DOC request two complete - Cannabis Defense Coalition

STATE OF WASHINGTONDEPARTIVIENT OF CORRECTIONSp,o, Box 41100 • Olympia, Washington 98504-1100December 7, 2009Mr. Ben LivingstonCannabis Defense CoalitionPO Box 45622Seattle, WA 98145Dear Mr. Livingston:Thank you for your payment of $1.67 to cover costs associated with disclosure ofInstallment #2 ofPDU-6655 on CD.I have made redactions as appropriate per statute and noted them on the encloseddenial/appeal form. Ifyou wish, you may appeal my denial decisions in part or whole bycompleting and mailing the appeal form to the Agency Appeals Office at PO Box 41103,Olympia, WA 98504-1103.The enclosed records are provided in accordance with the Public Records Act; however,by making agency documents available to you, the Department is not responsible for youruse ofthe information or for any claims or liabilities that may result from your use orfurther dissemination.I will now begin preparing records for Installment #3, which I estimate will require up to20 business days to complete. Therefore, I will contact you with additional informationon or before January 6, 2010. Should you need to contact me in the interim, I can bereached at 360-725-8608 or via email to clhood@doc1.wa.gov.Sincerely,Cynthia Hood, Public Disclosure SpecialistPublic Disclosure UnitDepartment of Correctionsclh:PDU-6655EnclosuresHWorking Together for SAFE Communities"ft"4t recycled paper

STATE OF WASHINGTONDEPARTMENT OFCORRECTIONSAGENCY DENIAL FORM / EXEMPTION LOGDate: lO/23/09 Tracking Number: PDU-6655, lnst. #2Requestor Nameand Address:Mr. Ben LivingstonPO Box 45622Seattle, WA 98145Denial ofDisclosure Decided by (Name/Title):Cynthia Hood, Public Disclosure SpecialistYOUR REQUEST FOR DISCLOSURE OF THE RECORDS IDENTIFIED BELOW HAS BEEN DENIED TOTHE EXTENT AND FOR THE REASON(S) SET FORTH BELOW.See Exemptions Section for the explanation ofthe exemption(s) relied upon (numbers in the exemptioncolumns below correspond to the numbers in the Exemptions Section).1,3-7,15-18,20-21,31-33,35-58, 80-81,90-92, 94-95,97,99-112,124-27, 129­31,139-43,145, 147', 164,166-72,176­79, 182-87,190-95, 197­209,211-25,238,241-42,245-51,254,256-60,262­72, 285, 292,298,301-02,317-20, 322,325,327,328­38,340-43,345,346-53,355-56,359,361-62,364­71,373,377­78,389,394­95,397-400,403-04, 406­08,410-15,420-53,459,462-63,478­81,483,487­15-MedicallMentalHealth, andChemicalDependency89,493,495-509,511-1258,60,61,63,64,65,84,114, 128, 139,146, 148,150,151,286,287,288,289,290,291,292,293,294,295,296,4842-Attorney/ClientPrivilegeRCW5.60.060(2)(a)

DUPLICATE \ NON-RESPONSIVE RECORDSThe following records, though not denied, are excluded from the responsive records for the reason set forthbelow (these records are available upon request and appropriate payment):DUPLICATE RECORDSThe following pages ofthe responsive records are duplicate records:Pg(s)87-88; duplicates of9-1089; duplicate of 81475-477; duplicates of23-25NON-RESPONSIVE RECORDSThe following pages were page numbered then discovered to be non-responsive to your request:Pg(s) 26,29, 72-79Blank Pg(s) 98,4022

T:aCF Medical Clinics181.3130 th AveN.E.:#210Bellevue, ,VA 98005. Phone: 425-869-6186 or 1-800-723-0188Fax: 425-869-6378WVI'1'\'. the-fouD datJon.org or wWw.hemp.orgDo~umentation of MedicaIAuthorization to PosseSs Marijuana for Medical. Purpos·es in Washington State .The tex1: ofthis fOIm w~s reco~erided'by the. WaShington State.Medica1 Asso~atioD.:.Patient Nam-----,--DateI, Thomas Orvaid~ am a physician Iice~sed in the S~e ofWasbington_ Tam treatingthe above. mi.med patient for a tenTIinal illness or a debilitating condition as defined inRCYV 69.51A.OIO. I have advised. the above named;patient about thepotentiaI risks .. and benefits of the .medical use of marijuana. I have ·assessed the'above namedpatient's medical history an,d medical condition. It is my medical opinion that the .potential benefits of the medical use ofrnarijuana would likely outweigh the heatthrisks for this. patient. .Signature o[Physician:.. ~~"H. c&:s. vd!£,O:-1'--oT~. Orvald, M.D. WA#MD·OOO1'6180 ..'d .f.!!'J"'.T o d ay s ate: ~L: .n. l Explratl0~ ate: __:...-..;...__,--___---,_. B ~,.(\. 2'D"D9-~ .'-'; .' d . ·FEB ·1'·'0· 2010Risks :a~d benefits of medical marijuana:. Urider Washington state law, the use of medical marijuana is now permissible for some.. patients' with terminal or debiiitating illnesses. The laws reguia1j.ng this (Rew 69511\.)allows physician's to' advise p!itients about the.risks and benefits ofth,e medi¥I use of.manJuana.. .The medicaJ and scientific evidence· supportirig ·the use of medical marijuana remainscontroversial in the medical community. Not all health careproviders believe that .m.edical marijuana is safe or effective and some providers feel that it is a dangerous drug. '.According to the W?-shington state law the benefitsof~edic~t marijuana may includetrea.ttng nausea and vomltmg from cnemotnerapy; AIDS wasting syn-orome;-severe,--. --­muscle spasms from multiple sclerosis· or other spasticitY disorders; glaucoma; and sometypes oEntractable pain. .Some·· of th~ risks of.medical marijuan~ may include possible long-term effects ~f.thebra.in.in the areas of memory, coordination and cog:qition; impairment of the ability todriVE: or operate heavy machinery; respiratory damage; .pOssible lung caricer; physical orpsycholog.ical dependence.'non ,,' Ij ." r) ( J 1· . -'.

o••••(3) "Qualifying patient" means a person who:(a) Is a patient of a physician licensed under chapte·r 18.71 or 18.57 RCW;(b) Has been diagnosed by that physician as having a terminal or debilitating medical condition;(c) Is a resident of the state of Washington at the time of such diagnosis;(d) Has been advised by that physician a,bout the risks and benefits of the medical use of marijuana; and.(e) Has been advised by that physician that they may benefit from th~ me:dical \lse of marijuana.(4) "Terminal or debilitating medical condition" means:(a) Can~er, human imm\.lnodeficiency virus (HIV)! mUltiple sclerosis, epilepsy or other seizure disorder, orspasticity disorders; ~r· .(b) Intractable pain, limited for the purpose ofthis chapterto mean pain unrelieved by standard medicaltreatments and medications; or .(c) Glaucoma, either acute or chronic,.limited for the purpose of this chapter to mean increased. intraocular pressure unrelieved by standard treatments and medications; or(d),Crohn's disease with debilitat.ing symptoms unrelieve~ by standard treatments or medication~; or(e) Hepatitis C with debilitating nausea or intractable pain unrelieved by standard· treatments ormedications; or .(f) Dis~ases, including anorexia, which result in nausea, vomiting, wasting, appetite loss, cramping,seizures, muscle spasms, or spasticity, when these symptoms are unrelieved by standard treatments ormedications; or .. (g) Any other medical condition duly approved by the Washington state medical quality assurancecommission in consultation with the board of osteopathic medicine and su·rgery as directed in this chapter./I000002.

OFFENDER 1.0. DATA:·STATE OF WASHINGTONDEPARTMENT OF CORRECT.IONSMedidnal Use of Marijuana Verification.To be filledPatient's NDear Prescriber, .' . ,By state statute the Washington State. Department of Corr~ctions is charged with the responsibility to supervise some.offenders after they ha\fe 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 contdbutingfactor 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 iIIicitdrugs,including marijuana. This offender has claimed that they have a condition for which the medicinal use of marijuana hasbeen recommen·ded. The below verification is to determine the legitimacy oftheir claim. Thank you in advance foryo'ur.assistance ... If you have questions, please contactthe C()mmunity Corrections Assistant Secr E3tary at (360) 725-8787 ...1.Is this patient under your care?DYes·DNo2.Are'you rec;ommending medical marijuana for this patient due to a diagnosis of AcquiredImmunodeficiency Sypdrome (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 haye weight loss?DYesDYesDYesDNoDNoDNo3.Are you recommending medical marijuana for thi~ patieht due to nausea and vomitingassociated with cancer chemotherapy?'DYesDNoa. If the answer to question 3 is "yes .... has the patient failed to respond to conventional 0 Yes' 0 Noantiemetic treatments? .b. If the answer to.questiOli 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 publicalion to support the medicihal use ofmarijuana for this purpose. ' .. 5. The patient's accompanying Release of Information authorizes you to provide theDepartment with current and future iriformation related to this issue. Do you agree to notifythe Department's Medical Director of any changes in your answers above?DYesDNo1DOC 14-0'53 (Rev. 3/16/09) . DOC 380.200000003

,.STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Box 41100 • Olympia~ Washington 98504-1100January 26,2009Your Medicinal Use of Marijuana request was received on January 8, 2009. Upon review by theDepartment or Corrections' Health Service~ physician, your request has been denied. .. !You may appeal this' decision by sending your written request within 15 business days of this letter,which is on or before February 16, 2009. Please send your request to .the address below: .Karen Daniels, Assistant SecretaryCommunity Corrections DivisionDepartment of CorrectionsP.O. Box 411~6Olympia, WA 98504-1126Your request must provide additional information that was.not included with your original request.Appeals that do not contain new information will be denied. You will receive a response to your .appeal request within 30 days of receipt:.~ Si c ely, ... ..... '/. \·.-t,~O; are Danie s, Assistant SecretaryCommunity 'Corrections DivisionKD:mdcc: JohnKopf; Comm~nity Con'ections SupervisorDon Swanson, Community Corrections OfficerField File' .Physician's Office:. Dr, Rod Krehbiel, MDLCDC in Hood River849 Pacific Ave.Hood River, OR 97031~~~~~~~\D}FEB 0 2 20D9 :DEPARTMENiOF'CORRECT10NS.SKAMANIA COUNTYOFFICEtI Working Together forSA,FE Communities"0000043. .."-I recycled p:lJlcr .It'\l\ 1.\ }-"l" .::J.' ·7." ,. Dq

OMNI: Chranas Quick Search Page 1 of 1Field Offender,:===========~ __ -,-_--,-____ _'·-~~~~:~"··;;~·1~-""'-·--;;;;;_985 Age: 23· . Body·Status: Active Field !RLC: MOD Wrap~Ar~und:. No Comm. Concern: No.. . Location: Vancouver West CCOi SED:i County 50 Lvi: ' E5R SO Lvi: . CC/CCO: Shaw, James A. L .. ~.~~ .. ~~!.~ .. 0Details...._1.. 0 ..._............................._......_..........._ ......................__...__._.-....,,-_.-c.._.........._......_-.--.....-.....__...-.........- ........._.....;....__..___._.___Date & Time Created: 02/09/200904:43 PMOffender Location At Occurence: N/ ADate & T . .Occurence: 02/09/2009DOCAuthor Name:Events: Office Offe'nder ( OP )Text.... ~ ................ ~ ......... _._ ............................ .P In office as directed. Dls~Lissed and signed colorl line and asp. Pshowed me his medica! marijuana card - ?I'ave P the forms· that he needsto fill out with his doctor In order for It to be recognized. by theDepartment. No Issues or concerns other than that. Explained reportingexpectations and gave card with next report date of 03/05/09., .0000064/14/2009

.0"-.Ii.I.1''',ed: ">-1"'" J I ,u.._ '4' II I Expires: 10-18-09 . t.t.~·.fif':IIV'\.,·~lJ) Il "---___ -=====,==-__ J .000007" .

