O!"l~d: am. P or a debilitating condition as de_1,!l m. of marijuana, I haVe assessed
patient for a temuna1111ness otenti.a1 risks and benefits of the me~cal use d' al opinion that the potential
th
b amed patient about e P di al condition It 18 my me Ie
~::~:ve named patient's mediCal. ~istory ~~~:~e~ outweigh the health risks for this patient. .
benefits of the medicaillsc of manJua: ~-:"J...!()~~~lt/~~~~~ftJ-1.ctb~·!.w~. __' _--
Signature of Physician: ~ ~.L ,
Thomas O. Or¥ald, M.D.
WA # MD 00016180
10 .JuJv 2008 Expiration date::_-.! lOUJ u!:!!1f.ty.:.2~OO~9:..-' ---
Today's date:_.....1~.l.!_ :!!.!.-.!!.:;!.~----
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Risks and benefits of medical marijuana:
Under Washington state law, the use of medical marijuana is now penrussible for so~~ patients ~th
terminal or debilitating illnelises. The lAW regulAting this (R,CW 69,51 A) allows physlclans to adVIse
patients about the risks and benefits of the medical use of marijuana.
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The medical and scIentific e-vidence supporting the use of medical ma..-ly..!ana remams controversl in·
the medical community. Not all health care providers believe that medical marijuana is safe or
effective and some providers feel that it is a dangerous drug.
According to the Washington state law the benefits of medical marijuana may include treating nausea
and vOIIlltirig from chemotherapy; AIDS wastmg synarome; severe muscle spasms from mwti.-p..-:le------~
sclerosis or other spasticity disorders; glaucoma; and some types of intractable pain.
Some of the risks of medical marijuana may include possible long-term effects of the brain in the
areas of memory. coordination and cognition; impairment of the ability to drive or operate heavy
machinery; re~piratory damage; possible lung cancer; and physical or.psychological dependence.
Text on this form pr~vided by the Washington State Medical Association.
PDU-6655-3 000302