DOC request three complete - Cannabis Defense Coalition

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January 1, 2009 To: Washington State Department of Corrections Attn: Karen Daniels - Assistant Secretary MS: 41126 Olympia, WA 98504-1126 From: ••••••••• Re: . Letter of Appeal Denial of Medical Marijuana while on Probation Thank you, for emailing the documents that you have on file.· ,I see that you did not receive my Medical Authorization to Possess Marijuana for Medical Purposes in Washington State or did you receive my prescription copy for Marillol. . I am including the following documentation to support my use of Medical Maijuana. A. Medical Authorization to Possess Marijuana for Medical Purposes in Washington State (copy) signed by Bethany Rolfe, SEA-MAR Community Health. Seattle, W A B. <strong>DOC</strong> form 14-053 (rev. 7/31/08). To include the use of Marino 1, synthetic formulation of Marijuana. signed by . Bethany Rolfe, SEA-MAR Coinmunity Health. Seattle, WA C. Marinol Prescription (copy) dated 8-12-08 Bethany Rolf~, SEA-MAR Community Health. Seattle, WA D. Marinol Prescription (copy) dated 01-05-09 re:fi11 Bethany Rolfe, SEA-MAR Co~unity Health. Seattle, WA E. Documentation of Medical Authorization to Posess Marijuana for Medical Purposes in Washington State. Dr. Karen HIDilton Dated: September 20th, 2008 (expires September 20th 2009) F. Copy of Aut.1torization Card (pocket size)(front) Dr. Karen Hamilton G. Copy Card Back H. Marinol Prescription (copy) dated 09-20-08 Dr. Karen Hamilton Dr. Hamilton declined to fill out the <strong>DOC</strong> form ~ 1108). Tfyou should have any further questions, please contact me at ____ I will have more documentation from more docotors as I will be having a total knee replacement in the next couple of months at theUniversity of Washington. I look forward to hear;ing from you. PDU-6655-3000381
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STATE OF WASHINGTON DEPARTMENT OF C
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i ( Documentation of Physician Auth
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eRR Medical, Il1c 3115 E. Mission A
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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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Chapter 69.51 A RCW: Medical marij1
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Interpretation of Medical Marijuana
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