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DOC request three complete - Cannabis Defense Coalition

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Dec. 23. 2008 4: 50PM CBR Medical rnc. No. 2823 P. 5/28·<br />

Documentation of Medical Authorization to possess Marijuana<br />

for Medical Purposes in Washington State .<br />

PATIENT NAME:~~_<br />

DATE OFBIRTH:~<br />

-, ..... _ ..... -- .... __ .. 1---- - r··.I-r-....... u __ •• ___ .0 ...... - - ............ ~<br />

. •.--..... tt .. ~ ••<br />

and 1 am treating theabov.e patient for a terminal illness .or a debilitating condition as defined by<br />

RCW 69.51A010.<br />

_.."."... ~~- .....<br />

1 have advised tile above' named patient about the pot~r.ltiar risks and enefits of the medical use<br />

of marijuana. Illave assessed the above named gatlent's medical h· tory and medical condition.<br />

It is my medical opinion thatthe potential benefitS' of tile medical u of marijuana may outweigh<br />

the health risks for this patient.,. / .<br />

Physician Name: Dr. Antoine 'John'son . WA Lic~':e Number: MD00039048<br />

.J<br />

" ",ll'<br />

. _.rI',.~,,,,. ._' .<br />

Physician Signature: ___-;"-_____----:;>-',_<br />

•• c:I-!<br />

This tecommandation eXPireJ.~n:. . 04/13/2009/' /':'<br />

,/' .<br />

"<br />

Risks !md benefits of medical marijuana /<br />

Date: ___ 04_/1....;3_/2....;,0_08"--__ _<br />

Under Washingtoillaw, the use of m ,ieal m.aHjuana is now permissible for some patients<br />

with terminal or debUitatlng illnesses. lie la~(egulaUng this (RCW 69.51A) allows physicians<br />

to advise patients aboat the risks a benep-rs of the medical use of marijuana.<br />

Tl1e medical and scientific evl .nee s>lPPorting the use of medical marijuana' remains<br />

cantroversial'in the medical co unity/Not a/l health care providers believe that medical<br />

marijuana is safe or effective. d so,me providers fee! that it is a dangerous drug.<br />

According to the washing~n ~te law the be!leflts of medical marijuana may include<br />

treating nausea and vomitin ]¢n ~hemotherapy, AIDS wasting syndrome, severe musc:le<br />

spasms from multipie pciel'o IS or othe,r spasticity disorders, gl

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