... _-----------------II'IRecemmenci;;ltjon:. A.~.!i'Ti~·· I nt's "sixty day sypply" underRCW 69,,;;1',p.~, I r~li

From:Meusborn-Marsh, Stefani L. (DOC)Sent: Monday, January 07, 2008 9:51 AM '. ,To: Story, Robert J. (DOC); Albert, Frank S. 'Scott' (DOC); Amell, Gelinda L.(DOC); Cain, Wayne P. (DOC).; Francisco, B.onnie L. (DOC); Frice, JefferY S.(DOG); Gunsolley, Jeff M. (DOC); Hall, Edward J. (DOC); Harris, Janet S.'Jan' (DOC); Kopf, John A. (DOC); O'Brien, Mary F. 'Diane' (DOC); Rentner, 'Kevin S. (DOC) . . '.' ,Subject:. . FW: Marinol Prescriptions? .-----Original Message----- .From:Muccilli, Bonnie R. (DOC)Sent:Friday, January 04,200811:14 AMTo: "Vernell, Eleanor D. (DOC); Conner, Debra A. (DOC); Johnson, Steven M (DOC); Kopp, Jack L. (DOC);Lindell, Katrina R. (099; Littrell, MarjorieR (DOC); Mendoza, Armando (DOC); Meusborn-Marsh"Stefani L. (DOC); Miller, Merlin K. 'Lin' (DOC)Subject: F~; Marinol' Prescriptions? '','SOOO, we would take 'to a hearing, have the offender bring his prescription and letthe hearing officer decide??'-':---Original Message-----Froin:Conner, Debra A. (DOC)Sent: 'Friday, January 04,200811:02 AMTo:Littrell, Marjorie R (DOC); Curran, MiChael L (DOC)Cc: 'subject: 'Johnson, Steven M (DOC); Kopp, Jack L. (DOC); Lindell, katrina R. (DOC); Mendoza, Armando(DOC); Meusborn-Marsh, Stefani L. (DOC); Miller, Merlin K. 'Lin' (~OC); Muccilli, Bonnie R. (DOC); .Vernell, Eleanor D. (~OC) , .RE: Marinol Prescriptions? 'We contacted Sterling and they informed us that they cannot distinguish between marinol and'marjiuana. FYI "From: Littrell, Marjorie R (DOC)Sent: Thursday, January 03, 2008 8:55 AMTo:Conner, Debra A. (~OC); Cum;m, Michael L(OOC) ,Cc:Johnson, StevenM (DOC); Kopp, Jack L. (DOC); Lindell, Katrina R. (DOC); Mendoza, Armando, (DOC); Meusborn-Marsh, Stefani L.(OOC); Miller, Merlin K. 'Lin' (DOC); Muccilli, Bonnie R.(DOC); Vernell, Eleanor D. (DOC) . ,Subject: RE: Marinol Prescriptions? 'If this 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 (~OC); ,Mendoza, Armando (~OC); Meusborn-Marsh, Stefani L. (DOC); .Miller, Merlin K. 'Lin' (DOC);Muccilli, Bonnie R. (DOC); Vemell, Eleanor O. (~OC)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 scr.eening company will notify if the 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?000009

From:IiElnt:Curran, Michael L (~OC}Thursday, January 03, 20088:35 AMTo: Conner, Debra A. (~OC) . .Cc: POC DL EASTl147 CCO; DOC OL EAST1102 CCO;>DOC OL EASTl181 ceoSubject;: PW: Marinol Prescriptions? .Debi,While we have been advis.ed that ingestion of THe via. smoking is a violation of.. conditions, what is the AG's thoughts about a legitimate prescription thcit isused for marillol which I believe comes in capsule for,:". .Mike" iFrom:Taylor, Carl G. (l:).oC)Sent:Wednesday, January 02, 2008 4:59 PMTo: Cole, Aaron J. (DOC); Hurst, Travis J. (~OC); Curran, Michael L (DOC); Mooney, Todd R. (DOC); ..Schoniger, Julie A. (DOC); LindqUist, Lisa F. (DOC)Subject:RE: Marinol Prescri~tfons?I agree with Aaron. A legitimate physician writing a prescription, not providing acertificate, is something I don't wantto assume liability on. My understanding is that ifit is "prescribed" by a legitimiil~e 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 ·otherwjse. .----:Originiill Message-:-~-From:Cole, Aaron J. (~OC)Sent:Wec!nesday, JanuarY 02, 2008 4:51 PMTo:Hurst, Travis J. (OOC);Curran,Michael L (DOC); Mooney, Todd R. (~OC);Taylor, Carl G. (DOC); Schoniger, Julie A. (DOC); Lilldquist, Lisa F. (~OC)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 bea very high level, but it will be present, .As to the legality, I think that it is legal if it is, again a real prescription from a realdoctor and a real pharmacy. I am·not an attorney, but if it is a legal prescription Ican assume it is legal. We may want to get clarity from an AAG. .'.' .ACFrom:Sent:To:. Subject:HUrst, Travis J. (DOC). .Wednesday, January 02, 2008 4:44 PMCurran, Michael ~ (DOC); Mooney, Todd R. (DOC); Cole, Aaron J. (~OC);Taylor, Carl G. (DOC); Schoniger, Julie A. (DOC);. Lindquist, Lisa F. (~OC)Marinol Prescriptions? .Can anyone tell me if it is legal .. or if our offenders ~an take marinol if it is00001.0

prescribed by a medical doctor?TravisColville000011

STATE OF WASHINGTON'DEPARTMENT OJ: CORRECTIONSOFFICE.'OF THE S'ECRETARYP. O. Box 41101 • olympk:i;'woshfnglon98504-1101 • Tel (360) 725-8200FAX (360) 664-4056ADMINISTRATIVE BULLETIN AB-08-033DATE:TO:,FROM:RE: ', November 12, 2008Executive Staff ,Eldon VailSec,retaryDOC 380.200 Community Supervision of OffendersChanges to this policy are effective immediately to clarify the appeal process regardingMedicinal Use of Marijuana. " ,Change IV.D.: The offender may appeal a denial t6 the Assistant Secretary forCommunity Corrections who will approve or deny the appeal in conjunction with theAssistant Secretary for Health Servicres. Theappeal will be submitted in writingto theAssistant Secretarvfor Cbmmunity Corrections \fi/ithih 15 days writteh notice of thedenial. The AssistantSecretaty WiIlPrbvide'a response tothe offender within 30 days'of receipt: The offender can, orilyapbeal a denial' if they include additional information,nofbreviously' utilized for the oridinardenial.' 'Direct any questions regarding this administrative bulletin to Marc stem, AssistantSecretary for Health Services~ ,EV:mscc:Autumn Witten, Policy Program Manager"Working Together for SAFE Communities"000012

From:sent:To:Subject:Meiusborn-Marsh,Stefani L. (DOC), Friday, November 17,20061:58 PM ,Gerstenberger, Peter (DOC); Baddgor, Amy N. (DOC)RE: Medical MariJuana,' ,Lori Ram'sdell was at the SElme meeting where this was discussed. She feels that if the courts'ays nO marijuana, then they will uphOld that regardless of whether the offender has a'card/prescription. There is also an'issue ofhow much-I believe the law says 2 months worth,which could be interpreted many ways. lfin doubt~ take it to a hearing and see what they say. Ifit is OAA, we need to follow the OAA hearing process. But if they have a court-ordered conditionthat I]eeds clCirification, then that Clarification goes to the court. If the PA's office,is non~responsive, site the offender into court., -----Original Message-----From: Gerstenberger, Peter (DOC)Sent: Friday, November 17, 2006 1:46 PM -,To:Meusborn~Marsh, Stefani L. (~OC)Subject: FW: Medical Marijuana-----Original Message-----From: Baddgor, Amy N. (~OC)Sent: Friday, November 17, 2006 9:12 AMTo:DOC OL SW 380 ALL STAFFSubject: FW: Medical MarijuanaStef, I have a similar case but provided me with a .confusing document that did not appear tobe a valid prescription from up north. I submitted a special report asking the patosite himinto court for a ruling: There was no response. I told the offender that I would hCjve to denyhis use of marijuana wi~hout court authorization., He could obtain an attorney and let theattorn~y pursue court authorization/memo of disposition and I would follow th~ court order, 'otherwise, I would not allow further use of marijuana~ If he continues to use, I would violatehim. His isan oaa case. , Have you heard'what the hearings unit's position is on this?Should I send the violation to the court ,instead for resolution? thanks---~-Original Message----- "From: Meusborn-Marsh, Stefani L. (~OC)Sent: Friday, November 17, 2006 9:03'AM ,To: 'Baddgor, Amy N. (DOC); Wilcox, Scott H. (DOC); Albert, Frank S. 'Scott' (DOC); A,mell, Gelinda L.(DOC); Cain, Wayne P. (DOC); Degroat, John J. (DOC); Frice; Jeffery S. (DOC); Hall, Edward J.(DOC); Harris, Janet S; 'Jan' (DOC); Kopf, John A. (DOC); O'Brien, Mary F. 'Diane' (DOC); Story,Robert J. (DOC); Swanson, David W (DOC)Subject: RE: Medical Marijuana, "Amy-:- We had a discussion about this yesterday at the Community Corrections DivisionMeeting. If we have an offender with a medical marijuana card/prescription- it has to be aWashington prescription/card- it cannot be one issued in Oregon. It is the offendersre~ponsibility to provide the correct documentation. There is only one doctor that is ,prescribing in this state and it sounds like it is quite a process. Also, the court can overridethat and prohibit the consumption if they chose, so we can site it before the court for thediscussion if we want. " ,-----Original Message-----From: Baddgor, Amy N. (DOC)Sent: Thursday, November 16, 2006 8:19 AMTo: ,Meusborn-Marsh, Stefani L. (DOC)"Subject: Medical MarijuanaStefani-'00,0013

I've asked a couple supervisors and have gotten different answers and no one can seemto provide me with anything in writing. What is DOC's stand on Medical Marijuana? I •found a lllemO from the AG's office to Marianne McNabb d~ted 2000 stating that we, accept the medical marijuana card as a valid prescription. However, it further states thatwe can requ9stthe court, stip~la~ethat th,e '()ffenderis NOT ~!Iowe'd to use/possess it 'even with a prescriptiqn ,and it is not a violation of their civil rights to do so. Do you haveanything more recent, in writing, which states whether or not we allow them to use for,medical purposes if they have the proper documentation?Thank you!'-Amy BaddgorCommunity Corrections Officer 3WA State Dept. of CorrectionsEast Vancouver Unit 3808008 NE Fourth Plain Blvd. #360Vancouver, WA 98662360-260-6360000014

Vansot, Sarah (DOC)From:Sent:To:Subject:Pears0n, Kimberly S, (DOC)Thursday, April 23., 2009 10:52 AM, ~~:iiIiiiiiiiiIII(fOrpDU-6655 Ben Livingston).;.:: .. ,,' .... - .. , .,~,,:,,;~: ... ,~." ,"" ... " ..From: .seni::Pearson, Kimberly S. (DOC)Monday, June 23,20089:03 AM. To: Harper,Donta S. (DOC); Johnson, Todd D.(DOC)~~~ject: ~.~;_.I forwarded the deni~1 with a statement recalling the denial as new information surfaced and we wishe,d tocontinue investigating the plan. I made the reporting instr~ctions valid again. Thank you. ..From: .Sent:T9:Cc:Subject:'MI'"Kimberly and Todd,. Harper, Donta S. (DOC) . .Friday, June 20, 20084:39 PMJohnson, Todd D. (DOC); Pearson, Kimberly S. (QOC)~ .. ,: ..' W-Up to.our discussion. A decisio~ has bee~ made to rescind the denial for offende~. Arizona interstate compact case to allowher to 'request a medic~:lim!3rijuana exem~epartmemt's medical marijuana request process. Todd's staff will work with Ms .• on what she needs to do,tomake the request. . . . ;,.. .We will ask Arizona for an extension of the interstate investigation.in Washington for an extended period. During thistime the Department will coritinue to supervise as Todd and his staff will meet with Ms.;~nd establish theappropriate supervision expectations to include her signing conditions of supervision. .... . '.).. . .Karen and I appreciate the effort you and staff have put into this case. Because this case has someextefluatingCircumstances, the May 2008 memo regarding DOC's medical marijuana process and the overlapping InterstateCompact policy DOC 380.605 expectations makesit a little difficult to understand how the two interact. You have alldOnE~an admirable job working this together. Please share our appreciation with your staff.1 000015

.. ')\Vansot, Sarah (DOC)From:Sent:To:Subject:Pearson, Kimberly S. (DQC)Thursday, April 23, 2009 10:52 AMVansot, Sar~ . .. ' ..FW: Merry,-.-.r (RTR-Denial) Recall (For PDU-66~5 Ben Livingston):: ~ ,- ,', .. ~From:Sent:To:·~~~ject:Pearson, Kimberly S. (DOC)Friday, Julie 20, 2008 1:31 PMArizona. Probation (az-isc~prob@courts.az.gov)~;~"""'(RTR~Denial) Recall. "."~;.,:.:,,.: ~'r:: :'. ~\»:. ,>' ..

