• "-0QC693 - Cannabis Defense Coalition

Administrative Bulletin 08-009May 16, 2008Page 2Ifyou have any questions about this change, please contact Karen Daniels, AssistantSecretary for Community Corrections.EV:kdcc:Kerry Arlow, Policy Program Manager'Working Together for SAFE Communities" *.« 5\PQ(jG96

[letterhead!Washington Department ofCorrectionsMedicinal Use ofMarijuanaVerificationJ3ystate statuteiAe Washington Steteresponsibility to supervise someoffenders after they have been convicted of a felony., is currently under supervision by theDepartment. Supervision isdesigned to help the offender avoid those environments or situations that leadto theircriminal behavior. Often illicit drug use is a contributing factor in an individual'scriminality. Accordingly it's usual that the court or theDepartment of Corrections willimpose a condition of supervision that the offendernotuse,or possess illicitdrugs,including marijuana. This offender has claimed that theyhave a condition for which themedicinal use ofmarijuana has been prescribed. The below verification is to determinethe legitimacy oftheir claim. Thank you in advance for your assistance. Ifyou havequestions pleasefeel freeto personally contact theMedical Director of the Department atT?25-87p0- ;...{Deleted;Deleted: call me personally: Dr. SlevenHammondDoctor's Verification1. The abovepatient is undermy careand is a patient of mine.2. This patient has Acquired Immunodeficiency Syndrome(AIDS)tYes_Noa. Ifthe answer to question 2 was "Yes'\ does he/she have anorexia?Yes Nob. Ifthe answer to question 2a was "Yes", does he/she have weight loss?YesNo__..-- •{ Deleted; offenderDeleted: and anorexia associated withweight loss?1 Formatted: Bullets and NumberingFormatted: Indent: Left: 2", Firstline: 0.5"'Formatted: Indent: Left: 0.75"'J Formatted: Bullets and Numbering3. This patient does suffer from nausea.and vomiting associated with cancerchemotherapy?^Yes Noa. Ifthe answer to question 3 was "Yes'1,has the patient failed to respond to ♦-...conventional antiemetic treatments?Yesb. Ifthe answer to question 3a was "Yes", please describe what thosetreatments were (medication, dose, duration1):Noc. What is the planned schedule ofchemotherapy?Deleted: that lias Tailed to respondadequately to conventionalantiemetictreatments?Formatted: Bullets and NumberingFormatted: Indent: Left: 0.75".Formatted: Numbered + Level: 2 +Numbering Style: a, b, c,... + Startat: 1 + Alignment: Left + Aligned at:0.75" + Tab after: 1" + Indent at:1"Formatted: Numbered + Level: 2 +Numbering Style: a, b, c,... + Startat: 1 + Alignment: Left + Aligned at:0.75" + Tab after: 1" + Indent at:i"-8.00C697

—{ Formatted: Indent: Left: 0.75" ].-••[Deleted:^Signed,j'rescriber's sitmalure^Licence #:Licence type:Address_Phone Number•{Deleted: Doctory\G0C698

Page 1 of 1Daniels, Karen R. (DOC)From:Sent:To:Douglas Hiatt [douglas@douglashiatt.com]Wednesday, January 30, 2008 11:47 AMSubject: med mariWeisser, Paul (ATG); Judge, Dan (ATG)hi guys, i have the informationonone of the clients, it is1tacoma, ceo is donald russell.BHhas ^eP c wn^cn ^s an approved condition tinder our law.he has stopped using his medical marijuana under threat of vilation and a return to the gulag.he would like to be able to use his doctor approved medicine.i await your response, douglas—.00069911/1 o/OAr»o

Page 1 of 1Daniels, Karen R. (DOC)From:Sent:To:Douglas Hiatt [douglas@douglashiatt.com]Tuesday, February 05, 2008 4:18 PMWeisser, Paul (ATG); Judge, Dan (ATG)Subject: med mariGentlemen, another patient on supervision, out of thurston county, ceo is mary captain,'paralyzed by car accident in 2004 from chest down, out onmedical parolev uses med mari to control mujscle spasms.isentfBHVthrough to you guys as well, let me know what up. there are some otherswho want to wait and see what you guys are going to do with this issue, and there is thepotential litigation in port angeles i need to check up on. let me know, douglas» ^,00070011/1 o/inno

Smith, Sherri K. (DOC)From:Smith, Sherri K. (DOC)Sent:• Friday, August 01, 2008 7:35 AMTo: Praven, Jeremy M. (DOC); Johnson, Todd D. (DOC); Harper, Donta S. (DOC); Fiala, Anne L.(DOC)Cc:Subject:Cowan, Mary E. (DOC)Medical MarijuanaThe offender's request for medical marijuana use has been denied by Dr. Hammond, Director of Medical Services.Sherri Smith, Executive Assistant toKaren Danieis, Assistant SecretaryCommunity Corrections DivisionMS: 411267345 Linderson Way SWOlympia, WA 98504-1126Phone: 360-725-8847Even ifyou're on the right track, you'll get run over ifyou just sit there. ^Will Rogers-*.oo(noi

Distefano; Monica J. (DOC)From:Sent:To:Hammond, G. Steven (DOC)Wednesday. July 23. 2008 12:35 PMDanlelsJ

X"STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSOFFENDER I.D. DATA:AUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATION, hereby authorize the use or disclosure of my health informationas described below. The following'individual or organization is authorized to make the disclosure:ADDRESS: Qfr>5fj )5^-, /rv^The type and date(s) of information to be used or disclosed is as follows:Purpose for disclosure:\*A-t&.iLcSI understand that the information in my health record may include information relating to sexually transmittedinfections, Acquired Immunodeficiency Syndrome (AIDS), or Human Immunodeficiency Virus (HIV). It may alsoinclude information about behavioral or mental health services and treatment for alcohol and drug abuse.This information may be disclosed to and used by the following individual or organization:NAME: -TVpgirl-rwiLn^ a{ CcmSLlA^MSADDRESS:I understand that I have a right to revoke this authorization at any time. I understand that if I revoke thisauthorization I must do so in writing and present my written revocation to the Health Information ManagementDepartment. I understand that the revocation will not apply to information that has already been released inresponse to this authorization. Unless otherwise revoked, this authorization will expire on the following date, event,or condition:(if left blank, authorization will expiresix (6) monthsfrom signing).I understand that authorizing the disclosure of this health information is voluntary. I can refuse to sign thisauthorization. I need not sign this form in order to assure treatment. I understand that I may inspect or copy theinformation to be used or disclosed, as provided in CFR 164.524 and RCW 70.02. I understand that any disclosureof information carries with it the potential for an unauthorized redisclosure and may not be protected by federal orstate confidentiality rules. If I have questions about disclosure of my health information, I may contact theRHIT/designee of the facilitySignature of Patient(Do not sign ifform is not complete)~\- H-r>gDate(Patient to complete)Socia.l Security NumberDate of BirthDOC NumberSignature of WitnessDateState law (RCW70.02; RCW70.24.105; RCW 71.05.390)and/orfederal regulations(42 CFR Part 2:45 CFR Pari 164)prohibit disclosureofthis information withoutthespecific written consentofihe person to whom itpertains, or as otherwise permittedhv law.OOC 13-035(05/19/2003) POL ' OOC 380.200 OOC 600.020 DOC 640.020 DOC 670.020'• -.000703LEGAL

Prescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department ofCorrectionsPO Box 41123OIympia,WA 98504-2113'To be filled out by DOC Physician: -I have reviewed this verification fornrand find that use of medical marijuanaby this patient(check one) | • is |&1s notconsistent with DOC Policy. /?Physician's Name (Print) : Physician's Signature DateInstructions to DOC Physician:When form is complete:1. Email your finding above to the Assistant Secretary for Community Corrections '2. r^JSteState law (RCW 70.02: RCW 70.24.105: RCW 71.05.390) and/orfederal regulations (42 CFR Part2: 45 CFR Part 164)prohibitdisclosure ofthis information without thespecific written consent ofthepersonto whom ii pertains, or as otherwise permitted by law."•\000704DOC 14-053 (05/16/08) DOC 380.200

July 14, 2008To:Medical DirectorHealth Services DivisionWashington State Department ofCorrectionsPO Box 4112301ympia,WA 98504-2113Re:MedicinalUse of Marijuana VerificationI BETHANY ROLFE am currently treating the above named patient for thefollowing conditions as defined in RCW69.51.010.(b)Intractable pain, limited for the purpose ofthis chapter to mean pain unrelieved bystandard medical treatments and medications.Patient alsohasa history of thefollowing conditions:a) Fibromyalgiab) Allergic Rhinitisc) IBS with bowel incontinenced) Historyof leucopeniae) OA, Right knee, totalreplacement August 2002f) Partialhysterectomy due to fibroid tumorsg) Depressionh) Anxiety/Panic attacksi) Carpal Tunnelj) Migraineheadachesk) RestlessLeg Syndrome1) High Blood Pressurem) Fibroidtumors throughoutbodyn)o)Left knee, wotn out, recommended replacement fall 2008 orspring 2009Insomnia, hard tofall asleep, staying asleep, falling back tosleepPatient hasdrug allergies/intolerance to the foliowing medications:1.2.ErythromycinDemerolcausmg diiLticulty breatlimg/shortness ofbreathcausing nausea and vomiting3.4.VicodinPercocetcausing nausea and vomitingcausing nausea and vomiting5. Penicillin causinghives6.7.Morphine causing blister, rash, itchingSulfa-base drugs causing GI upset, hives and itching8. Dococycline causing GIupset9.10.OxycodonePaper Tapecausing nausea and vomitingcausing rash and itchingI haveadvised the above named patient about thepotential risks and benefits of themedical use ofMarijuana. I have assessed the patient's medical history and medical conditions. It is my medicalopinion that the potential benefits ofthe use ofmarijuana may outweigh the health risks for thispatient.Tel: 206 965 1000bi^U>Signature ofPhysician: ,. »1Bethany RohV^RlS96J33* \ P907^5

OFFENDER I.D. DATA:/ OOP'h STATE OF WASHINGTONUalS> DEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationTo be filled out by CCO:Patient's NameDate of BirthDOC NumberTo be filled out by Prescrlber:Dear PrescriberBy state statute the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have been convicted of a felony. The above named patient is currently under supervision by theDepartment. Supervision is designed to help the offender avoid those environments or situations that lead to their criminalbehavior. Often illicit drug use is a contributing factor in an individual's criminality. Accordingly it's usual that the court orthe Department of Corrections will impose a condition of supervision that the offender not use, or possess illicit drugs,including marijuana. This offender has claimed that they have a condition for which the medicinal use of marijuana hasbeen recommended. The below verification is to determine the legitimacy of their claim. Thank you in advance for yourassistance. If you have questions please feel free to personally contact the Medical Director of the Department at (360)725-8700.1. Is this patient under your care? • Yes D No2. Are you recommending medical marijuana for his patient due to a diagnosis of Acquired p-j Yes q n0Immunodeficiency Syndrome (AIDS)a. If the an'swer to question 2 is "Yes", does he/she have anorexia? • Yes • Nob. If the answer to question 2a is "Yes", does he/she have weight loss? • Yes • No3. Are you recommending medical marijuana for this patient due to nausea and vomiting. r-j Yes q n0associated with cancer chemotherapy?a. If the answer to question 3is "Yes", has the patient failed to respond to conventional n Yes • Noantiemetic treatments?b. If the answer to question 3a is "Yes", please describe what those treatmentswere (medication, dose,duration):c. What is the planned schedule of chemotherapy?4. If you answered "No" to items 2 &3 above, what is the reason you are recommending medicinal use ofmarijuana?a. Please provide evidence published in a peer-reviewed scientific publication to support the medicinal use ofmarijuana for this purpose?5. While on community supervision ("parole") the Department of Corrections only authorizes theuse of the oral synthetic formulation ofmarijuana. If the Department authorizes this patient's *• Yes • Nouse of medical marijuana, will you be prescribing only the oral synthetic formulation?6. The patient's accompanying Release of information authorizes you to provide theDepartment with current and future information related to this issue. Do you agree to notify j—i yes pi n0the Department's Medical Director of any changes in your answers above? _ _•*.D9C70'6DOC 14-053 (Rev. 7/31/08) DOC 380.200

Preserver's Name (Print) Preserver's Signature DateLicensedLicense type:Preserver's Address ; Phone NumberPrescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department of CorrectionsPO Box 41123Olympia, WA 98504-2113To be filled out by DOC Physician:I have reviewed this verification form and find that use of medical marijuana by this patient(check one) | • is • is notconsistent with DOC Policy.Physician's Name (Print) Physician's Signature DateInstructions to DOC Physician:When form is complete:'1. Email your finding above to the Assistant Secretary for Community Corrections2. File this form and the accompanying Release of Information in Liberty as a Community Corrections Health Record.State law(RCW 70.02; RCW 70.24.105; RCW 71.05.390) and/orfederal regulations(42CFR Part 2; 45 CFR Part 164) prohibitdisclosure of this informationwithout the specific written consent of the person to whom it pertains, or as otherwisepermitted by law._..,. .,nno707DOC 14-053 (Rev. 7/31/08) DOC 380.200

OFFENDER I.D. DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationTo be filled out by CCO:Patient's Name Date of Birth DOC NumberTo be filled out by Prescriber:Dear Prescriber,By state statute the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have been convicted ofa felony. The above named patient is currently under supervision by theDepartment. Supervision is designed to help the offender avoid those environments or situations that lead to their criminalbehavior. Often illicit drug use is a contributing factor in an individual's criminality. Accordingly it's usual that the court orthe Department ofCorrections will impose a condition of supervision that the offender not use, orpossess illicit drugs,including marijuana. This offender has claimed that they have a condition for which the medicinal use ofmarijuana hasbeen prescribed. The below verification is todetermine the legitimacy oftheir claim. Thank you in advance for yourassistance. Vyou have questions please feel free to personally contact the Medical Director of the Department at (360)725-8700. V_^^^.^st^J0J)1. Is this patient under your care? D Yes • No2. Are you prescribing medical marijuana for his patient due to a diagnosis of Acquired i—i Yes r-j ^0Immunodeficiency Syndrome (AIDS) - .a. If the answer to question 2 is"Yes", does he/she have anorexia? • Yes • Nob. If the answer toquestion 2a is "Yes", does he/she have weight loss? • Yes • No3. Are you pjoscwmng medical marijuana for this patient due to nausea and vomiting associated i—i y r-1 ^0with cancer chemotherapy?a. If the answer to question 3 is "Yes", has the patient failed to respond to conventional r—i Yes pj ^0antiemetic treatments?b. Ifthe answer to question 3a is "Yes", please describe what those treatments were (medication, dose,, duration):c. What is the planned schedule of chemotherapy? , * . a,^ 3v ^ j8UUMuw-• d.-4o&— ?r~>3 Hr**- Uj€J~ -k>am+*~ £«-,.4. While on co'mmunity supervision ("parole") the Department of"Corrections only authorizes theuse ofthe oral synthetic formulation ofmarijuana. If the Department authorizes this patient's • Yes • Nouse of medical marijuana, will you be prescribing only the oral synthetic formulation?•5.The patient's accompanying Release of Information authorizes you to provide theDepartment with current and future information related to this issue. Do you agree to notify r—i Yes r~| m0the Department's Medical Director of any changes in your answers above?Prescribed Name (Print) Preserver's Signature DateLicense #:License type:Prescriber's AddressPhone Number^e.0C708DOC 14-053(05/16/08) - t • t ' DOC 380.200

Prescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services Division' Washington State Department ofCorrectionsPO Box 41123Olympia, WA 98504-2113To be filled out by DOC Physician:I have reviewed this verification form and find that use of medical marijuana by this patient(check one) | • is • is notconsistent with DOC Policy.Physician's Name(Print) Physician's Signature DateInstructions to DOC Physician:When form is complete:1. Email your finding above to the Assistant Secretary for Community Corrections2. File this form and the accompanying Release of Information in Liberty as a Community Corrections Health Record.State law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) and/orfederal regulations (42 CFR Part 2; 45 CFR Part 164) prohibit disclosure ofthis information without the specific written consent ofthe person to whom itpertains, oras otherwise permitted bvlaw.v

k? This provision allows medically necessary treatment for offenders whose physicianssay are suffering from wasting associated with AIDS or intractable nausea andvomiting associated with cancer chemotherapy.> We allow the use of Marinol for those two medical conditions because those are theonly uses for Marinol that have been approved by the Food and Drug Administration.> There is no peer-reviewed clinical study that concludes that marijuana relieves thepain associated with either ofthose two medical conditions.> Because Marinol is a prescription drug, offenders who qualify don't have to seek outdrug dealers for marijuana.e discourage offenders from associating with drug dealers so they can avoid thenvironment that led many ofthem to break the law in the first place.> We only allow offenders to take Marinol because ofhealth concerns related to leafmarijuana, including addiction and a negative impact on an offender's respiratorysystem.How the Process Works> A physician can request that an offender be allowed to get a prescription for Marinol,which is a synthetic form of an active ingredient in marijuana,> DOC's Director ofMedical Services decides whether to grant the request on a caseby-casebasis.V? ()s^^Ajb*MJh~S ~'0iiJ^f&ip

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Smith, Sherri K. (DOC)From:Sent:To:Subject:Harper, Donta S. (DOC)Thursday, September 04, 2008 2:14.PMSmith, Sherri K. (D(RE:Sherri,Todd Johnson and Italked about this case on or about Aug. 5, 2008, shortly after Ms-dR request for medicalmarijuana usewas denied by Dr. Hammond. Shewas told shecould appeal the decision andwas provided with theinformation on how to file an appeal by CCO Praven. Due to this being such a new process, there wasnoclear directionas to how the appeal process worked, therefore, a judgment call was made. It was explained to Ms.HHfthat becauseshe had lost her request to use medical marijuana under the DOC process, and if she wished to remairnffthe state ofWashington, shewas expected to comply with her conditions of supervision, specifically not to use or possess controlledsubstances, during the appeal process.At it unknown if H|^ven appealed the decision as Ms.^^was given the information on how to file an appeal andthat process isa direcUetter sent to Karen Daniels and this process does not include the CCO or the CCS. CCO Pravenmet with her, Ms.BBH/oiced her intent to appeal, but we'have no verification if she followed through or if she did whatwas the ultimate g?cisioti was.Again, CCO Praven communicated to Ms.RHphat her request for use of medical marijuana had been denied andtherefore, if she wished to remain in Washington, the expectation would be that she not use or possess marijuana. CCOPrayspfurther talked with her about the residence needing to drug free. She indicated at that time, that her roommate, Ms.rould not be willing to remo^yhe marijuana from the residence. CCO Praven informed her that if that is the casesne want to remain at Ms. ^Uresidence, her transfer to Washington State would be denied as the residence wouldplace her in direct violation of her conditions of supervision.She was askecMj>yCCO Praven if she had other housing resources that would not put her in violation in Washington. Heindicated Ms. HH|ad.stated she did have some family members in Washington State that she might be able to live with.At that time, sneaianot provide any names or addresses, but CCO Praven did tell her ifshe.was able to provideany otheraddresses in Washington to let her Arizona probation officerknowso that he or she could provide that information throughthe Interstate Office.On 8/11/08, Mary Cowan of our Interstate Office forwarded the denial to Arizona.From:Sent:To:Subject:Smith, Sherri K. (DOC)Thursday, September 04, 2008 9:11 AMHarper, Donta S. (DOC)RE:|Just a reminder that I kind of need to know what's going on as I have to call Ms.Jack soon.From:Sent:To:Subject*Harper, Donta S. (DOC)Wednesday, September 03, 2008 11:46 AMSmith, Sherri K. (DOCRE: |Sherri,Iwill follow-up with you regarding this case..From:Sent:To:Subject:Smith, Sherri K. (DOC)Wednesday, September 03, 2008 9:42 AMHarper. Donta S. (DOG•-.000712

Ms.llllhas phoned Assistant Secretary Daniel's office. Can you tell me the status of her interstate transfer fromAriz~Washington? Ms._has spoken to Arizona and was told that it is her ceo here that is denying the transferdue to the location of where she is living.Sherri Smith, Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections DivisionMS: 411267345 Linder-son Way SWOlympia, WA 98504-1126Phone: 360-725-8847Even if you're on the right track, you'll get ruri over if you just sit there. ,....Will Rogerst· .·.O~01132

I SUPERIOR COURT OF WASHINGTON -] ,, CO~ OF ClALL.A.M. _rFILEDCLALLAM qOUNTYJUl 1 7,200810; t>pl: 2,g' n~BARBARA CHRIS1ENSEN, Clerk. .-J"9 ....... :. - - . ~- ."." .)Plaintiff, ~ No.~:2-I- :15/- 9'Defendant. )-------------)r):!m+30~BR::r~~44~~JA--M th V/M

.„*•«« Zu.OFFENDER I.D. DATA:" mmS"' I STATE OFWASHINGTONDEPARTMENT OF CORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATIONI ' hereby authorize the use or disclosure of my health informationas described below. The following individual or organization is authorized to make the disclosure:NAME: ;ADDRESS:Thetype and date(s) of information to be used or disclosed is as follows:1. The accompanying Medical Marijuana Justification form.2. Any other information requested by the Medical Director, Washington State Department of Corrections,related to my prescription for medical marijuana.Purpose for disclosure: To determine the legitimacy of the patient's claim of a need to use medical marijuanaI understand that the information in my health record may include information relating to sexually transmittedinfections, Acquired Immunodeficiency Syndrome (AIDS), or Human Immunodeficiency Virus (HIV). It may alsoinclude information about behavioral or mental health services and treatment for alcohol and drug abuse.This information may be disclosed to and used by the following individual or organization:NAME:ADDRESS:Medical DirectorWashington State Department of CorrectionsFax 360 586-9060I understand that I have a right to revoke this authorization at any time. I understand that if I revoke thisauthorization I must do so in writing and present my written revocation to the Health Information ManagementDepartment. I understand that the revocation will not apply to information that has already been released inresponse to this authorization. Unless otherwise revoked, this authorization will expire on the following date, event,or condition: At the termination of the (if left blank,.authorization will expire six (6) months from signing).patient's supervision by theWashington State Departmentof Corrections \I understand that authorizing the disclosure ofthis health information is voluntary. Ican refuse to sign thisauthorization. Ineed not sign this form in order to assure treatment. I understand that I may inspect or copy theinformation to be used or disclosed, as provided in CFR 164.524 and RCW 70.02. Iunderstand that any disclosureof information carries with itthe potential for an unauthorized redisclosure and may not be protected byfederal orstate confidentiality rules. If Ihave questions about disclosure of my health information, I maycontact theRHIT/designee of the facility: n/aSignature of Offender(Do not sign if form is not complete) (Offender to complete) « • H0 P11 *JS""< /«» tRCW 70.02: RCW 70.24.105; RCW 71.05.390; and/orfederal regulations (42 CFR Part 2: 45 CFR Par, 164)prohibit disclosureofthis information without the specific written consent ofthe person to whom itpertains, orasotherwise permitted b\ lawOOC 13-035(04/26/2006) POL DOC 600.020 DOC 640.020 DOC 670.020 LEGALDate

Page 1 of 3.Daniels, Karen R. (DOC)From:Sent:To:Cc:Buth, Soknara (DOC) on behalf of Cayer, Donna Y. (DOC)Thursday, June 05, 2008 9:20 AMDaniels, Karen R. (DOC)Distefano, Monica J. (DOC)Subject: RE: GOOD SENSE PREVAILS!! ^^HHVReleased At 7PM"A H|JGE victory for aMedicalMarijuana PatientKaren: Mr.Office. Thanks[supervising CCO is Sean Tuitele (360) 586-9589, out of the Olympia MetroFrom: Daniels, Karen R. (DOC)Sent: Wednesday, June 04, 2008 2:13 PMTo: Cayer, Donna Y. (DOC)Subject: FW: GOOD SENSE PREVAILS!!Marijuana PatientReleased At 7 PM--A HUGE victory for a MedicalCan you please have someone find out who is the supervising CCO on this guy and wecan reinforce our procedure, thx.kdKaren DanielsAssistant SecretaryCommunity Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@docl.wa.govFrom: m^pJ[mailto:|Sent: Saturday, May 31, 2008 9:07 PMTo: rebecca.snyder@mail.house.goy; kohl-welles.jeanne@leg.wa.gov; costrom@seattletimes.com; Praven,Jeremy M. (DOC); niou.yuh-line@leg.wa.gov; traceejean@surlaw.com; andrea.felt@seattle.gov; Daniels,Kare 'Cc: _____Subject: Fw: GOOD SENSE PREVAILS!]-Wggg^ggReleased At 7 PM--A HUGE victory for a MedicalMarijuana PatientGreetings Fellow GOOD Public Servants,Thank you all for helpingJMBpShe is awonderful American,«*.n.!}C716

Page 2 of3I must humbly share my current situation and encounters with more BAD public servants.I am a certified medical marijuana patient (Dr. Thomas Orvald,WA # MD 00016180) being rudelytold I can't use medical marijuana.I am a combat disabled veteran (injured in a parchuting acccident with Fibromyalgia among othermedical issues) and medically retired after 19 years ofHonorable service.1was withlind punished by Yuma and identically transfered to Washington as well.Please, I beg someone to give me an OK to use Cannibas, as well. I am in horrible, constant painand have been bullied by the American Lake ,VA (Lisa Olsen, MD (253)-582-1776) and DOC(John Jackson, CC02 (360)-407-0324). The side effects of perscribed narcotics are UnbearableI am now a Class 4 felon. I served 2 days in Yuma County jail, $4,000 in fines and 36 monthsprobation. Please help!!!!!!Very respectfully,Sergeant First Class (Retired)United States;orwarded Message -—From:To:f__Sent: Friday, May 30, 2008 9:43:32 AMSubject: Fw: GOOD SENSE PREVAILS!!Pleased At 7 PMIthink the answer is she will be able to take her medicinesee below. Hugs-— Oriaina^essage —From:BBBHPTo: korTweneSjeanne@leg.wa.gov ;costrom@seattletimes.com ;jmpraven@doc1.wa.gov ;niou.yuhline@leg.wa.gov;Sellick-Lane, Lynn ; traceejean@surlaw.cbm ; andrea.felt@seattle.gov ; Goodhew, Ian ;newstips@king5.comCc: krdaniels@doc1.wa.govSent: Wednesday, May 28, 2008 7:33 PMSubject: GOOD SENSE PREVAILS!! flBflHJF Released At 7PMI'm not yetsure, but Ithink we have Karen Daniels of the Washington State Department of Corrections tothank.home and grateful.Thanks to all of you for your helpfulness andgood energy and guidance.Medical marijuana is a tough issue for law enforcement, because marijuana is still illegal to use to selfmedicate - as we do with so many other natural substances, like coffee.If any of you ever need my help in lobbying for changes to the laws concerning marijuana, Ihope you willlet me know. Iused it all through university and graduated Phi Beta Kappa, magna cum laude withChinese as my language. Demonizing this drug -that is in aclass all by itself - is really a huge mistake.Thanks to you all, you are GOOD public servants (well, the media were not to be seen, but, hey, they31- 000717

Page 3 of3probably had some sports to report on .... ).With real appreciation _It t~kes maturity to grasp that there are no gods and yet stillbehave as if there were, .that you must be yourown disciplinarian, and your own best friend ...

lletierheadlWashington Department of CorrectionsMedicinal Use of MarijuanaVerification,By state statute the Washington State Department ofCorrections is charged with theresponsibility to supervise some offenders after they have been convicted ofa felony., is currently undersupervision by the Department. Supervision isdesigned to help the offender avoid those environments or situations that lead to theircriminal behavior. Often illicit drug use is a contributing factor in an individual'scriminality. Accordingly it's usual that the court or the Department of Corrections willimpose a condition of supervision that the offender notuse. or possess illicit drugs,including marijuana. This offender has claimed that they have a condition for which themedicinal use of marijuana has beenprescribed. The below verification is to determinethe legitimacy of theirclaim. Thank you inadvance for your assistance. If you havequestions please feei free to personally contaci the Medical Director of the Department at,725-8700.[ Deleted:Deleted: call me personally: Dr.StevenHammondDoctor's Verification1. The above patient is under my care and is a patient of mine.2. This patient has Acquired Immunodeficiency Syndrome (AIDS),YesNoa. If the answer to question 2 was "Yes", does he/she have anorexia?Yesb. If the answer to question 2a was •'Yes", does he-she have weight loss?Yes3. This patient does suffer from nausea and vomiting associated with cancerchemotherapy^Yes Noa. If the answer to question 3 was uYes". has the patient failed to respond toconventional antiemetic treatments?Yesb. If the answer to question 3a was "Yes", please describe what thosetreatments were (medication, close, duration):NoNoNoWhat is the planned schedule of chemotherapy?Deleted: offenderDeleted: and anorexia associated with Jweight loss? i IFormatted: BulletsFormatted: Indentline: 0.5";and Numbering j::Left: 2", First |Formatted: Indent: Left: 0.7S"'[ Formatted: Bullets and NumberingDeleted: that has failedto respondadequately to conventional antiemetictreatments?t[ Formatted: Bullets and NumberingFormatted: Indent: Left: 0.75"Formatted: Numbered + Level: 2 +Numbering Style: a, b, c,... + Startat: 1 + Alignment: Left + Aligned at:0.75" + Tab after: 1" + indent at:1"Formatted: Numbered + Level: 2 +NumberingStyle: a, b, c,... + Startat: 1 + Alignment: Left + Aligned at:0.75" + Tab after: 1" + Indent at:1"»".00C719

[Formatted: Indent: Left: 0.75" ~]Signed, • ..Prescriber's si'-'nalure: '. [Deleted: DoctorLicence*:Licence tvne;•AddressPhone Number .-•• --000720

