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Dec. 23. 2008 4: 50PM CBR Medical rnc. No. 2823 P. 5/28· Documentation of Medical Authorization to possess Marijuana for Medical Purposes in Washington State . PATIENT NAME:~~_ DATE OFBIRTH:~ -, ..... _ ..... -- .... __ .. 1---- - r··.I-r-....... u __ •• ___ .0 ...... - - ............ ~ . •.--..... tt .. ~ •• and 1 am treating theabov.e patient for a terminal illness .or a debilitating condition as defined by RCW 69.51A010. _.."."... ~~- ..... 1 have advised tile above' named patient about the pot~r.ltiar risks and enefits of the medical use of marijuana. Illave assessed the above named gatlent's medical h· tory and medical condition. It is my medical opinion thatthe potential benefitS' of tile medical u of marijuana may outweigh the health risks for this patient.,. / . Physician Name: Dr. Antoine 'John'son . WA Lic~':e Number: MD00039048 .J " ",ll' . _.rI',.~,,,,. ._' . Physician Signature: ___-;"-_____----:;>-',_ •• c:I-! This tecommandation eXPireJ.~n:. . 04/13/2009/' /':' ,/' . " Risks !md benefits of medical marijuana / Date: ___ 04_/1....;3_/2....;,0_08"--__ _ Under Washingtoillaw, the use of m ,ieal m.aHjuana is now permissible for some patients with terminal or debUitatlng illnesses. lie la~(egulaUng this (RCW 69.51A) allows physicians to advise patients aboat the risks a benep-rs of the medical use of marijuana. Tl1e medical and scientific evl .nee s>lPPorting the use of medical marijuana' remains cantroversial'in the medical co unity/Not a/l health care providers believe that medical marijuana is safe or effective. d so,me providers fee! that it is a dangerous drug. According to the washing~n ~te law the be!leflts of medical marijuana may include treating nausea and vomitin ]¢n ~hemotherapy, AIDS wasting syndrome, severe musc:le spasms from multipie pciel'o IS or othe,r spasticity disorders, gl
STATE OF WASHINGTON DEPARTMENT OF CORRECTIONS OFFICE OF THE ASSISTANT SECRETARY P"O, Box 41126· Olympia. Washington 98504-6504 • (360) 725-8796 FA~ (360) 586-0252 September 17,2008 Spanaway, ViA 983S7 DearMr_ I have been asked to respond to your September 14, 2008 'letter' addressed to Dr. Hammond. You write to <strong>request</strong> the reaspn your application for medicinal use of marijuan~ was demed. The reason listed on y~Urapplication is ~ follows: "Denied, nqt consistent with <strong>DOC</strong> policy." G. Steven Ham!!,:gE.~L~,· . .I~ .. B9Ji~Y_~F..aF.lmo!:~ i~_!;~f~~gJ2"i~"~~9~..Q,9!,._,_,_,, Community SupervisioI), of Offenders. You can locate a copy of this policy on our Web site at http://W'i\rw.doc.wa.g:o~/policies/. Should you have further queSTIOnS, please feel free to contact me at (3 60) 725~8 847 and/or sksmith(ci),docl.wa:lZov. ' , , Sincerely, , Q~ . >-': " " \J. -' ..' '. . (,,~ith, Executiv~Assistant . " . Community Corrections Division. . cc: Steven Hammond; MD., Director of Medical Services PDU-6655-3 000460
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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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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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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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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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Stern, Marc F. 'Dir Hlth Svc' (~OC)
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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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