REPLY TO,·TRA.NSFER REQUESTTo: ArizonaFrom: \VashingtonDate:5-22-08 .o Parole[gJ Probationo Other:Type of supervisiori:Is this case:o Victim sensiti~eIs this offender requi:r:ed fo·as a sex offender in:S ending StateStateResident of the r~ceiving state* within the meaning of the Compact. D R~sident Family** AND Einployment or Means of Supporto Military ml::ir+ber ,Lives with Family who are Military members. Employment Transfer of a Family member to another state, Plan. Em~}oyer: UNEMPLOYED* Resident of receiving state - a person who (I) has continuously inhabited a state for at least one year prior to the commission of the offense for which the offender isunder supervision, (2) with the intent that such state shall be the person's plincipal place of residence and (3) who has not, unless incarcerated, relocated to another stateor states for a continuous period of six months or more with the intent to establish a new principal place of residence.** Resident family - a parent, grandparent, aunt, uncle, adult child? adult sibling, spouse, legal guardian, or step-parent who-I) has resided in the receiving state tor 180days o~ longer; and 2) indicates willingness and ability to assist the offender as specitied in the plan of supervision.00,0017

Approved[g] Denied-'-'-'''"''''-''H for denial: The address of,\-VA._Is being '. " ,. " ns. On 5-M21~08 ' a home visit \vasdone at the aboveresidence. Ms. i,;vas lhing with iiJdiViduals fromth~Marijuanl:1~' . ,ro\vers Asso~iatioD. of ':Vashington. .Icil~ide the hom~ were 6-8 plants. AJso in the home wasthe equipment needed for a grow operation, such as, growliglits; zippered room, soil., speciaJ ventilation,. timers andchemicals needed to start and,maintain amarijuana growoperation. , Seattle Police Department arrived' imd foundan6tb,ergreen house outside with multiple marijuana plantsiIlside the house. Pictures and a report were taken by Sl'D',' 'be submitted to Detectives to bdnvestigated. Ms. ', arrested and booked into King c::ounty Jail onM~: .•• j.was' aware of tills grow operation in h~r.'r~siClen2~. She stated that she had a physicians prescription'for medical marijuana. Per information receiv~dfrom .Interstate, there is a Physicians Statementfrorri Medicann.Per 'this' statement, marijuana is appropriate for her seriousmedical condition. This document has no validity in thestate Qf Washington.According to the Transfer Request, Ms .• was to beemployed with Woodlands Assisted Living. She is notemployed with this assisted living facility. 'Ms .• as no family tie~ in Washini'ton. She statedthat snewanted to live in Washington because of the ,Marijuana laws. 'This case is not appropriate for supervision in,the state ofWashington. She is currently in violation of her ArizonaProbation Conditions by consuming and being inpossession of Marijuana. It appears appropriate for Arizonato take back their case.' She will be homeless once shereleases from . ail. 'Date: 'o Subject has re:l?oried pursuant to authorized Reporting Instructionso Reporting instructions:Date to.report:,'arrival ;Report to address: ty: Zip:Report to: Officer of the Day Phone#:* Resident of receiving state - a person who (I) has.continuously inhabited a state for atleast one year Pl~Ol: to the c01l11l1ission,of the offense for which the offender isunder supervision, (2) with the intent that such state shall be the person's principal plac~ of residence and (3) who has not, unless incarcerated, relocated t9another stateor s'tates for a continuous perio'd of'six months, or more with the intent to establish a new, principal place of residence, . '** Resident family - a parent, grandparent, aunt, uncle, adult child, adult sibling, spOllse, legal guardian, or step-parent who-I) has resided'in the receiving state for .180days or longer; and 2) indicates willingness and ability to assist the offender as specitied in the plan of supervision,000018

· * Resident of receiving state - a person who (l) has continuously inhabited a state for at least one year prior to the commission of the offense for which the offender is .under supervislon, (2) with the intent that such state shall be ~he person's plincipal place of residence and (3) who. has not, unless incarcerated, r'elocated to another stateor states for a continuous period of six months or more with the intent to establish a new principal place of residence. . .** Resident family - a parent, grandparent, aunt, uncle, adult child, adult sibling, spouse, legal guardian, or step-parent who-I) has resided in the receiving state for 180days or longer; and 2) indicates willingness and ability to assist the offender as specitied in the plan of supeniision.'000019.

Vansot; Sarah (DOC)From: . Pearson, Kimberly S. (DOC)Sent:Thursday,Aprii 23, 2009 10:55 AMTo: Vans6t;. , .:.'~'" . .)Subject: FW:(For PDU-6655 Ben Livingston)~;.From: Owens, 'Marjorie (DOC)Sent: Th'ursda'y, fe,bruary i2, 2009 12:42 PM·To:.'Ege, Dori' . . .Cc:S"Clrragan, Griselda; Hunsinger, Susan; Pearson, Kimberly S. (DOC); Anderson, Jessica L. (DOC); Gage, TracyL.(DOC) '..' . .sy IJ1¢ct:This case has been very ~onfusing. We'll do a Reply to Transfer the paper way and you can put the case in yourICOTS subsequent Jegacyload; . ...•. . . ."Kimberly, pleCl,$8 contact the supervising officer and get the approved Reply to Transfer to Arizona as quickly aspossible .. Work with Tracy if you need assistance. . '.--- ..- .. -----.:.- ...--.---~------.------.-...-~.--.-..--.__.._..__.._-.. _._..._-.-..---:--.......-. -.:...-- ..--..--...---.---.--.~--.:.--From: Ege, pori [mailto:DEge@courts.az.gov]Sent: Thursday, February 12, 200910:59 AMTo: Owens, Marjorie (DOC) '.Cc: Barragan, Griselda; Hunsinger, Susal1; Pearson, Kimberly S. (DOC); Anderson, Jessica L (DOC); .Gage,fuqL. - .Subject: REThat's not what we 'were told to do - we have been waiting for an acceptancethis entire time and WA said the offender could remain there on the reportinginstructions. 'She has' been reporting this entire time. Now what? .Dori'Ege I Arizona Compact Commissioner/DCA r (602) 452-3324. From: Owens,Marjorie (DOC) [mailto:mowens@DOC1'.WA:GOV]·Sent: februa ry' 12, 2009 11 :58 AMTo: Ege, Dori . .Cc: Barragan" Griselda; Hunsinger, Susan; Pears'on, Kimberly S: (DOC); Anderson, Jessica L. (DOC); Gage,Tracy L.Subject: RE:. Dori. We denied the tra~sfer based on marijuana being grown in the home. Then the offender asked forapproval to use medical marijuana, so we pulled the denial back until a decision was made. The decisionwas mad'e to deny the use of medical marijuana, so I thought we resubmitted the denial to you. Theoffe.I:1der again appealed the use of medical marijuana and the decision was made to allow it. So I sent an'email to Arizona stating we wquld grant Reporting Instructions if they were submitted. I gave my staff .instructions that the transfer requesfgouldnot be denied based on the marijuana. issue,. and that if it wasdenied I n.eeded to get involved. It was my understanding we wouId probably' approve the transfer.My thought was that Arizona would sLlbmit the Request for Reporting Instructions and an updated Transfer5/412009 .000020·

Request throu'gh ICOTS, since we pulled back our p!-l" back of the denial. ,U,G'H!From: Ege, Dori [mailto:DEge@courts.az.gov]sent: Thursday, Fet)'ruary 12,2009 9:17 AM'To: Owens, M~Hjod~ ebOC); Pearson, Kimberly S.' (DOC),c;:c: ~~rra~.Singer, Susari 'SubJec~:_ ' _.:. ,',. .. '. ". "~", "':.-'; ..... -.,..:;\;~.,:.':'?.~:. , ..) .: ' .. .; -:'. . '. .We received word from WA last June that WA recalled their denial andt:hatwe would'receiv:e a revised reply.' We never did receive the 'acceptance and'need it now for6uf legacy case to ensure this case getsin our final upload to lCOrS. Please send ASAP. Thanks. ,"6/23/08 email to Yuma County: WAhas recalled their denial. Offendercan remain inWA under rep6rtin,ginstructions., A revised reply will beforthcoming. DE" ' "Dori Ege I Arizona ~ompact Commissioner/DCA I (602) 452-3324'5/4/2009000021

Eckstrom. Steven J. (DOC) ,From:Sent:TO:Cc:Subject:Attachments:Daniels. Karen R. (DOC)Thursday. March 19. ~009 11 :01 AMDOC DL ALL CCD STAFF ,'Vail. Eldon W. (DOC);Strange,-Cheryl E. (DOC); Bloriien. John 'Scott'; Hammond. G.Ste.ven (DOC) " ' .CCD Medical Marijuana Process Changes MemoMedical Marijuana Process Change 031309.p'df; 14-053 Medicinal Marijuana Form031609.docGood morning! P1ease see the attached memo which identifies changes in the current medicinai marijuanaprocess. I've ruso attached Form 14-053, which was updated on 3/16/09 to reflect the change in process.. ,..In addition, I've broken down the process to give you a little guidance on timeline expectations.Please feel free'to contact nie' or my assistant, MOrUca Distefano, if you have any ·questio~s.ThankYQu!Medical Marijuana 14-053 MedicinalProcess Chan... Marijuana For ..., Karen DanielsAssistant Sec(etary , •Community Corrections DivisionDepartmerit of Corrections7345 Underson Way SIN-Tumwater, WA 98504Office: 360-725-8787, Cell: 360-791-7768 'F'!x: 360-586-0252email: krdaniels@doc1.wa.gov1

, STATE OF WASHINGTON' ,DEPARTMENT OFCORRECTIQNS,P.O. Box 41126 • Olympia, INashingto,n 98504-1129· (360) 725-8796FAX (360) 586-0252 'March 19, 2009TO:Community Corrections DivisionFROM:Karen Daniels, Assistant Secretary'-Ii " '"A, '.. r1SUBJECT:Medical Marijuana Process ChangeEffective in?nediately, DOC Fonn 14-053, Medicinal Use of Marijuana Verification, has been updated.Offenders will no longer be req~ired to fIll out this form when they have a legitimate prescription forMarinol from a licensed physician. In addition, offenders that have this prescription' will not be inviolation if they test P9sitive for THC..',' .The Department created a verification process for offenders to obtainappr6valforthe use of"medicaImarijuana". If an offender tells his or her CCO that they plan on using medical marijuana, Form 14-053' 'should be provided to the offender and the process explained~ As a reminder, here is the breakdown of" the approval process: '1. Upon receipt of Form 14-053, the offender and his or her medical provider have 2 weeks tocomplete'and submit it to the DOC Headquarters Physician for review. Once the Physicianrecdves the form, he will review it and make his determination within 10 days, upon which timemy office will commUnicate that decision in writing to the offender with a copy to the CCO,the CCS, and the medical provider. ,2. The offender and the medical provider will then have 15 BUSINESS days (3 yveeks) to submit a'written appeal directly to me. Once I receive the appeal, a decision will be maile'within 30business days. That decision will again be communicated in writing to the CCO, the CCS, andthe medical provider. ' ' , 'Please, remember that the offender should not receive any violations related to the use of medicinalmarijuana during this process period. Please do not hesitate to call me if you have any other questions., Tharik you., KD:mdcc:Eldon Vail, SecretaryCheryl Strange, Deputy SecretaryScott Blonien, Assistant Secretary ..Steven Hammond, Medical ,Services Director000023