OFFENDER I.D. DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATIONI_, hereby authorize the use or disclosure of my health informationas described below. The following individual or organization is authorized to make the disclosure:NAME:ADDRESS:The type and date(s) ofinformation to be used ordisclosed is as follows:\. The accompanying Medical Marijuana Justification form.2. Any other information requested bythe Medical Director, Washington State Department of Corrections,related to my prescription for medical marijuana. .Purpose for disclosure: To determine the legitimacy of the patient's claim of a need to use medical marijuanaIunderstand that the information in my health record may include information relating to sexuallytransmittedinfections, Acquired Immunodeficiency Syndrome (AIDS), or Human Immunodeficiency Virus (HIV). It mayalsoinclude information about behavioral or mental health services and treatment for alcohol"and drug abuse.This information may be disclosed to and used by the following individual or organization:NAME: Medical Director .ADDRESS: Washington State Department of Corrections .-Fax 360 586-9060Iunderstand that I have a right to revoke this authorization at any time. I understand that if I revoke thisauthorization I must do so in writing and present mywritten revocation to the Health Information ManagementDepartment. I understand that the revocation will not apply to information that has already been released inresponse to this authorization. Unless otherwise revoked, this authorization will expire on the following date, event,or condition: At the termination of the (if left blank, authorization will expire six (6) months from signing).patient's supervision by theWashington State Departmentof CorrectionsI understand that authorizing the disclosure of this health information is voluntary. Ican refuse to sign thisauthorization. I need not sign this form in order to assure treatment. I understand that I may inspect or copy theinformation to be used or disclosed, as provided in CFR 164.524 and RCW 70.02. I understand that any disclosureof information carries with it the potential for an unauthorized redisclosure and may not be protected by federal orstate confidentiality rules. IfI have questions about disclosure of my health information, I may contact theRHIT/designee of the facility: n/a •Signature of Offender Date ,. 1t f] fl 01 0 j[(Do not sign if form isnot complete) (Offender tocomplete) * -' "•*' **State law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) and/orfederal regulations (42 CFR Part 2;45 CFR Part 164) prohibit disclosureofthis information without the specific written consent ofthe person to whom itpertains, orasotherwise permitted bylaw.DOC 13-035 (CM/26/2006) POL DOC 600.020 DOC 640.020 DOC 670.020 LEGAL

Social Security NumberDate of BirthDOC NumberSignature of Witne~sDate, .Ill' ~In n n,.. r _, ..J OJ t.'"7 I") (.IDOC 13·035 (F&P Rev. 12199) POLDOC 320.430DOC 600.020DOC 350.280DOC 61°.020

APR/18/20G8/FJ1 10:19 AM DEPT OF CORRECTIONS. FAX No. 2532726.44GState ofWashingtonDepartment of CorrectionsFederal Way Field Office606 West Gowe StreetKent, WA 98032(235) 372-6457 Office(253) 372-6184 FAXDate: fl//*/gg Page 1of 2lTo: K/W&sl PftNIELS FAX# ?(,0-&(,-OZGZFrom: CCO Marki SchillingerSubject:/&-'M0P)Wt> MA^I^MJfl- HSU£.COMMENTS:M ffrrt/l, %&4:s T?y- tyfrr juJp A ^/

APR/18/2008/FRI 10:19 DEPT OF CORRECTIONS FAX No. 2532726440«.*•STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSCRIMINAL JUSTICE SYSTEM/MULTI- PARTYAUTHORIZATION FOR RELEASE OF INFORMATIONCONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION ABOUT MENTAL HEALTH AND ALCOHOL ORDRUG TREATMENTauthorize (1) The Department of Correctionsand(2) tht> fallowing Mental Health Treatment Provider:(3) the following Alcohol or Drug Treatment Provider;Name:,Address: „Phone Number.(4) thA fallowing Designated Chemical Dependency Specialist IDCDS):Name:Address:Phone Number:Name:Address:,Phone Number(5) the following other provider of information necessary forcross-systems communication:Name: Scott L. Havsv. DOAddress: 3716 Pacific Ave Suite E. Tacoma. WA 98418Phone Number: 2S3-4y3-2663To communicate With and disclose to one another the following information (The client must initial each type of information authorized):(1) Departmentof Corrections(2) Mental Health Treatment• Pre-Sentence investigationD MH Treatment Discharge SummariesD Judgment and Sentence• MH Treatment History and Progress Reports• Criminal History• Involuntary.Treatment History/Records (RCW 71.05)0 Risk AssessmentD MH Intake and TreatmentPlansQ Compliance with Supervision• Psychological Evaluations• Conditions ofSupervisionD Psychiatric Evaluations• Mental Health Assessments• Forensic Discharge Review (State Hospital).• Violations ofTerms of a CourtOrdered Treatment(3) Chemical Dependencv/Subatance Abuse Treatment(4) Designated Chemical Dependency Specialist fDCDSl• Chemical Dependency Assessments andTreatment Plans D Violations ofa Treatment Order or Condition ofD CD Treatment History and Progress ReportsSupervision that relates to Public Safety• CD Treatment Discharge SummariesP Information abouta Petition for involuntary• CD Treatment Continuing Care PlanCommitment• Treatment Compliance Reports (Requested by DOC)(5) Other:, Specify other information as necessary for crosssystemscollaboration:• Request to Designated Chemical Dependency Specialist(DCDS)for an AssessmentS ANYTHING TO VERIFY COMPLIANCE WITH• Involuntary Treatment History/Records (RCW 70.96 A)The purpose of the disclosures authorized in this consent is:SUPERVISION.(H To Improve oublic safety bv allowing communication andmuttidisciolinary casemanagement andre/emse planning.(2) To enable treatment providers to communicate continuing care planreferrals to the above agenciesIunderstand that my alcohol and/or drug treatment records are protected under the federal regulations governing Confidentiality ofAlcohol and Drug Abuse Patient Records, 42 Code of Federal Regulations (CFR) Part 2,and the Health Insurance Portability and .Accountability Act of 1996 (HIPAA), 45 CFR, Parts 160 and 164. Iunderstand that this authorization shall remain In effect for the durationofmy DOC supervision unless revoked prior to that time. Ialso understand that Imay revoke this consent atany time except to theextent that actionhas been taken in reliance on it.and that inany eventthis consent expires automatically as follows:Q There has been a formal and effective termination or revocation of my release from confinement, probation, or parole, or otherproceeding under which Iwas mandated to treatment, or,•(Specify othertimewhen consent can be revoked and/or expires)Iunderstand that Imight be denied services ifIrefuse to consent to a disclosure for purposes oftreatment, payment, orhealth careoperations, ifpermitted bv state law. I will not be denied services ifI refuse to consent to a disclosure for other purposes.Signature of Offender/Client: Initials: Date:DOCSocial Security Number:Co-signature of Parent/Guardian if Offender/Client Is under the age oT7»e records contained herein are protected byFederal Confidentiality Regulations 42CFR Part 2 and 45CFR Paris 7BO and 764. The Federal rules prohibit furihor disclosureolthisInformation toperf/es oulalde aflhe Department of Corrections unless such disclosure ia expressly permitted'by the written consent oflhopersonto whom itpertains orasotherwise permitted by42 CFR Part 2. Ageneral authorization for the release oimedical or other information is NOT sufficient for this purpose. Federal njlea restrict any use ofthe information to crlmfnelly investigate or prosecute any alcohol or drug abuse patient.DOC 14-029 (REV 02/08/08) Distribution: ORIGINAL-Offender's File DOC 320.400. DOC 640.05'*%

,0//\Sf. (\5TATF. OF WA5HINCTONDEPARTMENT OF CORRECTIONSOFFICE OF THE SECRETARYP. O Box -11101 • Olympia. Washington 9B504-1101 • Tel (360) 725-8200FAX (360) 664-4056ADMINISTRATIVE BULLETIN AB-08-009DATE: May 16, 2008TO:Executive StaffFROM:RE:EldonVailSecretaryDOC 380.200 Community Supervision of OffendersThis policy is being updated immediately. A new Section IV. is being added.IV.Medicinal Use of MarijuanaA. If the offender requests medicinal use of marijuana, the CommunityCorrections Officer (CCO) will provide DOC 14-053 WashingtonDepartment of Corrections Medicinal Use of Marijuana Verification andDOC 13-035 Authorization for Disclosure of Health Information to theoffender.B. The offender will forward the forms to his/her primary care physician. Thephysician will complete the forms and forward them to the DirectorofMedical Services for approval.C. The Director of Medical Services will forward the forms to the AssistantSecretary for Community Corrections to notify the CCO of the finaldecision.D. The offender may appeal a denial to the Assistant Secretary forCommunity Corrections, who will approve or deny the appeal inconjunction with the Assistant Secretary for Health Services."Working Together for SAFE Communities" -/t 0 0. Q7 ? 5

Administrative Bulletin 08-009May 16, .2008Page 2If you have any questions "about this change, please contact "Karen Daniels, AssistantSecretary for Community Corrections". .""EV:kdcc:Kerry Arlow, Policy Program Man~ger"VVorkillg Together for SAFE COllllllunities"U' .,."nnC'706.I ... ••"', _" '....! ~_

[letterhead]To be filled out by CCO:PaHenW~ii2me:.Date ofBirtibv#Washington Department ofCorrectionsMedicinal Use ofMarijuana VerificationDOCTo be filled out by Prescriber:Dear Prescriber,By state statute theWashington State Department ofCorrections is charged with the responsibility tosupervise some offenders after they have been convicted of a felony. The above named patient iscurrently under supervision by the Department. Supervision is designed to help the offender avoid thoseenvironments or situations that lead to their criminal behavior. Often illicit drug use is a contributingfactor in an individual's criminality. Accordingly it's usual that the court or the DepartmentofCorrections will impose a condition of supervision that the offender notuse, or possess illicitdrugs,including marijuana. This offender has claimed that they have a condition for which themedicinal use ofmarijuana has beenprescribed. The below verification isto determine .the legitimacy of their claim. Thankyouin advance for your assistance. If youhave questions please feel free to personally contact theMedical Director ofthe Department at (360) 725-8700. . ,1. Is this patient under your care?YesNo2. Are you prescribing medical marijuana for hispatient due to a diagnosis of AcquiredImmunodeficiency Syndrome (AIDS)Yes . Noa. Ifthe answer to question 2 is 'Yes", does he/she have anorexia?Yes Nob. Ifthe answer to question 2a is "Yes", does he/she have weight loss?Yes No3. Are you prescribing medical marijuanafor this patient due to nausea and vomiting associated withcancerchemotherapy? Yes Noa. Ifthe answer to question 3 is 'Yes", has the patient failed to respond to conventionalantiemetic treatments?Yes Nob. If the answer to question 3a is "Yes", please describe what those treatments were(medication, dose, duration):c What is the planned schedule of chemotherapy? *' :J-1 •! u /:~ '

4. While on community supervision ("parole") the DepartmentofCorrections only authorizes the useof the oral synthetic formulation of marijuana. If the Department authorizes this patient's use ofmedical marijuana, will you be prescribing only the oral synthetic formulation?YesNo5. The patient's accompanying Release of Information authorizes you to provide the Department withcurrent and future information related to this issue. Do. you agree to notify the Department'sMedical Director ofany changes in your answers above?YesNoPrescriber's name (printed):Prescriber's signature: .. Date_License #:License type:_Prescriber's Address_Phone NumberPrescriber: please return this form and the patient's Release ofInformation to:Medical DirectorHealth Services DivisionWashington State Department ofCorrectionsPO Box 41123___ -^^ 01ympia,WA 98504-2113^' To be filled out by Dp£_JPhy_sjcjanL.J • '.I havereviewed this verificationform and find that use of medical marijuana by this patient(check one) is is notconsistent with DOC Policy.Physician's name (printed):Physician's signature:Physician's title:DateInstructionsto DOC Physician:When form is complete:1.Email your finding above to theAssistant Secretary for Community Corrections2. File this form and the accompanying Release of Information in Liberty as a Community CorrectionsHealth Record. M ^• *0Qfi7°8

NOV-12-2008 WED 01:45 PM08/14/20O6 20:44 FAX 5033402710SPOKANE NBS UNITFAX No. 509-482-3853 P. 004iguvz/'VuaOPFENOEJUD.DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana Verification^$> ^>To be filled out by CCO:Pattent'sblame^To bo fiiioffcHit byprescriber:Dear Prescriber, \By statestatute the Washington State Department ofCorrections i6 charged with the responsibility to supervisesomeoffenders after they have been convicted ofa felony. The above named patient iscurrently under supervision by theDepartment. Supervision is designed to help"the offender avoid those environments orsituations that lead to their criminalbehavior. Often illicit drug use isa contributing factor In an individual's criminality. Accordingly ifs usual that the court orthe Department of Corrections will Impose a condition of supervision that the offender not use, or possess Illicit drugs,Including marijuana. This offender has claimed thatthey have a condition for which the medicinal use ofmarijuana hasbeen prescribed. The below verification is to determine the legitimacy oftheir claim. Thank you in advancefor yourassistance. If you have questions please fee! free to personally contact the Medical Director of the Departments (350)725-B700.1. Is this patient under your care?2. Are you presorlblng medical marijuana for his patient dueto a diagnosis ofAcquiredImmunodeficiency Syndrome (AIDS)a. If the answer to question 2 is "Yes", does he/she haveanorexia? "b. If the answer to question 2a is "Yes", doeshe/she have weight loss?3. Are you prescribing medical marijuana for this patient due to neusea and vomjting associated n vwith oancar nrancftr chemotherapy?nhnmnthnranv?a. If the answer to question 3 is"Yes", has the patient failed to respond to conventionalantiemetic treatments?YesDYessarv£I-J ' 6Sb. If the answer toquestion 3a is Te9*. please describe what those treatments were (medication, dose,duration):c. What is the planned schedule ofchemotherapy?4. While on community supervision ("parole") theuse of the oral synthetic formulationuse ofmedical marijuana, will you b5. The patient's accompanying Release ottttfefmalTon authorizes you to provloe-meDepartment with current and future information related to this issue. Dp^uagptfe to notifythe DepertmonfarlMedlcal Director ofanychanges In your answertaoove?DNoNoNoNorlfNo• \|* £"D Np*V- 1rJ>rZ,£2of Corrections only authorises the•Department authorizes this patient's:he oral syntheticformulation?A/f\• wir/(J • NoPrescriber's NaPrescrtbrfhE Signature ^License #:Prescriber's Address{•*• fogj-^i^SOOC 14-053 (05/16/08)fY\>yhj>~-fv{\QK»J"A0Q0729Phone Number 3^d 'J*s>~*)o'j*oOOC 380.200

NOV-12-2008WED 01:45 PM SPOKANE NBS UNIT FAX No. 509-482-3853 ^OOVOOPy00508/14/2008 20:45 FAX 5093402710i$oo3/ooyPrescriber: please return this form and the patient's Release of information to:Medical DirectorHealth Services DivisionWashington State Department ofConectionsPO Box 41123Otympia, WA 98504-2113To bo f(Had out by DOC Physician:1have reviewed this verificationfoEm and find that useof medical marijuana by (his patient(check on«) ID Is Q0ls not /?'consistent with DOC Policy. / „Physician's Name (Print) Physician's Signature DateInstrvictlons to DOC Phyalclan:When form Is complete:1. Email your finding above to the AssistantSecretary for Community Corrections2. File this form and the accompanying Release of Information in Liberty as a Community.Corrections Health Record.Stats lo>/ (RCW 70.02: RCW 70.24.105: ACW71.05.S90) and/orfederal rgguUitiov (42 CFR Part 2:45 CF&Part 164) prohibit disclosure

NOV-12-2008 WED 01:44 PM SPOKANE NBS UNIT FAX No. 509-482-3853P. 00'. DEPARTMENT OF CORRECTIONS .' •OFFICE OF CORRECTIONAL OPERATIONSNBS UNIT/NORTH NEVA-WOOD COPS"4705 N. ADDISON, SPOKANE WA 99207. FAX (509) 482-3853FROM:8••Jack BrucickLynda DouglasKira Bliss(509) 482-3855(509) 482-3856(509) 482-3857in- 3^e\)tz H - IMO1 PMONP.6^J 7P5-g^fTOTAL NO. OF PAGES INCLUDING COVER:IO[PfiMgert. @forReview • Please Comment D Please Reply D Per your requestCOMMENTS:'S+JX*,'r 40**** MBMT ' \ '7^jtM £&'Xnc**t ?7teeJU

