DOC request three complete - Cannabis Defense Coalition

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STATE OF WASHINGTON .DEPARI'MENT OF CORRECTIONS P.O. Box 41100· Olympia, Washington 98504-1100 January 26,2009 Dear Mr._ Your Medicinal Use of Marijuana request 'Vas received on Januruy 14, 2009. Upon review by the · Department of Con-ec~ons' He!llth Services physician, your reqties~ has been denied. You may appeal this decision by sending your written ~equest within 15 business days of this letter, · which is on or before February 16, 2009. Please send your request to the address below: . Karen Daniels, Assistant SecretarY Community Correction.s Division Department of Corre.ctions . P.O. Box 41126 · OLympia, WA 98504-1126 Your r.equest ~ust provide additional information that was not· included with your original request. Appeals that do not contain new information will be denied .. You will receive a response to your app'eaI reguest within 30 days of receipt. smp~~ ~al1ieIS, Assistrult Secretary C0rItmunity Con~ectioris Division . K9:md cc: Misi Nimese Liulamaga, Community Corrections Supervisor Erin O'Donnell, Community Corrections Officer Field File Physic.jan's Office: Attn: Melissa Leggee CBRMedical 3115 E. Mission Ave. Spokane, WA 99202 " WorJdng Together for S(J.FE Communities" PDU-6655-3000331
·STATE OF WASHINGTOI< DEP.~RTI'iIENT OF CORRECTIONS AUTHORlZA TION FOR DISCLOSURE hereby authorize the use or disclosure of my health information The following individual or organization is. authorized to make the disclosure: NAME: _-:C::;,1 ~J3~R~/::..::l~1~e.!'L.:/u. ~:-L-(':-.
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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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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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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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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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Wheeler, Judine L. (DOC) From: Sent
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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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to be processed now. If this was re
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11/06/2008 13:05 - PAGE ./"""-1. II
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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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OFFENDER 1.0. DATA: STATE OF WASHIN
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OFFENDER 1.0. DATA: STATE OFWASHING
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Scott L. Havsy, DO, DAApM -Board Ce
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I Prescriber's Name (Print) License
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I I , Smith, Sherri K. (DOC) From:
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February 17, 2009 STATE OF WASHINGT
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Jan. 4. 200912:40PM CBR Medical Inc
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Dec.30. 2008 12:20PM CBR Medical In
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Documentation of Medical Authorizat
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DOC request three complete - Cannabis Defense Coalition

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