"fo6'f\Bf ior s.,~ ~" . :"\tDli~"':;1: 1-i' .,.. ~':STATE OF WASHINGTON'?:~ ,~jU DEPARTMENT,OF CORRECTIONSMediCinal Use of Marijuana VerificationT~ be filled C;ut by ceo:I Pa,tient'~Name •,OF;FENDER 1.0. DATA:I :Dat~ of Birth ~I DOC NumberTo bEdilledout by Prescriber:Dear Prescriber,BystCitest?fl.He th,e Washington State Department of Corrections is charged with the responsibility to supelV,ise someoffenders' after they have been cpnvicted of a felony. The above named patient is currently under supervision by theDepartn,eljt;,$Lipervision is designed to help thfj .qffender~void those environments or situations that lead ~o the.ircriminalbeJlavi6i' Often illicit drug use is a contributing ·factorin an individual's criminality~ Accordingly it's ,usual that the court or .the pe.p~rtni~nt o(corrections wil! impose a condjtior cif supelVision that the offender not u$e,orpossess iIli9it drugs,includlngrnarijlJ.~~a. This offender has claimeci tha~theyh.ave a condition for which the medic:inal 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 contact the Community Corrections Assistant Secretary at (360) 7?-5-8787.1. Is this patientlinder your care?2. Are you recommending medicalmarijuana for this patient due to a diagnosiS of AcquiredImmunodeficiency SYl1drome (AIDS)?' ''.a.b.If the answer to question 2 is "Yes·, does he/she have anorexia?_If the answer.to question 2a is "Yes·, does he/she have weight loss?,DYesDYesDYes. DYestJ NoDNoDNoDNo3. ' Are you recommending medical marijuana for this patient due-to nausea and vomiting, associated with cancer chemotherapy? ," .a. ,If the answer to question 3 is ·Yes·, has the patient failed to respond to conventional'antiemetic treatments?'DYesDYesb. If the answer to question 3a is· "Yes·, please describe what those treatments were (medication, dose,.durat!on):DNoDNo.c.·'What)s the planned schedule of chemotherapy?. . .i '4. If you answered "No· to items 2 .& 3 above, what is the reason you are recommendin'g medicinal use ofmarijuana? .a. P.lease provide evidence published in a peer-reviewed scientific publication to support the medicinaluse.ofmarijuana for this purpose.. .,, ' .5. Thepatient's'accQmpanying Release of Information authorizes you to pro'v'ide the'Department with current and future information related to this issue. Do you agree to notifythe Department's Medical Director of any char)ges in your answers above?'DYesDOC 14-053 (Rev. 3/16/09)DOC 380.200000024

Prescriber's Name (Print)License #:Prescriber's Addr~ss,Prescriber's SignatureLicense type:Phone NumberDatePrescribe'r:' plea~e return this form, and the patient's Release of Information to:Medical Director, ,'He~lth Services DivisionWashington State Department of Corre-ctionsPO Box41123Olympia, WA 98504-2113To be fil!edout by DOC Physician:I have' reviewed this verification fonn and find that use of medical marijuana by this patient, (check one) lOis 0 is not " , 'consistent ~ith DOC Policy. ' 'Physician's Name (Print), 'Instructions to DOC Physician:Physician's SignatureDateWhen form is complete:1. Email yoyr finding above to the Assistant Secretary for Community Corrections.2. File this fOfD1 and the accompanying Release of Infonnation in'Liberty as a Community Corrections Health Record.,, ,State law (RCW,iO.02; RCW 70.24.105; RCW 71.05.390) andlor 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.DOC 14-053 (Rev. 3/16/09) DOC 380.200·000025

Johnson. D.eborah A.' (DOC)From:'Sent:To:: .Cc:'Subject:Attac.hments:Daniels, Karen R. (DOC)Friday,. Novem l;>~r 07, 2008 3: 14 PM'Lcirdier,' Amber D. (DOC) .Skmien, John 'Scott';. Stern, M?rc F. 'Dir Hlth Svc' (DOC); Hammond, G. Steven (DOC)R.r;:.Adrnin Bulletin - DOC 380.200 Community Supervision of Offenders380200ab.docAmber, .I :I'd sLJggest we change the time line to 15 working. days to submit the appeal. Most need to go' backto their-physician for more iriformation and this gives them enough time to do so. Thx.kd38020·Oab.dcic (38. KB). Karen DanielsAssistant Secre~arY ..Community Corrections DivisionDepartment of Corrections7345 LindersonWay SWTumwClter, WA 98504 ... Offlce:360-7i5,878T .Cell: 360-791-7768.Fax: 360~586c0252email :krdaniels@doc1.wa.govFrom:Sent:To:Cc:Subject:Lordier, Amber D. (DOC)Thursday, November 06, 2008 1:47 PM .Blonien, John 'Scott'; Morgan, Richard L. 'Prison Director' (DOC); Daniels, Karen R. (DOC); Leftridge Byrd, Mary V. (DOC);. stern, Marc F. 'DirHlth Svc' (DOC); Doty, Denise H. (DOC) ..Aylward, Anmarie (DOC);.Harrhy, Joenne O. (DOC) .Admin Bulletin - DOC 380,200 Community Supervision of OffendersPlease review and get input to me by 11/13/08. Thank you.« File: -380200ab.doc».1000027

STATE OF'WASHINGTONDEPARTMENTQF CORRECTIONS6~FICE::9F1H~'SECRETARY ..P. O. Box 41101 • Olympia; Washington 98504-1101 • Tel (360) 725-8200FAX (360) 664-4056 .AOMINISTRATIVE BULLETIN AB~DRAFTDATE:TO:DRAFTExecutive Staff. FROM:RE:Eldon VailSecretaryDOC 380:200 Community Supervision of Offender~. Changes to this policy are effective immediately to clarify the appeal process regardingMedicinal Use of Marijuana. . .Change IV.D.: The offender may appeal adenial to the Assista.nt Secretary for. Community Corrections who will approve or deny the appeal in conjunction with theAssistqnt Secretary for Health Services. The appeal will be submitted in writing to theAssistaht Secretarv for Community Correcti()ns within 15 wbrkingdays from the receipt .·of the-written notice of the deniaL The AssistahfSecrefar\;:,willo'rovide a response to .. 'the 0fferider within 30 days of receipt. The offender can only appeal a denial if they .. includ's'additional information. not previously utilized for the original denial. .. Direct any questions regarding this administrative bulletin to' Marc Stern,AssistantSecretary for Health Services. ..EV:mscc:· . Autumn Witten, Policy Program Manager."Working Together for SAFE Communities"

:. .'Johnson, Deborah A. (DOC)From:. Sent:To:ci:::Subj~ct: .. ·Ha~monci, G. Steven.(DOC)·SaturdaY, MarQh 14, ~o09.1o:15 AMDaniels,Karen· R.. (DOC); 8lonien, John 'Scott'. Jonrisofl,Deborah A. (DOG} . .RE: Medical Marijl1anaProcess Change Memo & Updated Form 14-053. The revision looks OK to me, Karen. I think 10 bljsiriessdays should be.more than enough to do. the HQ review.Debbie, please help me observe the time limit, whatever it ends up being. Weca'n line up a susbstitute wh€ln I am away.Steve'From:.Sent:To:Slibject:Daniels, Karen R. (DOC)Friday, March i3, 200Q 12:50 PM .Hammond, G: Steven (DOC); BI~mien, Jphn '5cott'FW:MedICal Marijuana Process Change Memo & Updated Form 14-053. Would Yl!l(tr/VO mind lopking at the a.t,tached, memo and make anych{1nges deem necessary sowe ciln [let this change of policy auf to the field. Steve, we don 't " l1.ie a time lir,e identified for. yoiJ.t.o co(lip{e.te your review in, but I think it might i?ehelpful to have on~. What do you' think?Iiyou ailrije; please let me know what an adequate tim(3' frame might beandwe'll amend thememo~ •. Thx.kd·· . . ..Karen DanielsAssistant S~cretaryCommunity Corrections Pivision .Department cifcorrectio'ns7345 Liriderson Way SWTumwater, WA 98504 .. Office: 360-725-8787Cell: 360-791-7768Fax: 36.0~586-0252. .email: krdaniels@doc1.wa.govFrom:Distefano, Monica J. (DOC)Sent:Friday, March 13, 2009 11:38 AMTo:Daniels, Karen R. (DOC)Subject: Medical Marijuana Process Change Memo & Updated Form 14-053«File: Medical Marijuana Process Change 031309.doc» «File: 14-053.doc»Rough draft for your review and forwarding to Scott.Monica DistefanoExecutive Assistant to .Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SWTumwater,WA 98501 MS: 41126(360) 725-8'(96mjdistefano@doc1.wa.gov1000030

.'Johnson, Deborah A. (DOC)i ", ~. .Fr'om:Hammond,G. ~teyen (QQC) .Sent:Friday, Dec~mbe\19, ~008 9:58'AMTo::'Da.hi~I~., .Kare.,.QJ~.·(pqC);:.Distefano, Monica J. (DOC)Cc:' .. _halmers'" .• r'aL~.{D()~) .... .5,ubject:·mm request· .'~ .'~':'.,. ,', :: . . ;:':':. t,-.... ~· , ;~~5, "..'" ;;..".:.:' .' .. -:"'.:":::Mr_oClsedoes not meet DOC criteriafor approvQl.of ~edical ~arijuan~.G.Ste'J~~ H~mmond PhD, MD, MHA .Chief rVledi'Cal OfficerHealthSerVi'ces DivisionDepaiiRierif of Correctionspos'4h23" . '.Tum~ater, WA 98504-1123360';725~87001000031

Johnson, OeborahA .. (OOC)FrQni:· .Sent: .Tor '.SUbjeCt:, ..... .'!..., .~; :-.-: '..-..~ •. .,,; ," '~' ••. ~: •.•.••Hanih,pnd, G;· Steven (DOC) .'........ ay,j'~nuary"08j 2009' :1:23· PM .. . '(DOC); Distefano, MonicaJ. (DOC)DOC # provided'Ms._~~qUestfoi-· medical mariju~na use does not meet m~dical neccessity criterip .G. ~t~~~\~:':~~ri1mbnd PhD,'MD, MHAChie(Me'aicaIOfficerHe,a!t,h. ~~Kr!~~~p'ivisiori .Depar::tflieritof C6rrectipns. POB41123:':Tumw~ter, WA 98504-1123360-725-87()O' .,.... ,".'. !1000032

Page + of2Johnson, De~orah A. (DOC).' . . ..Frqm: Hammond, .G.$teven (DOC) '-Sent:, T6;'G,G:':",. Sunday, Octob~~.19,'io08 5:49 PM'6~ni~ls,K(;!feh ft(bOC); Chal~ers, CassandraL. (DOC)o'i~tefa~o, MoriicaJ. (DOC); S~ith, Shl3rri K (DOC)'shiJject: RE: Medical use ofmariju~na. S~rry for the delay in response. I don't ~elieve so. Cassandra?Steve Hammond, Fr()m: pbniels, Karen R. (DOC)serif: TJ~sday, September30, 2008 6:12 PMT6: . Ham'rliOild, G~ Steven (DOC) . .ce:r Di~tef~ho,' Monica J. (DOC);Smithr Sherri K .. (DOC)" sJbj~¢t:FW: Medical use of marijuana .. ., Have you received this request? kdKaren DanielsA5~istaht Se~rEitary. c:ommunity Corrections DivisionD~partment, of Corrections7345 Linderson Way SW,I .. " .Tumwater, WA 98504Office: .360~ 725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.govFrom: Graves, Bethany. M. (DOC)Sent: Monday, September 29,20086:12 PMT(): baniels, Karen R. (DOC)$Libject:Medical use of marijuanaHi Karen,I have an nTTc.n,.,,~,..through his doctor.answer?submitted his medical marijuana papers on approximately 8/20/08back. Can· you tell me who I may contact to find out about his .Thanks,0000335/1/2009

· Page 2 of2Bethany GravesCoirpn1.m:ity Corrections Officer 3Dep~rtirleIit of Corrections·:phon~e: 360449 7670 .·t-ruc; 36.b,26Q 6239ern?il:·.·brTldraves@doc1.wa,gov,"f:0000345/1/2009

Johnson,Deborah A. (DOC)From:.Sent::To;,Subj~2t;.:',",J~~_legue.stfor a\Jtrbriiation for use of medical marijuana doe~ not' fTleet criteria for mEldical··neces~itY.G;'$·t~J~~.:'~km~ondl~hD, MD, MHA . '. '. '" ..Chie(M~dr6~IOff!i;:erHealth'services Divisionbepa,rlh1~iit 'of CorrectionsPOS 411?,3,- . '.Tumwater, WA98504-1123. 36b~725i8700'1000035

Johnson, Deborah A.