NOV-12-2008 WED 01:44 PM SPOKANE NBS UNIT FAX No. 509-482-3853- P-002HATE: July 25, 2008CBR MecficaU,Safe Legal Approach to Medical KflarMuanaTO:Scott WrightPhone:509-568-3106Fax:509-568-3104Pages: 6RE: Patient-Dear Mr. Wright;Iunderstand from our patient^^^HHpthatyou have some questions regarding our patient's use ofmedical marijuana. Ibelieve that Mr. HUEprovided you with amedical marijuana recommendation thai wassigned byDr. Antoine Johnson on Maylrd, 2008.This recommendation complies completely with Washington State law (RCW 69.51a) as legal authority forMr. Sohreura to possess marijuana and have THC inhis system. The law does not preclude him from theserights underthe state law unless he is actually incarcerated atthetime. The right of doctors to write these recommendations is alsoprotected under the 9th circuit Federal Court ofAppeals ruling in Conant v, Waltan,It is exclusively up to the patient's physician, and notDOC officers, to make the decisions on what medicationa patient should legally be allowed to have inthen* system. For aDOC officer to"recommend", let alone "order", analternative medication for a-patient, rather than theone recommended bythe patient's own physician, couldeasily beconstrued as a gross violation ofthe physician/olient relationship aod even"proscribing without a license". This wouldviolate several state laws.We are aware thatthere is a policy circulating through the DOC that is attempting to force patients to useMarinol (dronabinol) insteadofmedical marijuana. Please be aware thatthe Drug Enforcement Administration hasThreatened doctors with the lossoftheirDEA licenses, and possible Federal Prosecution, ifthey recommend Marinolfor any conditions besides wasting from AIDS and cancer patients undergoing chemotherapy. These are the onlytwoconditions for which the drug was specifically approved.While Tam prohibited by federal HIPAA laws from discussing Mr.flUH^edicaJ condition with you, Ican tell you that he has neither ofthese conditions and would not be acandidateforapresoription for Marinol undor thecurram federal guidelines.Any attempt to force Mr.|H into adrug treatment program for adrug thathas been recommended by hisphysician will be motwith swift legal action against the DOC.Iam onthe road a great deal of the time, but I'll behappy to discuss thesituation with youifyouwish. Youcan roaoh mc on my cell phone at509-570-2886.Sincerely,Melissa LeggeeClinic DirectorSeattle- Phone 206-774-6493 Fax 206-4 JX-6659 Spokane Phone 509-242-S624 Fax 509-340-2710 „ , n OP1 * riTri-Cities Phoae 509-416-2267 Fax 509-340-2710 Vancouver Phone 360-635-6464 Fax 206-418-6659 ' '"'*-« --: ^ ' ° Ll( CBR Medical, Inc. - 31! 5 E. Mission Ave, Spokane, Wa 99202

othe~iselevoked.NOV-12-2008'WED 01 :45 PM SPOKANE ~BS UNITU8/14/:.!uUl:J ~u.44 .. AX ~Vl:l~qv:trluFAX No. 509-482-3853p. 003/W~ _(~ BTATS OF WASHINGTON~.. DEP~TMENT OF C~Il~&C1"QNSA·UTHORIZAToION FOR DISCLOSUREOF'·· :T1i ,0 •• INFORMATION ., .:~>:~.;, '-. ,,'OFFetlOal\ I.D. DATA:I. __ ~ _________ . hereby authorize the use or disclosure of my health informationJ. ... ~ ..' .. II ......... 'below. The following ·lnd1vldual or organization Is authorized tQ make the dlscloaure~Purpos, for dl$closure! V' ~ v ~e y ; V\jI understand that the Information in my hearth reoord may include Information relating to sexuaU)' transmittedinfections, Acquired Immunodeficle.ncy Syndrome (AIDS), or HUman Immunodeficiency Viru~ (HIV). It mcaY alsoInc!l,Jde information about behavioral or mental health services and treatment for alcohol and drug abuse.This Information may be dlsdos61d 10 and used by the following Individual Dr organization:NAME: 800tt Wright'ADDRESS:630 W. ShannonSpnkilne, WA99208 ·I understand that I have a right to revoke this authorization at any Ume. I understand that If J revoke thisauthorizatIon J must do so In writing and present my written revooation to the Health Information ManagementDepartment. I understand that" the revQcatlonwilJ not apply to Informltlon that has already been released in .response to this authorlzatj ..· ·on.... u. nle$.· S. C fhll9 authorization WilI.eXPire on the following date, event,or condition:.iIi -. . rta:-?!?!l '¥l'tJ(I' left blank, authorization ~\Il, expire six (6) months from signing).I understand that authorizing the disclosure of this health Information Is voluntary. ~ can refuse to elgn thl$authorization. I need not sign ·thls·~orm in order t.o ':lssure treatment. I understand that I may illJJpect or copy theinformation to.be used or dlsclosed'oa& providid in CFR 164.524 and RCW 7Q.02. I understand that any disclosureof In.formation carries with It the potent)al for an unauthoriZed red;sclosure and may not be protected by federal Qr6tate confi~enUanty rules:· )f I have questrons about disclosure of my health inf~rmatlon, ; may contact theRHrT/designee of the· . .,2~cl-09 ~Date. • ~ I. • II • :. ,::;(~saCIQ'~S_~il'"Mun~ Palo.IBlM 7 -C:J :::mb~r (' n (' "'""° 0~ .. d'b. ~~, ;:·t~o:_:u /0JSlgnllture at WJtne&§Da'"SIUIe {fA It' rife, W. 7CJ. (}2.' ~cw !O.24. J OJ,' RC!JI 7 J. OS.J90) ondl",. jHcrrJl rffgIJ/QliOlJS (4) CFR Parr 2: 4.5 CJl'Il. Pori J 6,/) prf;/Illm ducJoJIII'I!ofllau Ur/ormarlon willJour 1/,83pecVJC wrllhfn CD'I¥~Jt (J/lhtJ p6rson I~ whom it pdrll4in.i", or ar ocllq""'/:tfT permlilrlf/ by /Qw.DOC 13-0llll (0011912000) POL DOC ~D.20D DOC IIDD.IIZO DOC 940.020 DOC el70.olO I.SQAL

NOV-12-2008 WED 01:46 PM • SPOKANE NBS UNIT08/05/2008 03:39 FAX SOyaAUIdMUFAX No. 509-482-3853P. 009Documentation of Medical Authorization to Possess Marijuanafor Medical Purposes in Washington StatePATIENT NAME:DATE.OF BIRTH: 967j Antplne Johnson .SOU a Ahyaicien licensed in the State of Washingtonand Iam treating the above patient for s yirminal i ness.or adebilitating condition as defined byRCW 69.51 A.01Q.Ihave advised the above named pstie/t about the. potential risks and benefits of the medical useof marijuana, Ihave assessed the strove named patient's medical history end medical condition•)f the medical use of marijuana may outweighIt Is my medical opinion that the potential benefits '"' " *~"s "'the healtn risks for this patient.Physician Name:Dr. Antoiflw JohnsonWA License Number.MD00Q3904BPhysician Signature:This recommendation expires! on:/05/03/2qD8|Date: 06/03/2008Risks and benefits of medical marijuanaUnder Washington law, the use of medical marijuana is now permissible for some patientswith terminal or debilitating Illnesses. The'law rigulating this (RCW 69.51 A) allows physiciansto advise patients about the risks and benefits of the medical use of marijuana.The medical and scientific evidence supporting the use of medicalmarijuana remainscontroversial inthe medical community./ Not all neaith care providers believe that medicalmarijuana is safe or effective and some)providers feel that it is a dangerous drug.According to the Washington State ikw the/benefits of medical marijuana may includetreating nausea end vomiting from chemotherapy, AIDS wasting syndrome, severe musclespasms from multiple sclerosis or othenspasiicity disorders, glBucoma, and some types ofintractable pain. \ /Some of the risks ofmedical marijuenVmay include possible long-term effects ofthe brain inthe areas ofmemory, coordination and cognition; impairment ofthe ability to drive or operateheavy machinery; respiratory damage; possible lung cancer; and physical or psychologicaldependence.RecommandmionAs this patient's "60 day supply", as stipulated byRCW 69.51A(2)(b), I recommend 24 ouncesof dried, cured marijuana and as many plants as the patient feels necessary to maintain this "60day supply".Revised 7/07«.*.0QG734

NOV-12-2008 WED 01:46 PM SPOKANE NBS UNIT FAX No. 509-482-3853·08/05/2008 03:39 FAX 5083402110p. 010~ UUti/UUIiDR. ANTOINE JOaNSON. M.D.... ' .. ,:CLINIC NOTES Da1~: 05/03/2008PATIENT:_ DATE OF BIRTH: _~67Blood Pressure 169 /109 Heart Ra1e: 66---Height 74inches Weight 1901bsMr. Schreurs presents today for re·evaluatlon of a chronio debiliterting Of terminal medicalillness.I have reviewed certain·documenti providQd by Mr. Schreurs that reveal he has the follow.ln9chronic debilitating or terminal rnedicallllness(es): 1) Chronic intractable pain unrelieved bystandard medical treatment secondary to Crohn's Disease. .I have advised the above of the rlsk$/benef~ of the medical use ofI have advJseC;f 1he above that he/she. may benefit from the medicII~l!AnL&Phone: 206-774.649.3Fel(; 206-4' 8-6659SPOKAN'EPhone; 509-242-8624Fax: 509-34D-2710

Smith, Sherri K. (DOC)From:Smith, Sherri K. (DOC)Sent-Friday, August 01, 2008 7:35 AMTo- Praven, Jeremy M. (DOC); Johnson, Todd D. (DOC); Harper, Donta S. (DOC); Fiala, Anne L.(DOC)•Cc:Cowan, Mary E. (DOC)Subject: Medical Marijuana -\The offender's request for medical marijuana use has been denied by Dr. Hammond, Director of Medical Services.Sherri Smith, Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections DivisionWIS: 411267345 Linderson Way SWOlympia, WA 98504-1126Phone: 360-725-8847Even if you're on the right track, you'll get run over if you just sit there. -Will Rogers-• 000738

Prescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department of CorrectionsPO Box 41123Olympia, WA 98504-2113To be filled but by DOC Physician:I have reviewed this verification foraa^nd find that use of medical marijuana by this patient(checkone) | • is |&1snotconsistent with DOC Policy.Physician's Name (Print) : Physfcian's Signature DateInstructions to DOC Physician:When form is complete:1. Email your finding above to the Assistant Secretary for Community Corrections2. I^iiisjojl^^State law (RCW70.02: RCW 70.24.105: RCW71.05.390) and/orfederalregulations (42 CFR Pan 2: 45 CFR Pan 164)prohibit disclosure ofthisinformation without thespecificwritten consent oftheperson to whom it pertains, or as otherwise permittedby law.* --DQ0737DOC 14-053 (05/16/08) DOC 380.200

July 14, 2008To:Medical DirectorHealth Services DivisionWashington State Department ofCorrectionsPO Box 41123Olympia, WA 98504-2113Re:Department ofCorrectionsMedicinal Use of Marijuana Verification1 BETHANY ROLFE am currently treating the above named patient for thefollowing conditions as defined in RCW69.51.010.(b) Intractable pain, limited for the purpose ofthis chapter to mean pain unrelieved bystandard medical treatments and medications.Patientalso hasa history of thefollowing conditions:a) Fibromyalgiab) Allergic Rhinitisc) IBS with bowel incontinenced)' Historyof leucopeniae) OA, Rightknee, total replacement August 2002f) Partial hysterectomy dueto fibroid tumorsg) Depressionh) ' Anxiety/Panicattacksi) CarpalTunnelj) Migraineheadachesk) RestlessLeg Syndrome1) High Blood Pressurem) Fibroidtumors throughout bodyn) Left knee, worn out, recommended replacement fall 2008 orspring 2009o) Insomnia, hard tofall asleep, staying asleep, falling back to sleep•- Patient has drug allergies/intolerance to the following medications:1.2.ErythromycinDemerolcausmg difficulty breathing/shortness of breathcausing nausea andvomiting3. Vicodin causing nausea and vomiting4. Percocet causing nausea andvomiting5. Penicillin causinghives6.7.Morphine causing blister, rash, itchingSulfa-base drugs causing GIupset, hives and itching8. Dococycline causing GIupset9.10.OxycodonePaper Tapecausing nausea and vomitingcausing rash and itchingI have advised the above named patient about thepotential risks and benefits ofthe medical use ofMarijuana. I have assessed the patient's medical history and medical conditions. Itis my medicalopinion that the potential benefits ofthe use ofmarijuana may outweigh the health risks for thispatient.Signature ofPhysician: U^^4MAABethany Rolfe/MRl 596^33 ». »: I*! H\"\ "11 STel: 206 965 1000 ' ^ ""

OFFENDER 1.0. DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATION, hereby authorize the use or disclosure of my health informationas described belovfc This^ following'individual or organization is authorized to make the disclosure:NAME: C>Ccx\(\k^r L^owscv, J/VN ;\i,y ^—or5C) \^>&*- $\\,f>. SlO^ /5(y\4-^ /HQThe type and date(s) ofinformation to be used ordisclosed isas follows:Purpose for disclosure:\

mmmmm-STATE OFWASHINGTONDEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationTo be filled out bvCCO:Patlant's'Name:To befiiied outby Prescriber:OFFENDER 1.0. DATA:316508Date of Birth1979I HOC Islum lumberBv^atestetute the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have been convicted of afelony. The above named patient is currently under supervision by theSflnartmaht Supervision is designed to help the offender avoid those environments or situations that lead to their criminalbehavior Often Illicit drug use is a contributing factor in an Individual's criminality. Accordingly It's usual that the court orthfl Dfloartment of Corrections will impose a condition of supervision that the offender not-use, or possess illicit drugs,ndudino marijuana. This offender has claimed that they have a condition for which the medicinal use of marijuana hasbeen orescribed. The below verification is to determine the legitimacy of their claim. Thank you In advance for yourassistance. If you have questions please feel free to personally contact the Medical Director of the Department^at (360)725-8700.1. Isthis patient under your care?2. Are you prescribing medical marijuana for his patient due to adiagnosis of AcquiredImmunodeficiency Syndrome (AIDS)a. If the answer to question 2 is "Yes", does he/she have anorexia?b. if the answer to question 2a is "Yes", does he/she have weight loss?DYesDYesDYes• No• No3. Are you prescribing medical marijuana for this patient due to nausea and vomiting associated rj Yes jgfiQ• with cancer chemotherapy?a. If the answer to question 3is "Yes", has the patient failed to respond to conventional Q yes Q Noantiemetic treatments?b. If the answer to question 3aIs "Yes", please describe what those treatments were (medication, dose,duration):c. What Is the planned schedule of chemotherapy?4 While on community supervision ("parole") the Department of Corrections only authorizes the r-yCuse of the tne oral synthetic syntnenc formulation rormuiauan of ar marijuana. » If the wc Department wdho'«>iw^ authorizes «u«,uim-w8 this »••«» rpatient's U Yes /J^fNo. use ,^o of «f medical moHtrai marijuana, mflriiiiana will vou you be Drescribino prescribing only the oral synthetic formulation?*5 The patient's accompanying Release of Information authorizes you to provide theHDepartment wnn with current and anu future iuiuic information uiiwiinauuu iwf^v. related to w this »...- •-«««-. issue. Do ^- you /— agree to notifythe Department's nenartmfint'a Medical Director ofanvchanaes any changes in your answers above?y

