DOC request three complete - Cannabis Defense Coalition

.IL ,
Documentation of Medical Authorization to Possess Marijuana
for Medical Purposes in Washington state
PATIENT NAME: __ _
D~:rE OF BIRTH: -' •• ~96~9~
dei>tlitating condffion as defined by
and benefits of the ~I use
. leal histofy and medical condition.
leal use of manluana may outweigh
Physician Name:_-,,"~~=,,-==:,:;,:,,:,_.,..,.,--
MDOOO39Q48
Physician Sigl1!i!ture:_-+ ____ + __ + __
Date: __..;;,.0510-...;.,;312=.;0..;;,.08.;;.....___
This racommend!)tion e
, .
Risks and benefits of medical merij na
Under Washington law, the u Of medical rijuana is ncN( permissible fer some patients
with tanninal or debilitating ill s. The·1 reglllating this (RCW 89.51A) allows physldans
to advise patJents abOut !t1e Ii and oHhe medlcsl use of marijuana.
The medical and scierrtffic idence su .'119 lhe use d medical manjuana remains
controversial in !he medical unity, t alf health care providers believe fuel medical
manjuana is safe or effective . nd som ·rovide.rs fe.e! that it is a dangerous drug.
According to the Washin SUI w the benefits of .medlcal marijuana may include
treating nausea and vomitin from emotherapy. AIDS wasting syndrome, severe muscle
spasms from muHipie scIe . or spasticity disorder$, glaucoma, and some types of
iiitractable paio.
Some of the risks of { rnanjuana may inc!u