, ' ,Joh'nson, Deborah A. (boc)Fr6rri~ ,S~,nt: ,To: .. ../~ubject:,.:;.:.Johnson, Debo.r?hA(DOQ)O~ beh~!f of Hammond, G. Steven (DOC)ebrua,\y 02, 200.94:29 PM ., i (DOC);Dc~ni~ls,'Karen R. (DOC)MM. F,.\ . ,",' . . : ....;..,.":., .. < ..- ': r ...... :::.; ,"

Johnson, Deborah A. (DOC)" 'F~()m: "Sent:''To:, "Subject:," ...".- :";';.': .. ··.t.. \, St~v~n (lJOG)" , , 08,2008 4:38 PM," ,'I·'Authorization Request({St~~'~h H~mrh~nd PhD, MD, MHADii"edoro(M~dical Services 'H~aitl'l services bi~is'ion 'De'paHir1:eh,to,f C6rrectionsPOS'41123',;',, , .TurriW~fer,.,WA 98504-1123360-i25-B"idb. .'. 0.:1000038

Johnson, Deborah A. (boc). , . .Fr°rrt: .Sent:· i.To:'. Cc:·,.>· .Subject: .. "" ,;.-:";'"'.". j9Hhs.~D:· P~!J9rClhA '(DOC)on . bej,~lf of Ham niond, G. Steven' (DOC)f09riday, F~bruary 23; 2009 4:36 PM .. .or~teff!hRI.M~nIc~ .. ~.' (pbC)";Dariiels, Kar~n R. '(DOC)-.. ··_3~)ReqU~st .uest for auttioti:z~tioi:lfor use of m~dical marijuana does not meetcriteriaJor medical neces~ity.1000039

' ... ' ..:.FrOm: ," "Sent:,'Te>:'", ,',.Su'bj~c~:'" ", "!'. . .. ,f ....~. " .. ".;. " ",.,,',~C)'9:27 AM;~Qarir~/s, Karen R. (DOC)MM Request' ., ', . ", , ....": "., ,~r._f:~.9~,~st,for authorization of niedica/marijuana do:es notm,eet medica/ necessity criteria., :':: :',:',,!".', },~.;~s,~~;!~:::;" ~'~':~~:t~'.!')'(·)·. ~'~ \. " " ... .. .G.St~veh'Hamm6nd PhD, MD, MHAChi~f MediCai'Officer'Heaith'Sei"Vi6esoh/ision ,Qe~)~rt,h1·~'r)tpf •• ¢orr~ctions, POBA·1123

Jo~nson, Deborah A. (DOC).F.i"om:Sent: "To:. i.i·· .S·Libject: ...,'.:- ... . Johnson,.Deborah A (DOC) '. . ... Mqn.d~Yi F~bruary 09,~009 4:46 PM. .'.,·~C)·; D~ni~l.s, Karen R. (DOC)·_fv1M..Request··· . .:::?;:~;:';~':""';:'~:}:i::;:'\:i;:')~:';':'!'/:' '" .: ..... ' ":.. . '.'. uest forauthorizaiionfor useo(medical marijuana dqes rlOt m~ef criteria for medical necessity ... '"., '. ,,-" ."' ..".. ~1OOf}041

Johnson, 'Deborah A. (DOC) , .From:'S'ent:'To:Cc: ', Sybj,.''~oh;;S9n:[)~QorahA. (POC)' onbeh~lf of Ha~'mond, G. Steven (DOC).MOnday, March 2q, ,20093:02 PM, ','. Distei~an.oJ Monica. .~. (DOC); Daniels, Karen R. (DOC)n (DOC)""' ..MM;Requ9st ,". ',--;'-.,: -j.';, .:0: .":··'':·':'~·i!\':f-·'·'\::;; ; .. ({.-";.'uest fat authorization fo'r use of medical marijuana ?oes not meet criteria for medicai necessity.:'1. .. ; •/,/'1000042

. " .Johns'on', DeborahA.,(DOC)F.rom:' .. 'Sent:To:'. ','~ubJe9t: ... )8A2AM·; Daniels, Karen R (DOC).. M ReqUest .G. '."" .TCHn U:..,;.,.,,;,;,nr,rl. Chief .... ~c:.;,;o,.-••Heaith ......,~r.'\1I"~~c::Depkrtm'erit'of 'n',·r",/"·t,nr,,,,PQB4{:12S:;:'j: ~ .. :~.TLi'mwater,'W A 98504-112336b'-725~8706: .. ~ '." ,for au'thbri~ation for medical marijuana use does not meet medical necessity criteria.",",f-'r' .J1 .000043

:-:.,.!" " '. ,c.~. :,. '.Frori't:_ -_.. .' H~mrrlo~d .. q. $t9ven'(DOC)' _ .Sent';: - ;Thursd~Y;)C!nuprYQ8,200f;l.1:22_ PM . .'rliEils.Kare'iiJt DOG).;.D.ist~fano, Monica J. (POC)To:S.::.. .:._"Subje9t: :" . . .'MMRequest - '.- .. ..

Johnson, Deborah.A. (DOC)From:"Sent: .Tci:::,~:,;~·:;'

i' ..,'Johri~on, Deborah A; (DOC)Fr6rrif· .'.Sent:'T9:" .. Cc.:\: .. i. Subjec:t::··.·.. ':,:: .. ..,... -,,-;.,., est for authorizati(;>n fc;>r use ofmE:ldical marijuana does not meet criteria for medical ne~essity;1000046· .

'.· Johnson,' Oebo~~h A. (~OC)Fr~;';: 'Sent: .. ·.·6~~';·: ...... '.SubjElct:; .. .:' '., ~ .'. ..' .", "."'Johnson, D~borah A(DOC) on behalfofH?mmond, G, S'teven (DOC)..Wecj.reSday, rv1arch 04,2009 4:13 pM- ". '. - .' .-.' Ri.~t~fan(); MQnita~i (DPC); Danieils,K?i"en R(DOC)·_~¥)~~~~eif .....•....,.'est for ~uthori~atidn for use of medical-mariiuan~ does not ni~et criteria for medical necessity ... ". " '. . .'. "1000047

Johnson, Deborah A. (DOC)From:'Sent:To:C 'c'/~ ". . . -Subj~c:~:: , ". - ~.Johri$Ofl, 'Debor~h A:, (DOC) ,on behalf of Harnmond;G. Steven (DOb)', Friday 27i 2Q093:22 PM ' "'" ' ". Daniels, Karen R. (DOC).-..' --. ."' ~. "Requ~s.t' .. -',:'requestJor authorization for use of Iii~dical marijuana does not meet criteri~ for meQical necessity:..' ". . . .' .".. ..' . . .1OOD048

. Johnsol1,[)eborah A. (DOC)\:;'< ... ,. " -..... :: .....From:'Sent:To: ... ·~~6j~·~(:. j,~Hsoq)[)ebbtah·A.(QOQ)on hE3,halfof Hai]1mond, G:.Steven (6oC)Thursday,April.O.~, 2009 1.4:54prvL :" •.... ' ", .

, Johnson, Deborah A: (DOC)'Ff~ii1:,>' ~:, ' ;':, 'Ha'rnin~J1d;'

Joh~soh" Deborah A.' (Ddc) ,'From:Sent:To.cC:,':::',' '~ubjec;tt" ,. '\' ..'....':,.:" ,.,.:'.: ' .. ', -" - .,"J~h6~bll, Debcira,bA., (OPC), on .behalf of Hammond, G. Steven (DOC)M ' ry 23, 2009 4:39 PM', " , ' ,, " . (POG); Daniel~,Karel1 R.(Dbc)• .... T""I.Qn (Pdq" ,,' :. ' : " '~equ,est" -,.:-,>,\. '" ::: '..' '.",":-":.:'..:~... ,,: '~_ ' ....',-. .: ,"' ,\":'., _.: : . ~ . ._,i[~quest for autH()rization J~r u~eof medicalri1arijuan?doe~ riot meet criferia for medicalneC!€lssity:•••. ,:"f :: ;':~r~,~":::;~\J1000051

Johnson;OeborahA. (odd) ....From: .-.. . Joh~~6h,'-[)e6dr~hA:'(DocYQ'ri 'behalf of Hammond; ·G .. Steven (DOC)"·'. SeriE Monday, F·!3b~w?ry23,. 2009A:.37Ptv1 '. ':,' . "", .,' '.' .. To::·

j6hrison;Oebofah'A.(OOC) .,.;' .' . . '.From:. S~nf:To:'," .... ~::.$ub)ec}:".. . ~ ... ~ .' .4:37 P:tv1." . Auth.oriia'tioh Request'. -;. ",. '": , ....~ .' .. '"J :000053 '1

Johnson, Deborah A: (DOC)"F=rbm::' -··H~m~:6n'd:G. ~teven(D6C). ...Sent: . . "0~~qay, Janl.J,~&2b,20b9·9:28 AM .• '. .' ' ...T~i, ...... . .' .' .;.~); .. pan .. i~IS,}~.aren R.(DOC)· SlJb~ep~:" ',' '_MM Request,·. , .,',' ::;:~\~.::,:\.: ';, . "':"':}'!~\"': .. iC:}~".·",;~;~~;"}';";i~"';"·:'.':'Lr'''::·:'.' .,' ",.' .' .' .••. ..¥'r._~:eq·u~st d()es n~tin'eet~'e~icai 'necessity'crit~ria for ~e.cI!C,~I'"!1arijuana.· ~:;'Ste~~h"~:i~~6hd PhD, MD,MHA' . . ..' .. .... , '. .. Chie;{Medic~rOffi6er· bie~lth'Ser.Vices' Division·Deparime.nF of Corre6fionsP.9~,'41t?3',,:> .... .Tymw~ter'i WA 98504-11233~0-72~:'~700' ..., . :' .. ~ ~. " ..'f1000054

. .Johnson, Deborah A; (DOC)'"Ftom:'" . ~.~Sent:' .To: .. '.S'ubj~ct:.' ""_.'r,': "f:·' ,-.,", : ,.' -: ....• ," .• ; •. t.· ••• ;.' •.•.','l. .. Not ccinsi~tentwith'boc·poli~Y: ..~ ...... ~; ," _.. v' •. ' "' :", .•. .' .: .I ~ ... \: G.si~t.~riH~M~6nd PhD,.MD, MHADir(3Gtot:8nJ,~~ic~I,Services ' "He~)t~"§~rVic.~s.qivisi~n'Depa~r:i1ent pf Go~rectlonsPOB4:j123'·>< . .·Tu'm'W~fer;·WA98504:.11-2336d~72,$-87bo:' .... " ...... "",,'.... .

IIl- .1,. ", "'.;~~r" ..S\Jbject:,:'. ". ~ ",:" t._", .:,!' .. -.:.". . - -:' .:.. ~ '; . ~ ..' I ha'vJreviel/iledths' request'frorn.cannot be,8uthbrized in 'accorcfwith: ,?,~,',·":S~,!,·;;}·:.' .',''.'

JohMsori, Deborah' A. '(OOC) .-," .. Fr'O'm::Sent:· .. :··'. b~I:;:.~:

, , ''.,' 0"•• :'.~ .., Daniels, Karen R.{DOC) ,Frorri: ' Blonien, John "Scott" (DOC),' ,:,'Sent:, Tuesday, AugustQ5;' 20089:59, To:,Lang, Timothy (ATG); "Welss,sr, Pa,~I(ATG);,RE: Medlcalm'arijua'~J~i~ct: '... ,;., ... :.~, .: ;.' ..."~"

- . I .~.TimFrpm:.V~n .. V§lkenburgh>Jefry [mailto:jef.vanval,kenbLJrgh@doj.st~te.or.usrSent: ,Thursday; July3.1:;2008 4:17 PM . ... . .T():L~ng'; TImothy (ATG)' '. .. . '.Cc:MARTIN Ginger; .CADOTTE Markn; LOVEJOY HerbertSubj~'bf:RE: Medical marijuana' .. ~':,-"'.,. :···f·. . :.;, I,''.."'-.:'.~~.: "" .. '~ ': .. !Irit,' ...... ..' -,. :.~..