I•Prescriber: please return this form and the patient's Release of Information to:iMedical DirectorHealth Services DivisionWashington State DepartmentofCorrectionsPO Box 4112301ympia,WA 98504-2113To be filled out by DOC Physician;I have reviewed this verification form and find that useof medical marijuana by.this patient(check one) | D is IQ is not /Iconsistent with DOC Policy. / 'Physician's Nemo (Print) \ ' Physician's Signature DateInstructions to DOC Phyalcian:When form is complete:1. Email your finding above to theAssistant Secretary for Community Corrections2. File this form and theaccompanying Release ofInformation In Liberty as a Community Corrections Health Record.5w«! /aw (HCff 70.02; ^CJT 70.24.105: RCW 7].05.390) and/orfederal regulations (42 CFR Part 2:45 CFR Part 164) prohibit dlselosure ofthis Information without the specific written consent ofthe person to whom itpertains, orasotiitnvlse permitted by law.DOC 14-053 (OB/1B/0B)" 00C741DOC 380.200

iatOtf,OFFENDER 1.0. DATA: 316508STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATIONI. Jeremy Michael Henderson _, hereby authorize the use or disclosure of my health informationas described below. The following Individual or organization Is authorized to make the disclosure:NAME: ^fiEL jAfA't cjJ^ADDRESS: "^u^r f=l M t'_V>. OA A v ^?n(.Af\ QCOcvThe typa and date(s) ofinformation to be used or disclosed is as follows:±CClfYN^d.'r.^ / irrsQ /-\ i ,l*q r\

DATE: July 17, 2008CBR 9/Ledica[,Inc.Safe Legal Approach to Medical Marl}., p»aTO:Rick NielsenPhone: 509-323-7386Fax:509-568-3161Pages: 3RE: PatientDear Mr. Nielsen;Iunderstand from our patient,••j^HJthatyou have some questions regarding our patient's use ofmedical marijuana, Ibelieve that Mr. ^^^haTprovided you with amedical marijuana recommendation that wassigned by Dr, Jason Ling on November 4th, 2007.^^^J^^ommendation complies completely with Washington State law (RCW 69.51a) as legal authority forMr-VH^H0 Possess marijuana and have THC in his system. The law does not preclude him from these rightsunder the state law unless he is actually incarcerated at the time. The right ofdoctors towrite these recommendationsis also protected under the 9 circuit Federal Court of Appeals ruling inConant v. Walters.It is exclusively up to the patient's physician, and not DOC officers, to make the decisions on what medicationapatient should legally be allowed to have in their system. For aDOC officer to "recommend"," let alone "order", analternative medication for apatient, rather than the one recommended by the patient's own physician, could easily beconstrued as agross violation ofthe physician/client relationship and even "prescribing without alicense". This wouldviolate several state laws.We are aware that there .is apolicy circulating through the DOC that is attempting to force patients to useMarinol (dronabmoi) instead ofmedical marijuana. Please be aware that the Drug Enforcement Administration hasthreatened doctors with the loss oftheir DEA licenses, and possible Federal Prosecution, ifthey recommend Marinolfor any conditions besides wasting from AIDS and cancer patients undergoing chemotherapy. These are the only twoconditions for which the drug was specifically approved.While Tam prohibited by federal HTPAA laws from discussing Mr.HflVmedical condition with you, 1can tell you that he has neither ofthese conditions and would not be acandidate for aprescription for Marinol under thecurrent federal guidelines.Any attempt to force Mr. •••intohis physician will be met with swift legal action against the DOC.adrug treatment program for adrug that has been recommended byTam on the road agreat deal ofthe time, but T'11 be happy to discuss the situation with you ifyou wish. Youcan reach me onmy cell phone at509-570-2886.Sincerely,Melissa LeggeeClinic Director .Seattle Phone 206-774-6493 Fax 206-418-6659 Spokane Phone 509-242-8624 Fax 509-340-">710Tn-Cities Phone 509-416-2267 Fax 509-340-2710 Vancouver Phone 360-635-6464 Fax 206-418-6659CBR Medical, Inc. - 3115 E. Mission Ave, Spokane, Wa 99202«>r n o p 14 3

"7l • AmtrtMt fl*W UtrtifuJii limmulMotrin. F*»ih Prihtnr ,mtGtrittrh MnliiU*i'.Granr Mtdical ProvidersP.O. Box 40 524 E. DivisionEphraea, WA 98823Clinic: (5091754-46A9 Fwx: (509) 754-3241www.Jrsaid.nec cum\\ JnwirtC'.Ju.uii.aeiQMon. UTW QWed. OThun. DM.OitC! ,Time:ElOii«.AM__ PM000744

~ ••• , ... IDocumentation of Medlcsl Authorization to Po~sess Marijuanafor Medical Purposes in Washington statePATIENT NAME: . DATE OF BIRTH: ~t. Jason Uno I am a physician licensed in the State of Washingtonand I am treating .the above patient (or a terminal illness or a debllftating condition as defined byRCW 89.S1A.010. " . ." "I have" acNlsed the ~bove named patient about the potential risks and benefits of the medical u&eof marijuana. I have assessed the above named patienfs r('edical history and mediCat condition.It is my medical opinion 'hat the potential benefits of the medical use of marijiJana may outweighthe health risks for this p~ient. "Physician Name; ____ D_r ..... J ....ii .... 5 .....Physician Signature: Q 1. ' Date:o ... n .... L_in .... i _________ WA License. Number: QPoooa1909This reeommendation expires on: November 4, 2008November 4,2007Risks and benefits of medical marQuana "UnderWashi'ngton law, the use of medical marijuana is now permissible for some patientswith terminal or debilitating ntnesses. The law regulating U1is (RCW 89.51A) allows physiciansto advise patients about the risks and benefits of the medical use ot marijuana.The medicat and, sdentiftc evidence supporting 1he use of medical marijuana remalnscontroversJal in the medical CQmmunJly. Not all healtti care ptavlders believe that medicalmarijuana is safe or effective and some proViders feel that It Is a dangerous drug.,Ao:ording to the Washington State taw the benefits of medical marijuana may 'indudetreating nausea and vomiting from chemotherapy. AlPS wasting syndrome,"severe (Tlu~esp~sm$ frem multiple sclerosis or other spasticity disqrders, glaucoma. and some types 01"intractable pain.Some of the risks of medical marijuana may include possible long .. term effects of the brain inthe areas of memory. coordination and cognition; impairment of the ability to drive or operateheavy machinery; respiratory demage~ possible tung cancer; and physical or psychologicaldependence,'RecommendationAs this patient's" "eo day supply". as stipu\aled by RCW 6S.51A(2)(b,. t recommend 24 ouncesof dried, cured marijuana and as many plants as the patient feels necessary to maintain this 1160day SU pply". "~. t' nt r ~ ; t "7 i L'" "'\, .• ,_, !..iV ;Io.V

Documentation of Medical Authorization to Possess Marijuanafor Medical Purposes in Washington StatePATIENT NAME: ^^^^^^•ft__ DATE OF BIRTH: _^M1979ltm Dr. Mohammad H. Said am a physician licensed in the State of Washingtonand Iam treatingthe above patient for a terminal illness or a debilitating condition as defined byRCW 69.51A.D1Q.I have advised the above named patient about the potential risks and benefits of the medical useof marijuana. Ihave assessed the above named patient's medical history and medical condition.-It is my medical opinion that the potential benefits of the medical use of marijuana may outweighthe health risks for this patient.Physician Name: Dr. Mohammad H. Said' WA License Number: MD00018311Physician Signature: A-A - [7 Q &M/ Date: 07/20/2008This recommendation expires on: 07/20/2009Risks and benefits of medical marijuanaUnderWashington law, the use of medical marijuana is now permissible for some patientswith terminal ordebilitating illnesses. The law regulating this (RCW 69.51 A) allows physiciansto advise patients aboutthe risks and benefitsof the medical use of marijuana.The medical and scientific evidence supporting the use of medical marijuana remainscontroversial in the medical community. Not all health care providers believethatmedicalmarijuana is safe or effective and some providers feel that it is a dangerous drug.According to the.Washington State law the benefits of medical marijuana mayincludetreating nausea and vomiting from chemotherapy, AIDS wasting syndrome, severe musclespasms from multiple sclerosis or other spasticity disorders, glaucoma, and some types ofintractable pain.Some of therisks of medical marijuana may include possible long-term effects ofthe brain inthe areas ofmemory, coordination and cognition; impeirment ofthe ability to drive or operateheavy machinery; respiratory damage; possible lung cancer; and physical or psychologicaldependence.RecommendationAs this patient's "60 day supply*, as stipulated by RCW 69.51A(2)(b), Irecommend 24 ouncesof dried, cured marijuana and as many plants as the patient feels necessary to maintain this "60day supply".CBR Medical, Inc.Administrative Office3115 E. Mission AveSpokane, WA 99202Spokane: 509-242-8624Seattle: 206-774-6493Revised 7/07 * 001:746

ATTENTION LAW ENFORCEMENTI am a legal medical marijuana patient, as defined by the Washington.MedicalMarijuana Act, RCW 69.51A. A copy of that document is attachedto this letter. Ihave also attached a copy of.my physician's recommendation as required byRCW69.51A:My physician, is Dr. Jason Ling and his phone number is 206-774-6493. I havealso attached copy of my Washington State drivers' License/ID.I am in possession of less than my necessary "60 day supply" as defined byRCW 69.51A. I will not answer any questions relating to my status as a qualifiedpatient, my medical condition, my dosage requirements or the numberof plantsthat! need to meet my "60 day Supply" or any other questions regarding mymedical condition or medication. This information is confidential and is strictlyprotected under the federal HIPAA law that protects the confidentiality of mymedical information. Requesting this information, without a subpoena, violatesmy right against self-incrimination.Furthermore, I will not speak with you unless I am accompanied by my attorney.Any further attempt to speak with me withoutthe presence of my attorney will beconsidered coercion. Ido not, and will not, agree to a search of my home,person, property, or vehicle under any circumstances, without a search warrant.This letter, the copy of my physician's letter of authorization, a copy of my.Washington State identification, and a copy of RCW 69/51A are being providedfor your records and incident report. I encourage review of this documentationbefore taking action.(Form courtesy of CannaCare revised June 2007)'''"'•'' •-. •• ' " J18::.: .Spokane, i/vm 99205 - f! Q|j 7 4 7

0,-4..~)o ,'" tp :"1).: 0'.... . , :Jr;\ "JJ.d •. J .J...... .1'!J )... J"t:"0,::... 1-(f~(~j )1\) ,o0, ,.,cj........ "'';''g(Jj, .Mt~tjICALAU,THOR:IZATION ''TO POSSES' &GROW'MEOlcAt.. MARIJUANA '. - .. 0·.... . '. ~ _.

swncr\c uu i vjc i ivi r WicuiuaL l^AMINAd£> ^The funny thing about Washington's medical cannabis law is that it provides less an explicit rightto use medical cannabis than a right to present a legal defense should you be charged with amarijuana related crime for growing or possessing it. This is an important distinction because itmeans that, no matter what people say about the law, you can still be arrested and prosecutedfor using your medicine. If you're lucky, and the law works as. it's designed, you just won't beconvicted.The law allows a patient to possess a 60 day supply as well as the means to produce it (Inotherwords, if you have a 60 day supply or less when you're arrested, you'll be allowed to usethe defense.) What is a 60 day supply obviously varies from patient to patient, and while theultimate decision should reside with one's doctor, theWashington State Department of Healthhas recently been mandated by Olympia todetermine a "presumptive amount." We encourageail patients, new and old, to involve themselves in this process, to make sure that theDepartment of Health is basing their ruling on patients' experiences and good science, and noton politics. You can find more information at the following website: •httD://www.doh.wa.qov/hsqa/med?cal-mariiuana/•As for getting your medicine, the law allows you to grow your own orto have a designatedprovider to grow for you. However, that designated provider may only grow medical cannabis forone patient at a time (as well as for him/herself). In other words, there is no clear legalprotection for group grows, group co-operatives, and medicalcannabis dispensaries. Whilethere are legal theories that say such operations are legal, those theories are new and untested,so people participating in such grows are running great legal risks. Nevertheless, people do it,as there are a number of patients, in need Most patients simply can't grow forthemselves(nausea, debilitating pain, etc. tend to do that).Buthere's the important thing for new patients to remember: the few medical marijuanadispensaries, group grows, etc. that exist in ourstate do so by the good graces of their countyprosecutors. The legality oftheir operations may be debatable, but criminal charges couldeffectively shut them down for a long time, no matter what the final outcome. Given theirdelicate situation, you can imagine that these groups are extremely cautious aboutwho theytake in. Remember, they aren't under any obligation to take new members in. It's a difficultsituation but one we must be respectful of. ~We wish we could referyou, a newlyauthorized legal medical cannabis patient, to a pharmacywhere you could buy your medicine, but unfortunately there's no such place. We also can'trecommend you to any dispensaries or patient networks. Federal law being what it is, anyreferences we make could get us charged with criminal conspiracy for helping you procure an"illegal drug."Finally we'd like to takethis opportunity to encourage you to get involved - and be part ofchanging the current law and system so that it works better for its medical cannabis patients.For more information visit: cannacare.org, .compassion.ws, and cannabismd.org1&\. . , 0GG743Spokane, W^ 99205

Smith, Sherri K. (DOC)From:Smith, Sherri K. (DOC)Sent:Friday, August 01, 2008 7:31 AMjo:Nguyen, Thu Van T. (DOC); LaFollette, Sylvia M. (DOC); Hall, Edward J. (DOC); Meusbom-Marsh, Stefani L. (DOC); Mendoza, Armando (DOC)Cc:Cowan, Mary E. (DOC)^Subject: Medical Marijuana -\The offender's request for medical marijuana use has been denied by Dr. Hammond, Director ofMedical Services.Sherri Smith, Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections DivisionMS: 411267345 Linderson Way SWOlympia,WA 98504-1126Phone: 360-725-8847Even if you're on the right track, you'll get mn over if you just sit there. -Will Rogers000750

Distefano. Monica J. (DOC)From*Sent:To:Hammond, G. Steven (DOC)Wednesday, July 23, 2008 12:38 PMDanielsJ

OFFENDER 1.0. DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationTo be,filled out by CCO:Patient's Na Date of Birthi DOTo be filled out by Prescriber:Dear Prescriber, .'By state statute the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have been convicted ofa felony. The above named patient is currently under supervision by theDepartment. Supervision is.designed to help the offender avoid those environments orsituations that lead to their criminalbehavior. Often illicit drug use is a contributing factor in an individual's criminality. Accordingly it's usual thatthe court orthe Department ofCorrections will impose a condition of supervision that the offender not use, orpossess illicit drugs,including marijuana. This offender has claimed that they have a condition for which the medicinal use of marijuana hasbeen prescribed. The below verification is to determine the legitimacy of their claim. Thank you in advance for yourassistance. If you have questions please feel free to personally contact the Medical Director ofthe Department at (360)725-8700.1. Is this patient under your care? IJjJYes D No2. Are you prescribing medicalmarijuana for his patient due to a diagnosis of Acquired n Yes tj&No.Immunodeficiency Syndrome (AIDS)a. If the answer toquestion 2 is"Yes", does he/she have anorexia? • Yes • Nob. If the answer to question 2a is "Yes", does he/she have weight loss? • Yes • No3. Are you prescribing medical marijuana for this patient due to nausea and vomiting associated r-j yes [X n0with cancer chemotherapy?^a. If the answer to question 3 is "Yes", has the patient failed to respond to conventional ps Yes pi Noantiemetic treatments? .b. Ifthe answer to question 3a is "Yes", please describe what those treatments were (medication, dose,duration):c. What is the planned schedule of chemotherapy?4. While on community supervision ("parole") the Department of Corrections only authorizes theuse ofthe oral synthetic formulation of marijuana. If the Department authorizes this patient's • Yes • Nouse of medical marijuana, will you be prescribing only the oral synthetic formulation?5. The patient's accompanying Release of Information authorizes you to provide theDepartment with current and future information related to this issue. Do you agree to notify rj/w r-1 Nthe Department's Medical Director of any changes in your answers above? >A e •—'(•fOKifSO • OA.VSUST)Prescriber's Name (Print) Prescriber's Signature Date'*License #: M*D ^5~7Z.S License type: M~hPrescriber's Address jQST ?F / 8 /WS Phone Number J5"03 -Z&f-BIOQT^/erz^ib ,o/e.

Prescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department of CorrectionsPO Box 4112301ympia,WA 98504-2113To be filled out by DOC Physician:I have reviewed this verification form and find that use of medical marijuana by this patient(check one) | • is 0ls not .consistent with DOC Policy. /"*Physician's Name (Print) ~ Physician's Signature DateInstructions to DOC Physician:When form is complete:1. Email your finding above to the AssistantSecretary for Community Corrections2. ' File this form and the accompanying Release of Information in Liberty as a Community Corrections Health Record.State law(RCW 70.02; RCW70.24.105; RCW 7I.05.3W) and/orfederal regulations (42 CFR Part2; 45 CFR Part I64jprohibitdisclosure ofthis information without thespecific written consent of the person to whom it pertains, or as otherwise permitted by taw.."••'.000753DOC 14-053(05/16/08) DOC 380.200

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSOFFICE OF THE ASSISTANT SECRETARYP.O. Box 41126 • Olympia, Washington 98504-6504 • (360) 725-8796FAX (360) 586-0252September 17,2008Ms. Janus Brown, ManagerThe Hemp and Cannabis Foundation105 SE 18th AvePortland, OR 97214Dear Ms. Brown:I have been asked to respond to your September 8,2008 correspondence addressed to theDepartment ofCorrections concerning patientsDepartment policy (380.200, Community Supervision of Offenders) requires theoffender, with their doctor, to complete forms 13-035, Authorizationfor Disclosure of.Health Information, and. 14-053, Medicinal Useof Marijuana Verification should theoffender wish to use medicinal marijuana while on community supervision. I haveenclosed the forms foryour use. For your reference this policy and its associated formscan be accessedat http://www.doc.wa.gov/policies/.Should you have further questions, please feel free to contact me at (360) 725-8847and/or sksmith(S),doc1.wa.gov.Sincerely,_Shem Smith7 Executive AssistantCommunity Corrections DivisionEnclosurescc: Steven Hammond, MD., Director ofMedical Services1! «•00G754

OFFENDER I.D. OATA:' |STATE OF WASHINGTON^ '" DEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationTo be filled out by CCO:To be filled out by Prescriber:~ " " "" " ~~~ '* jmbergfcflrthDear Prescriber, .By state statute the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have been convicted ofa felony. The above named patient is currently under supervision by theDepartment Supervision is designed to help the offender avoid those environments or situations that lead to their criminalbehavior. Often illicit drug use is a. contributing factor in an individual's criminality. Accordingly its usual that the. court orthe Department of Corrections will impose a condition of supervision that the offender not use, or possess illicit drugs,including marijuana. This offender has claimed that they have a condition for which the medicinal use of marijuana hasbeen recommended. Thebelow verification is todetermine the legitimacy oftheir claim. Thank you in advance for yourassistance. If you have questions please feel free to personally contact the Medical Director ofthe Department at (360)725-8700.1. Is this patient under your care? • Yes • No2. Are you recommending medical marijuana for his patient due to a diagnosis of AcquiredImmunodeficiency Syndrome (AIDS)a. Ifthe answer to question 2 is "Yes", does he/she have anorexia?b. Ifthe answer to question 2a is "Yes", does he/she have weight loss?3 Are you recommending medical marijuana for this patient due to nausea and vomitingassociated with cancer chemotherapy?a. Ifthe answer to question 3 is "Yes", has the patient failed to respond to conventionalantiemetic treatments? .• Yes • No• Yes • No• Yes • No• Yes • No• Yes • Nob. Ifthe answer to'question 3a is "Yes", please describe what those treatments were (medication, dose,duration):c. What is the planned schedule of chemotherapy?4. If you answered "No"to items 2 & 3 above, what is the reason you are recommending medicinal use ofmarijuana?a. Please provide evidence published in a peer-reviewed scientific publication to support the medicinal use ofmarijuana for this purpose?5. While on community supervision ("parole") the Department of Corrections only authorizes theuse of the oral synthetic formulation of marijuana. Ifthe Department authorizes this patient's • Yes • Nouse of medical marijuana, will you be prescribing only the oral synthetic formulation?6.'The patient's accompanying Release of Information authorizes you to provide theDepartment with current and future information related to this issue. Do you agree to notify r-i y i—i Mthe Department's Medical Director of any changes in your answers above? *—' •—'".000755DOC 14-053 (Rev. 7/31/08) qqq 380.200

Prescriber's Name (Print) Prescriber's Signature DateLicense*: : License type:Prescriber's AddressPhone NumberPrescriber: please return this form and the patient's Release of. Information.to:Medical DirectorHealth Services DivisionWashington State Department of CorrectionsPO Box 41123Olympia, WA 98504-2113To be filled out by DOC Physician:Ihave reviewed this verification form and find that use of medical marijuana by this patient(check one) | • is • is notconsistent with DOC Policy.Physician's-Name (Print) Physician's Signature DateInstructions to DOC Physician:When form is complete:1. Email your finding above to the Assistant Secretary for Community Corrections2. File this form and the accompanying Release of Information in Liberty as a Community Corrections Health Record.State law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) and/or federal regulations (42 CFR Part 2; 45 CFR Part 164) prohibitdisclosure of this Information without the specific written consent of the person to whom it pertains, or as otherwisepermitted by law. _. - , ,^ _ -*-*QGU?56r\/~\n *a nut /Daw 7/i-i/na\nnr *5nn or\n

tors^OFFENDER I.D. DATA:I|STATE OF WASHINGTON" DEPARTMENT OF CORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATION, hereby authorize the use ordisclosure of my health informationas described below. The following individual ororganization is authorized to makethe disclosure:NAME:ADDRESS:The type and date(s) ofinformation to be used or disclosed is as follows:Purpose for disclosure: ; ; :Iunderstand that the information in my health record may include information relating to sexually transmittedinfections, Acquired Immunodeficiency Syndrome (AIDS), or Human Immunodeficiency Virus (HIV). It may alsoinclude information about behavioral or mental health services and treatment for alcohol and drug abuse.This information may be disclosed to and used by the following individual or organization:NAME: ; ;ADDRESS:I understand that I have a right to revoke this authorization at any time. I understand that if I revoke thisauthorization I must do so in writing and presentmy written revocation to the Health Information ManagementDepartment. I understand that the revocation will notapply to information thathas already been released inresponse to this authorization. Unless otherwise revoked, this authorization will expire on the following date, event,orcondition: _ (if left blank, authorization will expire six (6) months from signing).Iunderstand that authorizing the disclosure of this health information is voluntary. I can refuse to sign thisauthorization. I need not sign this form in order to assure treatment. I understand that I may inspect or copy theinformation to be used or disclosed, as provided in CFR 164.524 and RCW 70.02. I understand that any disclosureof information carries with it the potential for an unauthorized redisclosure and may not be protected by federal orstate confidentiality rules. If I have questions about disclosure of my health information, I may contact theRHIT/designee of the facility:•Signature of Patient(Do not sign ifform is not complete)Date(Patient to complete)Social Security Number Date of Birth DOC Number?-f.nOC757Signature of WitnessDateState law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) and/orfederal regulations (42 CFR Part 2; 45 CFR Part 164) prohibit disclosureofthis information without the specific written consent ofthe person towhom itpertains, oras otherwise permitted bv law««/-«•,me #ne/iortnnmpni nac.3A0 200 OOC 600.020 DOC RAO 020 DOC 670070 ' LEGAL

31^12^/iv> ihtHfittifitfTHCF Medical Clinic105 S.E. 18th AvePortland, Oregon 97214Date.qstMedical DirectorHealth Services DivisionWashington State Department of CorrectionsP.O. Box 41123Olympia, WA 98504-2113To Whom It May Concern:I am writing in response to your request of Dr. Thomas Orvald to complete a"Medicina^s^^^toiiuan^erificatio^ on behalf of ourpatient_^JJ^HIH|HHpp. £„0g t WEt/97t>I enclose a copy of the permit signed by Dr. Orvald for your information. AsDr. Orvald follows Washington state law to the letter in his evaluation andrecommendation for each and every patient, he feels that the permit speaksfor itself and provides answers to the questions posed in the form.Thank you for your inquiry.Sincerely,Janus Brown, Manager?^0Q075S

THCF Medical Cltyics1813 130th Ave N.E. #210BeIlevue,WA 98005Phone: 425469-6186 or 1-800-723-0188Fax: 425-S69-6378www.thc-foundation.org or www.hemp.orgDocumentation ofMedical Authorization to Possess Marijuana for MedicalPurposes in Washington StateThe text ofthis fqrm was reconmended bythe Washington State Medical Association.Patient Name:J^^^^^^^^^^H^B Date ofBirth: WKKJ(qI, Thomas Orvald, am a physician licensed inthe State ofWashington. I am treatingthe aboy6 named patient for aterminal illness or adebilitating condition as defined in •RCW 69.51A.010. I have advised the above named patient about the potential risksand.benefits ofthe medical useofmarijuana. I have assessed the above namedpatient's medical history and medical condition. Itis mymedical opinion that the..potential benefits ofthemedical use ofmarijuana'would likely outweigh the healthrisks for this patientSignature ofPhysician: .Thomas 0. Orvald, MD. WA #MD 000161W)Today's date: , Jill" 14 2008 Expiratibndate: \1\\[. 14 2009'Risks and benefits ofmedical marijuana:Under Washington state law, the use ofmedical marijuana is now permissible for somepatients with terminal or debilitating illnesses. The laws regulating this (RCW 69.51 A)allows physician's to advise patients about therisks andbenefits ofthe medical use ofmarijuana.The medical and scientific evidence supporting the use of medical marijuana remainscontroversial inthe medical community. Not all health care providers believe thatmedical marijuana is safe or effective and some providers feel that it is adangerous drug.According to the Washington state law the benefits ofmedical marijuana may includetreating nausea and vomiting from chemotherapy; AIDS wasting syndrome; severemuscle spasms from multiple sclerosis or other spasticity disdrders; glaucoma; and sometypes ofintractable pain.Some ofthe risks ofmedical marijuana may include possible long-term effects ofthebrain in the areas ofmemory, coordination and cognition; impairment ofthe ability todrive or operate heavy machinery; respiratory damage; possible lung cancer; physical orpsychological dependence.v". 000759

Distefano. Monica J. (DOC)From:Sent:To-CC.Subject:Oglesby, Jon D. (DOC)Wednesday, October15, 20084:38 PMDistefano, Monica J. (DOC)Burkart, Scott E. (DOC); Bowerman; Darron J. (DOC)RE:JHHHBBHHM mm RequestNo thanks needed. Iwas curious if you have received paperwork foriFrom: Distefano, Monica J. (DOC)Sent: Wednesday, October 15, 2008 2:26 PMTo: Oglesby, Jon P. (DOC)Subject: RE:^^|BIHmm RecluestThank you, Jon!Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360)725-8796mjdistefano@doc1.wa.govFrom:Sent:To:Cc:Subject:Oglesby, 36n D. (DOC)Wednesday, October 15, 2008 2:25 PMDistefano, Monica J. (DOC)Bowemgan^arronJJDOG: House, Kevin F. (DOC)RE: fHflHBHMMnm RequestThank you. Offender will be directed to immediately cease using marijuana, and a UA will be taken to obtain a baselinenanogram level.From: Distefano, Monica J. (DOC)Sent: Wednesday, October 15, 2008 1:18 PMTo: Oglesby, Jon D. (DOC)Cc: Degeorgio, Nanette M. (DOC)Subject: FW:flHM^|H^^^H mm RequestFYIMonica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov^000760

From:Sent:To:Cc:Subject:Hammond, G. Steven (DOC)Wednesday, October 15, 2008 12:41 PMDaniels, Karen R. (DOC)ca5!;andlra L. (DOC)mm RequestG. Sleven Hammond PhD, MD, MHADirector of Medical ServicesHealth Services Division .Department of CorrectionsPOB 41123Tumwater, WA 98504-1123360-725-8700w'-!'uw.;n and denied it as it does not meet DOC criteria for approval for medical marijuana.r" ~n. . r _: :.J P f'''7 u • 612

ills'S«^J*._STATE OF WASHINGTON. DEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationOFFENDER I.D. OATA:HOARD, RAZEKIELDate 09/09/2008To be filled out by CCO:Patient's NameTo be fiifed out by Prescriber:I Date ( of Birth978DOCNumberDear Prescriber, . . •By state statute the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have been convicted of a felony. The above named patient is currently under supervision by theDepartment. Supervision is designed to help the offender avoid those environments or situations that lead to their criminalbehavior. Often illicit drug use is a contributing factor in an individual's criminality. Accordingly it's usual that the. court orthe Department of Corrections will impose a condition of supervision that the offender not use, or possess illicit drugs,including marijuana. This offender has claimed that they have a condition for which the medicinal use of marijuana hasbeen recommended. The below verification is to determine the legitimacy oftheir claim. Thank you in advance for yourassistance. If you have questions please feel free to personally contact the Medical Director of the Departmental (360)725-8700.1,2.Isthis patient under your care?Are you recommending medical marijuana for his patient due to a diagnosis of AcquiredImmunodeficiency Syndrome (AIDS)a. If the answer to question 2 is "Yes", does he/she have anorexia?b. If the answer to question 2a is "Yes", does he/she have weightloss?DYesDYes-—B-No3.Are you recommending medical marijuana for this patient due to nausea and vomitingassociated with cancer chemotherapy?a. If the answer to question 3 is "Yes", has the patientfailed to respond to conventionalantiemetic treatments?b.DYesQ*es-Ifthe answer to question 3a is "Yes", please describe what those treatments were (medication, dose,duration):•Uoc. What is the planned schedule of chemotherapy?4.Ifyou answered "No" to items 2 &3 above, what is the reason you are recommending medicinal use ofa. Please provide evidence published in a peer-reviewed scientific publication to support the medicinal use ofmarijuana for this purpose? • \ V \5.While on community supervision ("parole") the Department of Corrections only authorizes the ^/use of the oral synthetic formulation of marijuana. If the Department authorizes this patient's • Yes Q-ftouse of medical marijuana, will vou you be Drescribina prescribing only nnlv theoral th© synthetic cvnthotio formulation?farmiiiatinno6. The patient's accompanying Release of Information authorizes you to provide theDepartment with current and future information related to this issue. Do you agree to notify r-,the Department's Medical Director of any changes invouranswers ahnvp? • Yes CfNoDOC 14-053(Rev. 7/31/08)*«.GQQ762DOC 380.200

escriber's SignatureDateLicense #:License type:Prescriber's AddressPhone NumberPrescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department ofCorrectionsPO Box41123. Olympia, WA 98504-2113To be filled out by DOC Physician:Ihave reviewed this verification formand find that use of medical marijuana by this patient(check one) | • is ISHs not ^consistent with DOC Policy. /Physician's Name (Print)Physician's Signature'o//S/08DateInstructions to DOC Physician: _When form is complete:1. Email your finding above to the Assistant Secretary for Community Corrections2. File this form and the accompanying Release of Information in Liberty as a Community Corrections Health Record.State law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) and/or federal regulations (42 CFR Part 2; 45 CFR Part 164) prohibitdisclosure of this information without the specific written consent of the person to whom it pertains, or as otherwisepermitted by law.•«•• 000763DOC 14-053 (Rev. 7/31/08) DOC 380.200

