DOC request two, part 5/5

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Distefano. Monica J ..(DOC) From: Distefano, Monica J. (DOC) . Sent: Tuesday, rph 31, 2009 2:55 PM To: .. ". W. DOC) Subject: Attachments: Please see the attached denial of medical marijuana A hardcopy will follow. Thank your Monica Distefano' Executive Assistant to Karen pariiels, Assistant Secretary Community Corrections Division 7345. Linderson Way SW Tumwater, WA 98501 MS: 411'26 (360) 725-8796 mjdistefano@doc1.wa.gov 00(1428
STATE OF WASHINGTON DEPARTMENT OF CORRECTIONS P.O. Sox 411 00 ~ Olympia, Washington 98504-1100 March 26, 2009 ·1 Your Medicinal Use of Marijuana request was received on February· 6, 2009. Upon revieW' by the Department of Correc~ions' Health Services phys.iCian, your request has been demed; You may appeal this decision by sending your written request within·IS business days, on or before April 17 ,2009. Please send your request to the address below: . . " Karen Daniels; Assistant Secretary . Community Corrections Division Department of Corrections P.O. Box 41126 OlYlllPia, WA 98504-1126 . . ; Your request must provide additionalinformation that was not included with your original request. Appeals that do not contanlnew information will be denied. You will receive a I'esponse to your appeal request within 30 days of receipt. . Karen Daniels, Assistant Secretary Community Corrections Division KD:md cc: Robert Bromps, Community Con'ections Officer . Field File __ . Physician's~ Attn: Melissa,Leggee CBR Medical, Inc. , 3115 E. Mission Ave. Spokane, W A 99202 "Working Together for SAFE CommunIties" -0 recycled paper 00042D
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Page 57 and 58: . Prescriber's Name (Print) . Presc
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Page 63 and 64: P. UUl DOC JURISDICTION ONLY NOTICE
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RECEIVED October 1,2008 \, OCT 7 RE
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DOC request two, part 5/5

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