" " TheJollowingFAQ appears on Oreg6n i s Department of .Human Services'website concerning th~OMMP: ..(19) Can I use marifuana while on parole/probation if I have an OMMP card?"Th.e authorities that are responsible"for your probation/pa"role/post-prison supervision can imposerestrictions on your possession and use of "medical marijuana as a condition of your superVision,even if you have a valid OMMP card: Most offenders' supervision is subject to an "obey alllaw.s"condition. Since marijuana possession and use is illegal under federal law, the Oregon "Department of Justice has conclUded that supervisory authorities can sanction an offender forpos;sessing marijuana, even ifhe or she has an bMMP ca"rd. Sanctions could result in your arrestand returl") to jail.If you are on probation, parole, post-prison supervision, or other form of conditional supervisionfor conviction of a crime, you should consult with your parole and probation officer re"gardingwhether your possession or use of marijuana may subject you to sanction for violatjon of theconditions of your supervision." . .42 " 0.00060

. ,,: .'. ':'': . ",.. '.Jef.'. :'.1Jefry J. Van Valkenburgh, Sr. Assistant Attorney GeneralGbV'ernm~nt Services Section,General Counsel Division. ". .'" ,.... . . '.Oregon qepartment of Justicetel: (503) 947-4520 fax: (503) 378-6829. .Fr.()ln: Lang, Timothy (ATG) [mailto:TimothYL@ATG.WA.GOV]$erif:Thursday, July 24, 2008 12:0 'PM . .·T:::·.;c'·C"··""{j·:':··"·'·f('· .' .': ',,'",: .co· ..... . 9: PLry, arenSubj~c.t: Medical marijua .. 'HeBa, K?ren,... '.Tim Lang. Sr. Assistant Attorney General43000061

\ .Corrections Division. Wa~/-;fh~toh StElt~ AttorneyG~nera'l's Office" :,' .. :: ';: '. " , .. " ," .. ' :(~oO}5'8',6;-1A,45~'. .:' ,'.:,,'.". ..".' ...... :.~:.: . ',' ," :'. :~ :.:' -'I.··timpthYI@~t~;f.wa;gov~'. '..:.,,:-,:::.:::'.,:.;...,:- .;'"'> "",-;, .. . ', ; .... : .. ~. .: ... '. ~,,:: ".' ,.' .'- .,'-'."'~*;j*:";B8'KtF.lbE·NTIALITY NOTI CE*****'::'

From: Judg~, Dan (ATG)' . . . .sent: Tuesday, july~2,200g 12:27' PMTO:'LeWis~ thad S.(DOC) ." ." '.C. c: >?Vel.s.ser" ~~ ... gthv.cATG). . SubJ~ct!' fW·-,' J. ".: .••.: ...... .. ,..... .:':.'":,", .',"""':." •. '.: .... > .::", .,' ... .;.:. . AC Pri\;; Do not DiS!:ie.m:. ""..: . '... .: .",: :. '.\'":". ". ~ThanksOJJ.... ).: an, Dan (AT

: ..... ,...... , ":. \~ ....", " ".From:':Sent:TO::"i':.,Subjec:t:,. . . ".' ':. , '.', :~ .. "'.: .... ,. .;: , " '~\, . ,:1' '. ;:-. . _: ',' .... ,. .": ',' . -. ; ,-. "..''•.... D.aC1ieis,Karen Ft (DOC} ,.:. ." ...... ~ Thursday, Februwy14, 2ClOa 2;45 Pty1.. SterrJ. Marc f:. ,'DirHthSvc' (DOC).:FW: MS9icai Mariju'aii,fletter, ..': :,:. " '. ::;. . ,~ .- ~ . ,..' :; . ' .." .......... ::.'.. '.'. c •....... "".:. ~ ." ~ i .' .' .. ~. .:. ... :.'. . ....." : '. . . . ~.:. ' ..' .. ' " :.;," .... '.-;: .... " .. '... but Wiil·a$k..fo~gi'YeneSSirit/s

"' .. '.. . , '~.'. . .. Andaw,ayw~go;; .... . \ ..\.'-.. ",.'.···.-~~~~()rigi n9.1· M ~s~a. From,: Judge,Q~h' .'.. ···.,1~?~a~$~I~t~3/2··'·n 1\.'".' '. '.:•. , •••• J ••' "'\ ...;".,.r:. '~.:'". ~. .".' . Fro~:jJdBe;' D.cHl (ATG)Serit:'W~oh~sdaY/r,ebrLJary 13, 2o.084,:2~PM' '.To:v~re~l~iohw~ (pbc); Daniels, Karen R. (DOC). -Subject: 'FW.:.f\1ed,ical.·Marijuana letter.: ...'. ( .: ,.i::". ";. '.'.' ;. ..Frol11: Lonbor9, Jljdyth (ATG)SeDt:Wednesday, February 13, 20.0.84:17 PMT6:Judge, O"a'h (ATG) . .Subject: FW:'MedicalMarijuana letterFrom: p()uglas Hi9tt [mailto:douglas@douglashiatt.comJSent: Wedhe$day~, February 13, 200.8 3:36 PMTo; Lonbor9, judyth (ATG) . .. .Subject: Re: Medical Mariju'ana letterdont waste the paper on a hard copy! ihave rt2cived the letter. douglas,'--~-- Original Message -----192 "000065~'

i'cc.s. from:Sent:'., ... 'To:'.. Subj'e.Ct:. . .MuccilH, Bo.nnie R (bQC),Tuesday, JahlJciry08, 200"8 6:01 PM~~~ Ja~i~~fP9.N~6~~.S./,. ':. ,:,;> .. ,. Please 'share with your stCln;' c.'. _- ~~~-~Original Message----~ "': .. ,. From:' Conner, Debra A. (DOC) ...... ', .SeM,b Tuesday/January 08;,2008 ~1:25AM. . ..' " '.' '. ..To';'Johnsonj StevenM (O()C);:KoPP',Jack L. (DoC); Lindell,'Katrina R. (DOC); Littrell/Marjorie R (POC);, . Mendciza/ Armando (POC}; MelJstiqrn-Marsh/ 5tefaniL. (DOC); Miller/ Merlin K. 'Lin! (DOC); Muccilli/, BonnieR. (DOC);Verrieli/ Eleanor D. (~OC) .' .~u~ject: FW: Marinol . .• From':SeHt:T6:.'Cc:Subject: .Curran/ Michael L COO!=) (Tuesday/ January 08/ '2008 11:21 AMHurst/ Travis J. (~OC); Taylor/ 'Carl G. (DOC); Cole/ 'Aaron J. (~OC)Conner,· Debra A. (~OC)' .FW: Marinol .plea$e share with your staff.ThanksFrom:Sent:To:Subject:Teeter; Beverly (DOH)Friday/ January 04/ 2008 11:33 AMCurran/ Michael L {~OC)RE: MarinoiFrom Board of Pharmacy. If you have further questions, pl~ase contact Tim Fuller attimJuller@doh.wa,gov: Thanks. . .,... . ' .It comes under RCW 69.41.030 which allows physicians fo prescrib~ legend .drugs. Marinol is alegend drug approved by the FDA and a schedule III controlled substance and needs to meet the'requirements of the FDA and DEA. It-also has to meet Washington State controlled substancesrequi'rements (RCW 69.50 and WAC 246-887) which mirror the DEA requirements. No additionalrequirements have been specified for Marinol.TimFrom:Sent:To:.Subject: .DOH HSQA Medical Marijuana .Thursday, January 03/ 2008 2:51 PMTeeter/ Beverly (DOH) .FW:MarinolB~ . . .. Do you think this would be a Board of Pharmacy question?000066

, .From,:Sent: ",To:"Cc':' . :,'. '.. . ..SubjE!ct:, ,Curr~n,Micliael L (DOC), , "" ThursdaYijanuary: 0:3; 20P8 i2:45 PMD9,HHsQA M'edical' MarijUana, , Taylor,C:ariG. CDOc:F 'MarinQi}'. ' ' .. ,. '-.\::.: . "".":::' . . ", . .' ":,:!:' ."; '~;, ", :\; -,,: . ",-: : : .. ,':", ' " < '/:

, A~'~II,Gelirida' L. (DOC); ,:····Ff~~:: ..s'~rit:;: ;:" . To:';:" ." ..":::." . \".'''.-,: c" ,:. .~ .::" .'" . '\ - : ~.' ...... ': ~.,; ".:', . ..'"-'.,,-,-'.......,':,"'" ~'; ::-.: ,.'. ~." ;.:.: .l -'.. ~.'-," :>: ..,:~':':~~~~~i:lri~Jlnal Message'-7-' "F~()\ti:·".. ',"T9.::

'~hirew~ have:b~eti.oc!viSic1. tha~ inges~ion Of THCv'ia~mo;ki0$ is'~ Violq~{o~ ',otcoriditiO~;: tyhMip, th~. : . Af s thciught~cib()l;lt 0 leQititn0te pr:e~crfptionthat is used for;" mc:irfno 1.\(I'hi·ch I belieiie:come~. in'caps'ule.. :;. f9~~::""';" :':',> ....... ' . •. '.:;, '> .... l~::'."." ...~; ... ,. '. "', ,/~. ", --", ~. :~ '~': ...;.....:...• '..:. ..,:,'..•.. MiKe'"",,; -'. ::".-'." ....From: Taylorj Carl G.(OOe). '. '.' . .senti,_ WednesdaYi Januafy02,'200a 4:59 PM .' ...._ ...• . .. ' .'f~;>·Ccile,.Aciroi1 J. (DbC); HUrsti Tra~I~J~ C.~OC)i Curran, Michael L (DOC); Mooney, todd R.(DOt); Schopiger, Julie A. (poe);< ,. lindqUist, Lisa F. (DOC)< . . . ....... '. .'.. '. .. ..~~bjec:~: . ~E: M~rinci!.Pre~~~lptlon.s?· . . ,. .'. 'T.~~r~_ew\th A~r6h.:A.-iegifi~at~ph;Sid~n writing a prescripti~m,hbf8r6v,@ri~ agertifiQ_at~,lss6mething .I don'twantJo'assurT]sliability on. My understanding.is that if.it.i$ "p!,~scrlbed" D)ia legit(mate Doctor, let ifbe: ....•...", .~, :." .' . . , . , .: ,"' .' . . .. :. . " .• ,"" .:' • • • ' • .' .:" .' ... , :.\. : •• ·.:·:·.··•• ·v • .'.\ .... '. ':" ..... ': ",,' •/f.ilJlatinol is.a legitimate drug that a WaShington state physician can pres~ripe,-I'dleave it al(Jne until the AG. sayg6therwise:' '.' .' '. '.. .., . ' . . .' •... ..... '.-----Origlnal Message----From:Cole, Aaron l.(DOC)seritiwednesday, January 02,20084:51 PM . . ..!9i'fjurst,Travis-J.(D9C);, Curran, Michael L (DOC); Mooney, Todd R. (qOC)i Taylor, Carl G.(DOC)i Schoniger,Julie A. (DOC);Undq~lst, Lisa F. (DOC) . .. .SlJbject: . . R.E'( Marino! Prescriptions?·.···If prest[ibe~. by a "real" doc:tor .. ~· The offender will be' able ·to provide 'you ~ vaM pre'~cript)on: If there isnoy?lid pr€)scripUon, the Clff¢l'ld.eris full of itl' . .... .,.' .... .:" ".:It has rriuch different effects than smoking THe, but it will test positive for THe on a u/a. It won't !;>e a veryhigh level, but it-will b,e present.'As to thelegatity, I think that it is legal if it is, ~gaina real prescription from a.realdpctorand·a reaL. pharmacy: .\ am not an attorney, but if it is a legal prescription I qa!1a§PYrn~ iti9legpil .. We I1lc:lywant to .getc\arity from an AAG.· . . .' . . - ". .' ..... ..ACFr()in:Sent:To:Subject:Hurst, Travis J. (DOC)Wednesqay, January 02, 200B 4:44 PM . .Curran, MlchaelL (DOC); Mooney, Todd R. (DOC); Cole, Aa(on], (DOC); T;;lylor, Carl G. (DOC);Schoniger, Julie A, (OpC)j LindqUist, Lisa F. (DOC)Marlnol Prescriptions? .Can anyone tell me if it is legal, or if our offenders can take marinol if it is prescribed by a medicaldoctor? .TravisColville2 ." ... ;,.00006B· .. ··

' ....... .... , ..... ""::" .'.' .,';': .:':. ";-'.... ~.~. '. j .~.' ': '.' :..... ,;.,~~~ tE ?r~.A~~"~~t2~',

