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1------·-· --------- .. - ., STATE OF WASHINGTON DEPARTMENT OF CORRECTIONS .P .0. Box 41100 ~ Olympia;· Washingto·n 98504·1100 March 26, 2009 DearMr._· Your Medicinal Use of Marijuana reque,st was received on March 3, 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 tl:J.e address below:' Karen DanielS, Assistant Secretary COminunity Corrections Division , . Department of Corrections P:O. Box 41126 Olympia,WA 98504-1.126 Your request must provide additionat information that was not included with your original request. , Appeals that d~ not contain new information will be ~enied. _ You ""ill receive a response to your ' appeal request within 30 days of receipt. 50 . . t.j} ",cycled pop« Karen Daniels,Assistant Secretary Community Corrections Division , KD:md , cc: Mac P.eveY, COInmunity Corrections Supervisor Marki Community Corrections Officer Field File Physician's Office: Alison Roxey Roosevelt Clinic· 4245 RooseveltWayNE Seattle, W A 98105 . ' t< Working Together for SAFE Communities" PDU-6655-3 000309
Distefano, Monica J. (DOC) From: Sent: To: Cc: Subject: Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOC) Wednesday, March 04,20094:13 PM . 'Oi~tefano, Monica J. (DOC); Dani~ls, Karen R. (DOC) ~OC) ____ MM Request request for authorization for useof medical marijuana does not meet criteria for medical necessity. i I .1 1 PDU-6655-3000310
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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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DoCumentation of Medical AuthoriZat
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. ! STATE OF WASHINGTON DEPARTMENT
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STATE OF WASHINGTON .DEPARTMENT OF
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Interpretation of Medical Marijuana
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Date & Tirpe Created: 12/16/2008 11
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