Documentation of Medical Authorization to Possess Marijuanafor Medical Purposes in Washington StatePATIENT NAME:^^^^^^ML___ DATE OF BIRTH: j|BBl978I, Antoine Johnson , am a physician licensed in the State of Washingtonand I am treating the above patient for a terminal illness or a debilitating condition as defined byRCW 69.51 A.010.I have advised the above named patient about the potential risks and benefits of the medical useof marijuana. I have assessed the above namedpjement's medical history and medical condition.It is my medical opinion that the potential benelijpofthe medical use of marijuana may outweighthe health risks for this patient.Physician Name: , Dr. Antoine Jo>fnsor/ WA License Number: MD00039048Physician Signature: ^ / Date: 09/07/2008This recommendation expires on: / 09/07/2009 .Risks and benefits ofmedical n/arijuanaUnder Washington law, the use of medical marijuana is now permissible for some patientswith terminal or debilitating illnesses. The law regulating this(RCW 69.51 A) allows physiciansto advise patients about the risks and benefits of the medical use of marijuana.The medical and scientific evidence supporting the use of medical marijuana remainscontroversial in the medical community. Not all health care providers believe that medicalmarijuana is safe or effective and some providers feel that it is a dangerous drug.According to the Washington State lawthe benefits of medical marijuana may includetreating nausea and vomiting from chemotherapy, AIDS wasting syndrome, severe musclespasms from multiple sclerosis or other spasticity disorders, glaucoma, and some types ofintractable pain.Some of the risks of medical marijuana may include possible long-term effects of the brain inthe areas of memory, coordination and cognition; impairment of the ability to drive or operateheavy machinery; respiratory damage; possible lung cancer; and physical or psychologicaldependence.RecommendationAs this patient's "60 day supply", as stipulated by RCW 69.51A(2)(b), I recommend 24 ouncesof dried, cured marijuana and as many plants as the patient feels necessary to maintain this "60day supply".CBR Medical, Inc.Administrative Office3115 E. Mission AveSpokane, WA 99202Spokane: 509-242-8624Seattle: 206-774-6493 nr.n'ic/Revised 7/07

BESTATE OF WASHINGTONDEPARTMENT OFCORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATIONOFFENDER ID. DATA: HOARD, RAZEKIEL D.Date: 09/09/2008769 73 7, hereby authorize the use or disclosure ofmy health information^^SSSf The following individual or organization is authorized to make the disclosure:NAME:ADDRESS:Dr. AntoineJohnson/CBR Medical, Inc.3115 E. Mission Ave.Spokane, WA.99202The type and date(s) of information to be used or disclosed is as follows:A„ mpriiral history, and other information used to screen offender for Medical Marijuana consideration.Purpose for HteHnsura: Provide DOC with current and future information related to offender's health status.Iunderstand that the information in my health record may include information relating to sexually transmittedinfections Acquired Immunodeficiency Syndrome (AIDS), or Human Immunodeficiency Virus (HIV). It may alsoinclude information about behavioral or mental health services arid treatment for alcohol and drug abuse.This information may be disclosed to and used by the following individual or organization:Dr. Steve Hammond, Medical DirectorNAME: Washington State Dept. of Corrections *ADDRESS:7345 Linderson Way SW.Tumwater, WA.98501Iunderstand that Ihave a right to revoke this authorization atany time. Iunderstand that if Irevoke thisauthorization Imust do so in writing and present my written revocation to the Health Information ManagementDepartment. Iunderstand that the revocation will not apply to information that has already been released inresponse to this authorization. Unless otherwise revoked, this authorization will expire on the following date/event,or condition: 1/1/2010 (if left blank, authorization will expire six (6) months from signing).Iunderstand that authorizing the disclosure ofthis health information isvoluntary. Ican refuse to sign thisauthorization. Ineed not sign this form in order toassure treatment. Iunderstand that I may inspect orcopy theinformation to be used or disclosed, as provided in CFR 164.524 and RCW 70.02. I understand that anydisclosureof information carries with itthe potential for an unauthorized redisclosure and maynot be protected byfederal orstate confidentiality rules. If Ihave questions about disclosure ofmy health information, Imay contact theRHIT/designee of the facility: ^. .. ___•_J|flHHHHH||^^^B_ &Q~\\- 0*6^^^^^^aBreofPatiert^^^^^^^^(Donotsign ifform is notcomplete)Date(Patientto complete)V.-.00C765State law(RCW 70.02; RCW70.24.105; RCW71.05.390) and/orfederalregulations (42 CFR Part 2; 45 CFRPart 164)prohibitdisclosureof(his information without thespecific written consent oftheperson to whom itpertains, or asotherwisepermitted by law.DOC 13-035 (05/19/2008)POL DOC 380.200 DOC 600.020 DOC 640.020 DOC 670.020 LEGAL

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSOFFICE OF THE ASSISTANT SECRETARYP.O Box 41126 • Olympia. Washington 98504-6504 • (360) 725-8796FAX (360) 586-0252September 17, 2008Deal* Mr.I have been asked to respond to your September 14,2008 letter addressed to Dr.Hammond. You write to requestthe reason your applicationfor medicinal use of.marijuana was denied.The reason listed on your application is as follows: "Denied, not consistent with DOCpolicy." G. StevenHammond, MD. Thepolicy Dr. Hammond is referring to is 380.200,Community Supervision of Offenders. You can locate a copy ofthis policy on our Website at http://www.doc.wa.gov/policies/.Should you have further questions, please feel free to contact me at (360) 725-8847and/or sksmith@.docl .waigov.Sincerely,>herri gimith, Executive AssistantCommunity Corrections Divisioncc:Steven Hammond, MD., Director ofMedical Services•"-•vCOCTSG

09-14-2008SEP 17 2008Dr. HammondSherri K Smith, Executive Asst toKaren Daniels, Asst SecretaryCommunity Corrections DivisionMS:411267345 Linderson Way SW01ympia,WA 98504-1126360-725-8709Attn: Dr. Hammond and Sherri Smith and Karen DanielsDear Dr. Hammond,Per ycon^yjnai^gr^She^^^miA. Dated Tuesday September 02,2008 it appears that you have deniedme, H^H^imi^lHilllllHFthe mecucuialuse of marijuana. Iwould like to know the reason foryour denial ofmy Medicinal Marijuana under RCW 69.51A Washington's Medical Marijuana Law.Please senjd your response to me in writing before September 28th, 2008 so that Imay proceed with thisfurther.••••00C767

Smith, Sherri K> (DOC)From:Sent:To:Subject:. Smith, Sherri K. (DOC)Tuesday, September 02, 2008 8:30 AMNeedham, Wendy M. (DOC); Miller, Kelly L (DOC); Vernell, Eleanor D. (DOC); Fiala, Anne L.(DOC)I- Medical Marijuana CaseDr. Hammond has denied the medicinal marijuana request forSherri Smith, Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections DivisionMS: 411267345 Linderson Way SWOlympia,WA 98504-1126Phone: 360-725-8847Even if you're on the right track, you'll get ma over if you just sit there. -Will Rogers>«.G:QU768

Smith, Sherri K. (DOC)From:Sent-To:Subject:Distefano, Monica J. (DOC)Tuesday. September 02. 2008 7:43 AMSmith, Sherri K. (DOC)FW: Medical Marijuana CaseMonica DistefanoExecutive Secretary to •Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:To:Subject:Daniels, Karen R. (DOC)Wednesday, August 27, 2008 6:10 PMDistefano, MonicaJ. (DOC)FW: Medical Marijuana CaseKaren DanielsAssistant Secretary ,Community Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@docl.wa.govFrom:Sent:To:Subject:Idenied a request for mm fortHammond, G. Steven (DOC)Wednesday, August 27, 2008 4:09 PMDaniels, Karen R. (DOC)Medical Marijuana CaseG. Steven Hammond PhD, MD, MHADirector of Medical ServicesHealth Services DivisionDepartment of CorrectionsPOB 41123Tumwater, WA 98504-1123360-725-8700••«.00C?63

05/20/2008 12:00 2538475797 PAGE 04OFFEN0BtUO.DAT*STATE OFWASHINGTONDEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationTo be filled out fry CCQ:To )bo fllfeci oiit by Prescriber:'Dear Prescriber • • ^Bv ateta Btatute'the Washington State Department of Corrections is charged with the responsibility to supervise someoffenders after they have.pfteh.convicted of afelony. The above named patient Is currently under supervision by theDeDartment. Supervision Is designed to help the offender avoid those .environments or situations that tead to their cnmmalbehavior Often Illicit drug use Is acontributing factor in an individual's criminality. Accordingly Ifs usuaLthat the court or •the DeDartment ofCorrections will impose acondition of supervision that the offender not use, or possess illicit drugs,including marijuana. This offender has claimed that they have acondition for which the medicinal use of marijuana hasbeen prescribed. The below verification Is to determine the legitimacy of their olalm. ThanK you in advance tor yourassistance. If you have questions please feel free to personally contact the Medical Director of the Department at (360)725-8700. "'/•1. le thi6 patient under your cere? 0Yes UNo2. Are you prescribing medical marijuana for his patient due to adiagnosis of AcquiredImmunodeficiency Syndrome (AIDS)q Ycg g^a, |fthe answer to question 2is "Yes", does he/Bhe have anorexia? DYes Q-Nob. If the answer to question 2a l6 "Yes", doss he/she have weight loss? DYes D-Nc-3. Are you prescribing medical marijuana for this patient due to* nausea and vomiting associated rnye8 £>tfo''with cancerchemotherapy?a, If the answer to question 3Is "Yea*, has the patient failed to respond to conventional ' r-j Yftg . p

95/20/2008 12J00 2S38475797 PAGE 02trdp^ statb ofw^5h,ngto*,lDEP^TMENTOPCORRECTIONSAUTHORIZATION FOR DISCLOSUREOF HEALTH INFORMATIONOFFENDS* ID, OAT*,hereby authorize the- use or disclosure of my health InformationaJ^lpEl^Deiow, The following individual or organization Is authorized,to makethe disclosure:r,^g. •pr, rfrySn /JnQ , DO - OJftr^nP^Qm |

STATU Or WASHINGTONDEPARTMENT OF CORRECTIONSP.O. liox 41126 • Olympin, Washington 98504-1120October 29,2008RE: Appeal forMedical Useof MarijuanaDear Mr.|I have received your offender file aswell as your appeal for Medical Use of Marijuanasubmitted by Dr. Scott L. Havsy, and received inmyoffice onOctober 29,2008.Inthe interest ofpublic safety and protection ofthecommunity atlarge, I find your requestfor Medical Use ofMarijuana, while under the supervision ofthe Department ofCorrections,is denied.I would encourage you to continue to program ina positive manner, following the directionof your assigned CCO and your conditions of supervision.Sincerely,Karen Daniels, Assistant SecretaryCommunity Corrections Divisioncc: CCO Lynne Hudson...rOQCT72

£^:ka.pc&o-U •• 'v-000-7-73Sk^if

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSPierce County Community Justice CenterCCO Lvnne Hudson1016 South 28th Street.Tacoma, WA 984Q9253-680-2683 (work)253-597-4352 (fax)sspohse:r\\uu^^a o aal v\m ^4Wrw-k ^(,^^v»^aZ^-^SQ-^teimber of pages including this page,mDm: Lynne Hudson, CC03. Tacoma, WA 98409is facsmile may contain confidential Information intended for the individual or entry to whom It is addressed,inot read, copy or disseminate this information unless you are the addressee or the person responsible forlivering It. If you receive this communication an error please call me, Lynne Hudson, at 253-680-2683. •ankYouIl•-.000774

·No.7218 P P. 1• UUISTATE OF'WA$~hNGt'ONDEPARTMENT OF CORRECTIoNSPleroe County Community Justice Center .·Oate: C"P~ Co; ? C'T')?,, .To: D"- I .\£&\j~tsResponse:. Number of pages including this page~~A=,-' _. __From: Lynne Hudson, ce03. Tacoma, WA 98409This facsmita, m~y contain contldentiallnformatlon Intended for the Indlvldual or entry to whom It is a~dressed.Do not"read. copy or disseminate this Infonnatlon unless you are the ~ddressee or the person responsfbl~fordenvel1ng It. If you receive this communrcatlon an arror please call me, Lynne Hudson, at 253-680-2683.Thank Youll .

Oc t. 8. 2008 11: 39AM T S co ttl. Ha v s y,OCf/uolDO, OAAP~AX No. 1253597 J 352,UUOI raun ~q:., I rIA ac.L F 'iI../,"""f, .S .. TA.ni~FWABHIN~N·.,. . '.' DePARTNeN't OF CORRBCTIONSMedlCiri'aJ l!ss of MariJuana' VerlflcatlanNo. 7218 P. 2P. uu,, \.;Dsar PrE!$crfber.... . ,..' ". .By stafaa~tute the Waahfngton Stale Oepartmantaf CmtectfDns Is ~Wged with the rlsponalbll&y to GuPsrvi&e sQme.off~n~e~ after they have been conVicted of 8 felony. The, above named.patient I~ currently under 6upmv18iCl~\ by th~ ..Department-Supervision 18 dealQned to help the offender avold thOle environments or eltuIUonB that lead to thslrcrlmlnal. b~hs~Qr~ ~n i,lIH:it ~g use Is 8, aan~utint1faCtDr .In an ,fn~~d~I's criminality. A~~'dlrigty I~;' UBtJ~ ~itl9.~~rt. or .the o8partmen~ of Corra~ona will 'm~s. a condlUon Of eup8rvJ5lDn that the offender nat uFls, or p~ess JtllCit dllJf1S~ .including marijuana. This offender has clalme.d thB~ !bey have a condition far which the meaJclrnJf L1ia of mSlf{jUQna hasbeenr'ecammended. The below verff1catiOo i& to determine the legitimacy of their claim. Thank you. In advance far your8SStStar,tce. 'f you have quet\t!ona pte'ase teel free to personafiy contact the Medlall Dlraotor of the Oepaitnient at (3:80)7250.8700.1. Ie thls.patlent under yoyr ca~e7'~'2. Are you rec~mmendJngmedlcal marijuana for his patient due tn 9 dlagnoafs of Acqul",d,Immunodeficiency Syndrome (AIDS) ,DveuB. If the answer to QUestion 21& "'Yes', does he/she have anoreXIa?CJYes CJNob. If ~ answer to 'qu~t!on h II -Vas", does he/aha hilve wef;ht lOss? o Yet O'Noa. Are you recommendIng modlcal marijuana for this pauent due to nausea and vomiting,associated with oartCer chemotherapy? . aYes ~a. ff'the ilnawel' tg qTJeatian SIB ery'es·, has 1hB patient failed to respond to conventional~ntlemetlc treatment.? ' , DYes DNa, 5.'b.If the answer to qUeaUon 31111 "VGS-, please describe what those lreatment9 were (medication, dose,duration):c, Wts1~~e!rj,:~du~~Q ~Jt ~ ~If you an~Jo~Jltam8 2. " 3 above, what Is the reason you ara recommending medlclnal use of .marQuana1 . ¥-~ ~.. l{eanyine Ftaleaae o( InformaUon authorizes you lQ provide theDepartment with c,-:!rrent and futln rnormation related to this lssue. Do you agree to notifythe DepC;\rtment's Medlcel Director of any changes In your answers ab eve '7 ,DYesDOC 1~S3 (RAv.7131108)