". ' ...., ,~./0SW REG rON HEAOOUART'ERS'.: ..... ; .. ,.. ',,'" ' .. Initiati've 692 ~d teri:I.ain tinariswered ....... . ::.. '. ..... .. .' '::~;:".~ . .' .,:..... ,'. ..A.I;V~1?~i1;1l. the p~ag~ of Initiative 692, ~arijtlana cannot be legally purchas~kd 1:liereis'no.. JdAAtif~ieg#I way, to distribute mari~ .Tl1e Ilew.ls:Y' only a11bw~ patients (who have/written.. d&u#terit~#on) ancftheit pnm,.aiY Caregiv~rstQ joilit1Y'po~sessno more than is neCesSary for the... . patient' ~per~onal riJ.eclic.aI use. This qua,ntity must not exceed a oQ..d,ay supply .....~,-:,,:,~;.; •. : .. ;~. :~,~·l·_·. ,,',; .. (' ..... ~( .. ;:. .•. ...... '. '. : ... 'Q~is a lic~M.e available to aUOw.~persQn or fir'm to grow or seUmarijiuma?:.: ...•.·4~The. tr#ti~"e did not provide for a legal means of supplying marijuana. Therefore, no license .togril'&6F S6Ulnarljuana is available, '.. . .. ... .. ... . .Q. Uow M I qualify as a patient? .• .• • IA. According to Initiative 692, for a person' to qualify to use .marijuana for medical reasons he orshel1iust"he i) apatlent of a licensed'm~ica1 or osteopathic physician; 2)diagp.osed by thatpl1ys~piaI! ~l+avili,g .. il terminal ~r deiJilita.thig iJ.h:lesstpentionerl in the langu.age of ·the law; 3) aresid.C?nt of the state of Washlng1:on 'at the thp.e9fdiagnosis;· ~d 4) advised. by· that physician ofthe risks and; benefits oithe niiclical use ofm~rij1.{ana:· .. .... ..1January 1999000071

.:-. "--, " .'Phi"ip~,' 6~vidP. (DOC)"Fr6m~"/:' .,H': ..... , ·:TciiJiver:LJ·~dC!M. (DOC). " .. "' .•. j..•...Sei1t:~>';,·: ,'. Thufsday;MClrch 08,2Q07 1:40 .PM l. -- " ...... ,.·.To:::,~~:;,..PRhEi.!I~.,; ·Yi.? P (DOC),,'., . ," '.J. .' : .. :..... . ....". SuPj~~t;:~.~: ....\.,-. - .. ~- .:.,~~: ",' ., '-.-;.~, "~",~,",-:.

;'.'" ", .;lillips; D~vidP (DOC) ....FrOni: . .. Rob~~~on, Sandra K.' 'Sanq?(POC). S'ent: . " '. Friday, Fe.b~uarY 02,.2097 7:~~ .. t,\~L .... ,.. '.To:' :_~billips;D.pVidP (poq,,';" . . ..:>,ce:':' . Fiala, AnneL (~OC); Johnson, St~ven M (DOC). ... : .su~~.~.Ct: •. ' .. ~E:~edi~~,IMariJu~,n?t···~ .. < ..,.... :,.. ." .~.': .'. .. '.'.... ' .'. '.' .--,".~J~~Jiic~~:;!~ef~~~~~it~!1l{~fy~i~~ti~§~~~\~~It~t~1~r;£~~~~J~~~ff,i~f~G~~~tng'. '.' .medlcal manJuanaand,'T!~.tDac;lor1E3 \Jpor rel.e~se, Lmd?!ls: £:lo[n£:l tpPr.ovl(Je·fTlr};v.lt,8:ht3r.lnl?w~.on how to respond to Mr;·~~r,;~l~~~;;~~: ~:::nne'sre~ew, .... •.... ..;''', ',;V . ..... ... ....,_.,,'.: :,." sent: thiJrsdaV,fet.>tu~ry CH, 2007 4:53 PMTo';

\""./. :' ';-'~\'« ;'< .. "'.:;"', ' ". .' '.\ .. ";" •• RE. M$dicai:·Mkriju~n~.rtf, .".:......: :.' .. ' :-' . : "':' .., ..-:::...•: ':'.' ,•..•\. ::~~1~1•./" .." '' .... ::".. "., '.,.,1., : .. , ..', .. : . , ..... ~'; . ,'.-. ," : .', ....

.. ~.-... " '.'. ..~;~: ~:: :.'-1 .. : .. . ~. ..... _..:" ;".':\:'.\". :.....':: "...... > .... '.:' .. ' :' ......' c,:··.:;····.·, .':' ..... ':.' -... ::,.'....:' .'. . :.' .. .",: ," '.: '''. .'ccimpany'andWastold p did. see tb'e doctor and iti~ i"lqt a.prescription :becaus'e you=don get the marijuana from a .- phar,l11acY.lt i~an' authori2:atiop to possess and:use the ..' I tole[ p.to brit"lg in all th e..paperwork this morning at 8pm,.PfaIled.to.&hqw:: )i~ (~dail9.·~rC?us.ah9tQ.ere ,is.C3!)1isd warrantou.trH8;is·part 10-~6',andis sUPP9se to be on:' .' :' ..... .. mehta! health'fT1edi¢atibri, ;:)Iso., ShOulcj'l get a Warrant? '. Hehasthre;:)tenedpcilice. and there. is a premise histo.ry·· ..' wahli11'gf6r.theresidenqe;He:ha~be$ri t~zed.dyrihg.pasl arresls:The (ast de'puty. tcrgo -to theli6tise;saW p. father:,with 'A .~hpt~8ri,·, .fot.·s~f~~~,I, JhoP9ht ifW?,ulcj}J~;I?:e.g~·rt(J h§y,~.hi.rn,· foi:rl$_ tP:inf9ffi~~ C3qd~e. c6~ Id' haVE? ·.9~~O-: '.. .... '._ arre.st13rl9V'e cO\lld 99 tqhouse'{llher§!h.-'~.lTJ9m~r.!Si3~(Ls.e.2FcrJqr'E1hotgun.; Unfoiiunately;pfa.lleqtoshow. So I ...: thought.! would g~t wa.rraflt'so ccso _-, '-',', can go up' alnight,(~)f': 9uring afte'rnoon. -\0Jha:Ldoy6u think?· ~". :. ". . ' ' .. ',' •...:'" .;-: •.. : .. .'.I....,'.'.• ~. ~ ..;- ,.'~ .. " .. )'" ':,. '. :." .'. r":.' ',' ,.~~ .. ~".:,.:' .• ,' .'..-;',.":". ... .• ~> ...._.~ J, •• '. •••,.'_~:•• ••• ..-, ••• ~;::" .::,.;.: ,.'.,..:,::,>;. r ···'-',,"·i;'·' " ',;. '.'.';.~/ :.;..... .-:.< ..... '.'>..." :.:;.':::·,~i~~;(:'·

. '.~ '. - ..from:Sent: ''To:' ',' ..... , ,-. < >:.. ' ..Meusb8Cr1~Marsh, Stef~ni L, (~OC)FridaYINovemper1t20069:0~AM':'., '."::.;' .,','BaddgQ[,Ariiy, N,C(POO);'VViICDx,Scottf-i. ,(ObC);Albert;F'rank S,'ScoW,(DOC);Anlell,~\3lindaL (OOC)~'Caih, Wayne p, (DOC); Degroat, John); ,(QOC);F'r.iq~;J~ff6ryS, (DOC); J:iall, E~w§r~J (D9C),; Ha~ris,Janet ,s.'Jan' ':(DOG); KoP'(Jpbof\.(I::lQC);O'Brien, Mary' F: 'Diane' (pqcy; Story" ROI:J~r,t ':'\' J. (DQC);8.wansoniDavid W (~OC) ,:",': :," ':Subject: , HE: i\{e3dicaLM~r)j,u?ria ,', "'; ,". ' , " -,:," ,'" ,- , ",Amy- We had a di1?cLJssion abput this yesterday at the Comn:unity Correctiol1s Elivision Meeting. ,Ifwe'.have ali offender withe;! !ii'¢oicaX:ITlC;lrijuanacClrd/prescripti6n- it has tb,b-e:~)Vasliirigt6Il ';, :pf@pription/card-'ifc~r1.no~ bEl~'9,6~;:i~~y~?)pbreg(),~: ,It is, ~he ()f!en.d~rs ~esp?9~JlJiIJty.Jci'8toYide,: "thecorrect documep~?tlqn; ThE}r§I~.onIY,Ol1edoctor that IS prescrlbrng Inthl9~tate and Its9unds'Hkei(is quite a proCess. Ar90;:the

. . . .." ...... .,; ,'. '".' Frice, 'Jeffer{S, (DOC)"':.· ;';' ,. . .FrOim,,", ....,Sent:'. .'·To:.,......·.'. •. '....Subject; "","., .' '.:.: ... '," .- .'.. ....1.·.· .. ··.' .., ..'.' ~." .',.:: ,~' :'. < .He;e's".:.,,,:': '~'I : .'the otheJ 'one.> .'.", .,'.,.. < ........ '~ ....- ,.: .. .'".. '., ..•. ,~::" .. ': .. ~" '-/,'''';'",.- , ,.:,'.... G'ai-~ri~r,.kathrYnP:· (D.08) •• ' ::': .•'. .•....'Wed riesd~y, FebrLiai)! 9S; ~008to :?2 AMFi-ice;·JefferY~>(D()G):: ....,.. .FW: MedicaIMarjjlJah~:: ,.:.:., "."• • ..... • ......::.' ••;,(.;- •• :" ,.',.' ..,,',.......... ...•••: "1, "J ~'.-...... ,:' .. : .. ,.- ." .....'...:.~r~:~m-:..:..;·.~>~~·:-ii-.·~···-'::·F7.ri:-ce"",-::J~"";ffi;:-e""'~-::s;'7. -;:(o:::o~c~r~----:'----:"-:-:- ,'.':" , :. ; , .. Sent." .. Thursaay, June 14, 2007 11:35 AM' , " , . " .', '. I : '. TO:

' .. '"" , .... '. .0,_;.' •. ~...: .. _--.... ';:',',0"~,' 0, , ' ~'. "'.: j~b-~ri~ih~iM~S§~~~kf~:~r,.K9th~n.D.:(P6C). ':. senti"," Tnursc;!ay; MiiylO,2007 3:40 PM. T6::' .... ~.. 'And~t~6h; RebeccaM', (poC): i S~bject:questio'ri" '. : , .• d '~i:,: 0'~I"l'I';I)('c-CUI' . ... .":;:•• , ~.\"" ••• ,',' ". o· ......', ,. • {'i~it \~'OJ:t1.l J:r.l.y time to violate someone for smoking marijuana if they I1f.lve a I:necl~cal ma.rijuatl::i dl'd? I was un del' the,.unpr.es~iori that it's' ag~inst fedeptllaw, even lhough it's an approved state 'la-\,v. Cah you. give m.e ~1l idea wh,at the, Hq.i1Vglit s-aji~~)~)lit thi~i11 a hearit.1.g? Tb~~nks. . . '. .... "' ..•....... .'".•.•. ·c', ,:';";. ',''\' ...... . '.. .,...•. ," .' .':' ':.~:. ". ·..·f .",':'.. ..~~~b¥...:~~.rqr;~r ..'..' CqmmtiniiyCorractii:ms Officer II ., Wa'shiHgton$t~t~:.bepartrhent of Corrections·~,~?t·\J~h~9Ll~e.r #M'b .'. . .Phori~: 360.260:62,30Nextel:360.772.5.230:,"~ ..' ..', '0''.,~ ,:'...