A,«,IM. .8. 2008w11:39AM T Scott L Havsy, DO, DAAPM, „ I9„K0n,q„OCT/Co/iuuo/»uii J4.30 ri» Taoi fkl No. 12535974352lo.72l8 .P. 3P. UUJP/wtfbw'efSlgrwiurBLicense type;%£2DalePrescrlber'e AddressPhone Numberpreecrlbar: please return thla form andthe patient'sReleaseof Information to;Medical DirectorHealth Services DivisionWashington State Department ofCorrectionsPO Box 41123aiympta,WAW504-2113To be filled out by DOCPhysician;Ihave reyiewBd this verification form and find that Use ofmedical marijuana bythis patient; (cheese one) |• is pit notconsistent with DOC Policy. -PhyrtaWsNaneCPdnt) ~" Physician's Slfipawe DateInstructions to DOC Physician;When farm Is complete:1. EmaB yourfindlng above to tha AailBtantSecraten/1br Community Corrections2. FDe thjs form and the accompanying Release ofInformatiDn in Liberty asa Community Corrections Health •Record.Sleto taw (RCW 70,02; RCW 70^4,102; RCW 71.d5.S80) and/or fedartl regulations (42 OfR Part 2: 49 epfcPart 164) prohibitdisclosure ofthis informoGon without the specificwritten consentof the parson to whom Itptrtftlnft, ofas attaryrinapwmlflad bylaw.DOC14-053 (Rev. 7/31rt>B) POO 360.2000 pn t 7 7

* . t". Ul ~*. TRANSACTION REPORT **. OC1~08-2008 WED 12:43 PM *.~ * FOR: COMMUNITY CORRECTIONS 360 586 7274 ** ~% *

Distefano, Monica J. (DOC)From:Sent:To:Cc:Subject:Smith, Sherri K. (DOC)Friday, August 15, 2008 3:50 PMChalmers, Cassandra L. (DOC); Hammond, G. Steven (DOC)Distefano, Monica j. (DOC); Daniels," Karen R. (DOC)RE:The offender called again this afternoon. He states he did fax in his paperwork and spent a great deal of time about DOCmeddling in his medical history/issues. Itold him Iwould call him back on Tuesday with the status ofwhether or not Dr.Hammond's office has received the paperwork.From:Sent:To:Smith, Sherri K. (DOC)Friday, August 15, 2008 3:30 PMOT|lmeijs^|ssandra^DOC); Hammond, G. Steven (DOC)He says hefaxed the paperwork onWednesday tothe Medical Director. Can you verify?Sherri Smith, Executive Assistant toKaren Daniels, Assistant Secretary^ • . .Community Corrections DivisionMS:411267345 Linderson Way SWOlympia,WA 98504-1126Phone: 360-725-8847Even if you're on the right track, you'll get run over if you just sit there. -Will RogersV iP.Q0779

Vernell, Eleanor D. (DOC)From:Sent:To:Subject:Buth, Soknara (DOC)Friday, February .08, 2008 10:47 AMVernell, Eleanor D. (DOC)RE: Med marijdoc--Original MessageFrom: Vernell, Eleanor D. (DOC)Sent: Thursday, February 07, 2008 10:40 AMTo: Cayer, Donna Y. (DOC)Cc: Buth, Soknara (DOC)Subject: RE: Med marijWhat is the offender's name?Original MessageFrom: Cayer, Donna Y. (DOC)Sent: Thursday, February 07, 2008 7:17 AMTo: Vernell, Eleanor D. (DOC)Cc: Buth, Soknara (DOC)Subject: Med marijEleanor, there is a case regarding an offender's use of Medical Marijuana for specifichealth needs in your section. The offender is supervised by CCO Donovan Russell in Tac 2,•I believe. The information currently being discussed with Mary, Eldon and AG's officeleaves for speculation, how do we determine if. a legitimate need exists, rather thanresponding with a blanket no as our response. How do we go about making the decision todeny it and what is included (processes) that contribute to the final determination. Whatare supervisors saying when approached with questions and some of your general ideas. Arewe consulting with the AG's office as part of the process and are you notified? Let'sdiscuss at some point or you can briefly summarize steps or your response by e-mail to meand copy, Mary. TX, and I can call you today. I'll be in a meeting from 9:30 til noon.».00C?80

—Original MessageFrom:Pearson, Robert A. (DOC)Sent:Tuesday, January 08, 2008 7:12 PMTo: Werth, Allen J. (DOC); Bailey, Jeff R. (DOC); Gilbert, Timisha C. (DOC); Iovino, Beth A. (DOC); Kilmer, Gary A,(DOC); Kitchen, William E. (DOC); Lozano, Maria L. 'Lucy* (DOC); Murphy, Jessica M. (DOC); Oliver, Gregory J.(DOC); Saulsman, Debra A. (DOC); Sheridan, Jenny L. (DOC); Tran, Giang L. (DOC); Villanueva, Randy J. (DOC)Subject: FW: MarinolSincerely,Robert A. Pearson, CCSTacoma Unit 1 @ Pierce County Comm. Justice Center253-680-2631,0611253-377-1190^3x253-597-4352"The significant problems we face cannot be solved at the same level of thinking we were at when we created them." AlbertEinstein-Original MessageFrom:Vernell, Eleanor D. (DOC)Sent:Tuesday, January 08, 2008 12:19 PMTo:Sklpworth, KristJne M. (DOC); Blatman-Byers, Karen (DOC); Braverman, Suzann E. (DOC); Francis, Janet G (DOC);Goddard, Phyllis J. (DOC); Hardeman, Dominique K. (DOC); Hendricks, Richard B. (DOC); Meyers, Joan M. (DOC);Miller, Kelly L. (DOC); Pearson, Robert A. (DOC); Rigney, Carole I. (DOC); Rosendale, Gina E. (DOC); Sheridan,Jenny L (DOC)Subject: FW: MarinolPlease share with your staff.Original MessageFrom:Conner, Debra A. (DOC)Sent:Tuesday, January 08, 2008 11:25 AMTo:Johnson, Steven M(DOC); Kopp, Jack L. (DOC); Lindell, Katrina R. (DOC); Littrell, Marjorie R (DOC); Mendoza,Armando (DOC); Meusborn-Marsh, Stefani L. (DOC); Miller, Merlin K. 'Lin* (DOC); Muccilli, Bonnie R. (DOC); Vernell,Eleanor D. (DOC)Subject: FW: MarinolFrom:Sent:To:Cc:Subject:Curran, Michael L (DOC)Tuesday, January 08, 2008 11:21 AMHurst, Travis J. (DOC); Taylor, Carl G. (DOC); Cole, Aaron J. (DOC)Conner, Debra A. (DOC)FW: MarinolPlease share with your staff.ThanksFrom:Sent:To:Subject:Teeter, Beverly (DOH)Friday, January 04, 2008 11:33 AMCurran, Michael L (DOC).RE: MarinolFrom Board of Pharmacy. If you have further questions, please contact Tim Fuller at. tim.fullerap^oh^a.gov.Thanks " ?N L - u »O1

It comes under RCW 69.41.030 which allows physicians to prescribe legend drugs. Marinol is a legend drugapproved by the FDA and a schedule 111 controlled substance and needs to meet the requirements of the FDA andDEA. It also has to meet Washington State controlled substances requirements (RCW 69.50 and WAC 246-887)which mirror the DEA requirements. No additional requirements have been specified for Marinol.TimFrom:Sent:To:Subject:DOH HSQA Medical MarijuanaThursday, January 03, 2008 2:51 PMTeeter, Beverly (DOH)FW: MarinolBev-Doyou think this would be a Board of Pharmacy question?From:Sent:To:Cc:Subject:Curran, Michael L (DOC)Thursday, January 03, 2008 12:45 PMDOH HSQA Medical MarijuanaTaylor, Carl G. (DOC)MarinolIs there an ftCW or WAC that references a legitimate prescription for Marinol by a licensed physician?Thank you.Michael L CurranCommunity Corrections SupervisorField Units - 102, 147, 181Community Response Unit 1451821 North Maple StreetSpokane, WA 99205Office [509] 323-7378Celt [509] 844-1977Sincerely,Robert A. Pearson; CCSTacoma Unit 1 @ Pierce County Comm. Justice Center253-680-2631, cell 253-377-1190, fax 253-597-4352The significant problems we face cannot be solved at the same level ofthinking we were at when we createdthem." Albert Einstein—Original Message—From: Goddard, Phyllis J. (DOC)Sent: Wednesday, February 06, 2008 8:28 AMTo: Blatman-Byers, Karen (DOC); Braverman, Suzann E. (DOC); Francis, Janet G(DOC); Hardeman, Dominique K. (DOC); Hendricks,Richard B.(DOC); Miller, Kelly L (DOC); Pearson, Robert A. (DOC); Rigney, Carole I. (DOC); Robinson, Lee M. 'Mike' (DOC);Rosendale, Gina E. (DOC); Sheridan, Jenny L (DOC); Skipworth, Kristine M. (DOC)Subject: FW: Public Disdosure Request PDU-1376, Alison Chinn Holcomb (ACLU)Importance: HighIMPORTANT: Please make sure that all CCOs obtain this email as there is a very shortturnaround on this Public Disclosure Request.5 ' • ,. 5> n 0 r '7 P. ?

From:Meusborn-Marsh, Stefani L. (DOC).Sent:Monday, January 07, 2008 9:51 AMTo: Story, Robert J. (DOC); Albert, Frank S. 'Scott' (DOC); Amell, Gelinda L.(DOC); Cain, Wayne P. (DOC); Francisco, Bonnie L. (DOC); Frice, Jeffery S.(DOC); Gunsolley, Jeff M. (DOC); Hall, Edward J. (DOC); Harris, Janet S.'Jan' (DOC); Kopf, John A. (DOC); O'Brien, Mary F. 'Diane' (DOC); Rentner,KevinS. (DOC)Subject:FW: Marinol Prescriptions?—Original Message—From:Muccilli, Bonnie R. (DOC)Sent:Friday, January 04, 2008 11:14 AMTo:Vernell, Eleanor D. (DOC); Conner, Debra A. (DOC); Johnson, Steven M (DOC); Kopp, Jack L. (DOC);Lindell, Katrina R. (DOC); Littrell, Marjorie R (DOC); Mendoza, Armando (DOC); Meusborn-Marsh,Stefani L (DOC); Miller, Merlin K. 'Lin'(DOC)Subject:FW: Marinol Prescriptions?Sooo, we would take to a hearing, have the offender bring his prescription and letthe hearing officer decide??—Original Message—From: ' Conner, Debra A. (DOC)Sent:Friday, January 04, 2008 11:02 AMTo:Littrell, Marjorie R (DOC); Curran, Michael L(DOC)Cc:Subject:Johnson, Steven M(DOC); Kopp, Jack L (DOC); Undell, Katrina R. (DOC); Mendoza, Armando(DOC); Meusborn-Marsh, Stefani L (DOC); Miller, Merlin K. 'Un' (DOC); Muccilli, Bonnie R. (DOC);Vernell, Eleanor D. (DOC)RE: Marinol Prescriptions?We contacted Sterling and they informed us that they cannot distinguish between marinol andmarjiuana. FYIFrom:Sent:To:Cc:Subject:Littrell, Marjorie R (DOC)Thursday, January 03, 2008 8:55 AMConner, Debra A. (DOC); Curran, Michael L(DOC)Johnson, Steven" M(DOC); Kopp, Jack L. (DOC); Undell, Katrina R. (DOC); Mendoza, Armando(DOC); Meusborn-Marsh, Stefani L (DOC); Miller, Merlin K. 'Un' (DOC); Muccilli, Bonnie R.(DOC); Vernell, Eleanor D. (DOC)RE: Marinol Prescriptions?Ifthis is a valid prescription then the offender can use it. it needs to be listed on the UA formfor the lab to rule out when testing the sample.—Original Message— -From: Conner, Debra A. (DOC)Sent: Thursday, January 03, 2008 8:44 AMTo: Curran, Michael L (DOC)Cc: Johnson, Steven M(DOC); Kopp, Jack L (DOC); Lindell, Katrina R. (DOC); Littrell, Marjorie R(DOC);Mendoza, Armando (DOC); Meusborn-Marsh, Stefani L. (DOC); Miller, Merlin K. tin' (DOC);Muccilli, Bonnie R. (DOC); Vernell, Eleanor D. (DOC)Subject: RE: Marinol Prescriptions?My understanding is that we require offenders to maintain a clean UA. However, I doknow that with a legitimate RX, the screening company will notify ifthe positive resultsare from the RX and then we do not consider that positive UA a violation. I do not knowhow we can require an offender not to take a prescription given by a licensed physician.Let me send this out for opinion.FA's- What do you think?'•» v '., U I C O

From:Curran, Michael L (DOC)Sent:Thursday, January 03, 2008 8:35 AMTo: Conner, Debra A. (DOC)Cc: DOC DLEAST1 147 CCO; DOC DL EAST1 102 CCO; DOC DL EAST1 181 CCOSubject:FW: Marinol Prescriptions?Debi,While we have been advised that ingestion of THC via smoking is a violation ofconditions, what is the AG's thoughts about a legitimate prescription that isused for marinol which I believe comes in capsule form.MikeFrom:Taylor, Carl G. (DOC)Sent:Wednesday, January 02, 2008 4:59 PMTo: Cole, Aaron J. (DOC); Hurst, Travis J. (DOC); Curran, Michael L(DOC); Mooney, Todd R. (DOC);Schoniger, JulieA. (DOC); Lindquist, Usa F. (DOC)Subject:RE: Marinol Prescriptions?I agree with Aaron. A legitimate physician writing a prescription, not providing acertificate, is something Idon't want to assume liability on. My understanding is that ifit is "prescribed" by a legitimate Doctor, let it be.If Marinol is a legitimate drug that a Washington State physician can prescribe, I'dleave it alone until the AG says otherwise.—Original Message—From:Cole, Aaron J. (DOC)Sent:Wednesday, January 02, 2008 4:51 PMTo:Hurst,Travis J. (DOC); Curran, Michael L(DOC); Mooney, Todd R. (DOC);Taylor, Carl G. (DOC); Schoniger, Julie A. (DOC); Undquist; Lisa F. (DOC)Subject: RE: Marinol Prescriptions?If prescribed by a "real" doctor... The offender will be able to provide you a validprescription. If there is no valid prescription, the offender is full of it!It has much different effects than smoking THC, but it will test positive for THC ona u/a. It won't be a very high level, but it will be present.As to the legality, Ithink that it is legal if it is, again a real prescription from a realdoctorand a real pharmacy. Iam not an attorney, but if itis a legal prescription Ican assume it is legal. We may want to get clarity from an AAG.AC•From:Hurst, Travis J. (DOC)Sent:Wednesday, January 02, 2008 4:44 PMTo:Curran, Michael L(DOC); Mooney, Todd R. (DOC); Cole, Aaron J. (DOC);Taylor, Carl G. (DOC); Schoniger, Julie A. (DOC); Undquist, Usa F. (DOC)Subject:Marinol Prescriptions?Can anyone tell me if it is legal, or if our offenders can take marinol if it is--".0Q0784

.'"·iprescribed by'a medical doctor?• • ',:> ~ ~:" ","'