" .;.,. Robertson, 'Sandra K

. .~ ...-- ..... . ',.;.',;' .:.. ;:"~;' .... -'" '.',' .. -'., .. '" ;...... ' .. ....... .' :~ .. ; .~ .1'.-,"r'-. ~;: J.' ' ..... . ..;:.'; .'-" ':', " ... '...'".. ' ,"i".... ....'...' .' .". ": ... ,' .. tiiallKYoilfdr your recent correspondence regarding the denial of your release addr~ss:You.·' .,~1i6g~.,th~tJ4e pepartment has discriminated 'against you by not al1,9Wihg'YQ~·t6,r~J.~~§~t9:YOUf······f~tti~r'$~d$e. Re~Entry sp¥ciaiist' Linda Tolliver has reViewed'yptit;r~cr4~stag~1~)i1cl iI1~;,-,""'d~hl~g~olds firm .. ' Your illness is not the reason fqrthede~ial;>t:athet; Ybi.ir fatbei)i~sJn4fcated'he'4oe.s,Iiotwant you !it his home, due to your plans to s~ek niedidl1m~rijuaJ1a cirid/or:111ethadonetreatihelii. ' . , ',;: .... '. ', XQHal~q:state in you~ letter tha..t y~:>u intend "to only go by DOC ruie~ on lTIy'corrimunity " 'placement;'. ~ Please be adv{secf that, in the absence orhoth a phY~idan;s'Wntten pr~sciiptiol1andapproyal by the court, the Department will not ,alloyv you to use either themedicalnl:arijuana ortlie 111ethadone. . ..' ."!,Pleas~ work with your counselor to identify a more suitable release address.. . '. . .Sincerely, .A!lIle L FialaAssistant Deputy Secretary'cc:bee:.Harold W. Clarke, SecretaryMary Leftridge Byrd, Deputy SecretaryStev~ J ohnsori, Field AdministratorDave Phillips, LindaTolliver,.'., ."000081

"-.,- "_;r:,- ';,.',': ..".";;. ' ". ";-FrKrn:': ", - _Robert~on,S~nc:iraK:·'S:andy' (006)S,erib: •. -.. ~ - .... -'.;.--.' . . ,-;.. -c:",.'.FfidaYJ"~e9rliar¥02,:20077:3~ A.M: ':. ,:.'TO:-·. RhiIIips', Pavi9 P(DQC)-, .--. -'.':,':: ,.•..,< ' "--;., . Cc:· ':,< ',' , Fial~:-Ann~C,(DQQ);JQhrison, St~yeHM(b6C),:,;s,~~rect::A'._, ._ -_~T::M~1!:~,~:'~~~U0ifi~.'.:'~_:~:·' '-'.: .. -. ;,:·:,;:·_.·.~~~~%~~.·~.·.tr.lj,~?~.~.~:... .•.•. w.~,A.:'~,·· e.i~~ ~d.1~~j;p.~.-.'.·;.-.;.jt~~,:.~.f~~t~.~.J!~;.•.. .•.·~ttElrtflClrJ'1I prep'~ref9r A.Q.rJ.e's reVi~w,":_- .··~,f;~~~~;i'~;~~~i~~~;;;.(~).•..•....'.. '..:', ....,>sl:lnt:\- ' . Thursday; FebruaI)'O~! 20074:53 PM:riJt,:'o":i' .·Robel'1:sori,·Sahdra .K,"saiidyi (DOC)-'St;ibje'ct:" :. FIJII:Medic:ai Mariju~na;' ... f~"" "''''~:..,.. : ,. .... ::.:~~':. ' ':,' ~ .... ,:.;: .'.' ::~~~'~Q~'&oY6~?~§~il,se~iMg aiY)em-o regarding DOC starice 6nm~di6.i:lJ, m~tijaaH~i," '. . ::'. " .' .:.:: .... ~.; .. :"~" '. ' ", ", , .. ,':7~c-~OriginaIMes5agg"--~- ., ,F.r~A1:,· ' --- , ' jo~n50n, Steven M (DOC), sent:- Wednesaay, January 31, 20075:07 PM'. " .~ :,"",; ... "",. ,"..... ', :,' ",' ~ ..~:.: ..-". -. -. -:~. . .....:! -:- ". '; ' .(.:.- ,.',:-.,.' ~~J~~~~~~~~~J~~;i~~.> :.hClW torespbridt6 Mr':- .."'.:~ . _ ... ·c ' c':,:,',' .". tot~,··· . Phillrp.~;,piivid p (POC) ,sul;Jje!::~:_ .. 'gE: MedicaIMa~ij~ana .;I':~~' ;:ecaU S~rh~th;ng:t6 t~ateffectl will be out dthe'office for the next couple days at'the Fo~~s G~OUPSbut willresearch' at first'opp~rtunity, Thanks again for coming in today, much appreciated, . . -_'. ,.' ·\-f~7iOti6ina(M~~Sage.~-~-- '-. Fro\i1(-Ph.iiiip#,DaYid'P (DOC).sent(::Wediies'diiYI January 3i l:,Tol::, .... Johnsbiii,Sreven M (DOC):SubJ~cb Me?icaL~ai-ijL!ana' ..';;.:".' .... ,.,:2007 11:32 AM.....',',' .. . ".:. ~. ,"'. ,:'. ,". '".1 _ .... 'Awhile back there was a memo that came out of the,AG's through Anne's officeregardilig DOC stcjnCeohrnedlcalmarijuana, I have been 16okingfor the document but can't find it. Db you recaU seeing something likethat"?'.";: ......... "). ',' . " . :'." .,', ..', ...David Ph-illips Cc:;S .lyH:mtesEl.rio/ Aberdeen/Raymond Field OfficesqJymRi~ 'Ncirk Rele.a.s(3 . . ." ,.'(~60) 249-5080 I Fax (360) 249~5590.,.: ~.... , -" ,-~ ..:," Ir·- 'j'''-I"J\:", -'1000092

: .J. . ... ~.~< ..-: .'. 'j.:'.. Ff~~: . . .,'''Phillips, payld:Pi'(DOC}'·· ...sent: ..' C"• • ••••. ThiJrsdaY, .Febru?rY 01.2007 4:53'PM>. To':,",' • .,' '.• ROb$H~on,. $8ii(jra,K'Saridy' (POC).'; " -': . ~ . . ',~ .-,~~~i,~~t::.::.,,~. .·t~.:·.~,edlc~I;~;f:ri~~U~Q~:.\; ':'" i; ;" '" . ' , .From:>u'·"v:,·Johnson, StevenM (DOC): .-,.... ;'. :."'0' ..000093

" ., ".-~ •. ' -.c" -'.",):,.:,:: "'Rob McK.enna,,, .'".,'.,' ,.

., .... ;. ','-, .,"'­." '.- ~"".,.- ., .... ,:.:- -.: I(. i.'···'Dougla'sHiatf :__p' b"" -13 2008" . ATT6RNEYGEN]~RAL OF WASHINGTON,-. --" .•'. . : , .' ~. '.,:':.•, ":: -; •.•• ~ ""'.: ::'_" ••': "1 .". :, • ::. '. .'. ~ .' ••••-'.-: -.•-'. .. ~'-.'._".i!lDlary,." , ',' / ,- ..Pa%~,,~! ;0':: .,_':, ...::. ,.: .'"'. : ":,. '. • ~'.:.': '.. . -:, ~ •• ,.~. ' ".'.' .-' I' ;, '. • .:;, .::.:.... ::i~'" '::.: '. ' : .' : .-.... . . '.' .' '. ': .

-:. '" .: ,: .' .:' .... ' ,'-'HoO'cf; CyntHia L (Poe) .''-'" ' , .___. ~~~:' __ ~_ .... "":':. _~ ___ ._.O __ ,.H. ____ ..__...._,._...:~_.__ '" '::~ "-:" __ '~__ '_"""_'-'-___ O ___ H'_:::''' ____,,__ ,,_ .._J ." ...... __•• ~ _ ....__......._ ••• ':.__ l_:'::'~ ___ ~_:.._._ "''''''''__"'_,·.~:~t: ~!~~:~~::,u~~~Ij!~ ;. " -, ..'J . - , •. .. "::3, 2008 5:16PM" .. ...• .. ' ", ". . • ...••.•...•.••..•.....•.! . :::;'"To:, :;"';':::'J~d9,~:'Dah(ATG)'~ " .ilefthdl\kiiow thathepc . . and they want to knoW-about seveilt)r of.co'l1(:ii#Qi1atld whether'. '. b~en discussed: they talk about my failure to point6ulaiiYharciships for . '. '. '.•.... y do not like my saying "doCtor'approved . .nlediCiii.e"~ :they want ". . .' . . .' ...... 'aCtually being doctor prescribed~i told them theya.r~~qih)egit patients wit1~doctbr~ .• "..,. ..., ..... .'thfs'Cl.ii,ifr6c].(~t scierice;~h,m.w~Stre· ". to,be.addressing pplicy,not going'over these, ihdhlid\lals'cases witli'a'fi!ietOQth':c()irl'tOafguewhether'ornofnlariju~na'isjustified ors011iefbIng on a case by'c[§~b~i'sls~ themitlatiVemak'e's the dOctor'the g;afekeeper, not a ..bu~c1io:flawyers and judges second guessing' rieed ()r' alternative medications for COridition~.thatwbuld be the Ginn case aU oyer~gairi." ". . ", . . . ". . . ", ~p~~l1af'~ ~n:i~~ting wduld1,1+dy~;;~hi~g~;,~i8hg;~.W~s poncyis,n9~' go.ing;; t~ }l.lm pnt~~ i,n~ividualne~d.m a case by cp'se analysIs or on e:x:haustlQn of other posslbl~medlcalremedles.Brian,give Ine a callback cause thisaintworking.20Q 41288'07 .' . . ,.'2121/2008 00.0097

'.:.',' .'1. ,,:':'\, .'- .........,.:." .,,'Frqrii;' .Sent:'. To: '.:. - - '. ... . .... : : ~:: . . .] ..• , : ,:.,,:.:. - ~ ..... .. ; ',. . ', ...1 [jtt;'~U; MarjorieR (DOC),::". ~:'>. ' ... ",'.( . ,. .'Wedn,eglaY,'November22, 200611:35 AM. '.' ,,' . ',',: ,:,.' ", .'; '; c '.. .'. White; Patti K. '(OOC); Etiy,: Michael.J .(OOC); Prichard)' 'O'ebra 0 (~OC); Berthon, Ralph M: ' .(p,oc );VY~~~!,et;.~uc1lhe OLi: (0.9.8);: '3.ra#t~'rip, 'R!ch'!r9 S';. (QOC); 'Ballarcj '. MichelleA". ([?9C); .. ''i .·erJDk,f2.~~wmID!,L".JPP9); Brq\oyn., $t:)~ro.oRJ09q);'~,~Gompte,.Cathy.(pqC);.DeV.(:lriJobeth,.' .. ,r.·'··'"~~ ~~;'.' J.','. '::."' .'. .:',:'~~'.~'. ,::': ,,\,:,; , '..' .'::,:~!;~~ '.; ". ,.', ' ,. .:,.~...'."'.. '.' ..: .~.,.. . ~ ..,.~~",.~:\oii~l'ri;;ir-":M'e~sag~C:!.,..c::~~,~' .f:,. " . ....trom ·:'Meusb6:rh:::Marsh;·:Stef!>.hi L~', (OOC\ .. ', '" f ':'.~ .S'erlt';: ,Wedh~9daY;:No*E:!m~~J:fi:2'2'f 20(),6;9~ 4 {AM:: . ',,;':> •..... ' : .::' . ....,. . ... :,. ., .. T'O:'lTe.t:nell/·),leanorP\.,(QQC»; .B'ciui;:a, ~athy N. (DOC) . .;roj)ns.o.n, St~yen M (paC}; )';" ...:'.''.:.';"Note: . To. protect against computer viruses ,e-~~ilprograms may prevent sending' or:r::ecei vlng certain types of file a tta·chments. Check yci'l.1r e-mail security settings todete:pnine how attachments are handled.".:.' ,1oon09H

.~ .'. '.',:, ... ,.' ", ". . .... -. :.,: .. ~.'.1,'. .. " ." ~.'C' ••""'.'., .,..

.'-:" '. ' ",' . ' ... ,.. " ~ .' ..'~ ". ..: ';.' ............. .:'., ,";..:. ". '~".',< "..' , '..'.'" ..... . ' ... ;."; ... "........... ,' ..... .. .. ' .-.,. : . . .'. ;.: ...... .:',." '\.... .. ,. .~.' '.;,',:. ',\'~,' ;':;i"'~~,' ;' Aft~rJQie&,~wihg'......'.,;:::1~fg:&bif~dl~::h ......',·'.'>""'."'".",',0''c .~~,fi~ilif~ie.;~yj~; .'.',' • ':~~bi$Oh;:'~m~n~(;( ~krijUan·. ".. ' :'. ';.~.":, ':~:. ::., ',' "; ., . ,'~.,.. '..r~;gLJI9rly. ; ... ,';',::,;".",.".,,;«,.,,~.~:r:~'~0~~~~fI~,,". '~l~, B~{ective'., .•",.;,.:,),:;},:,>:,:,:,:.':," ".. "'. riicith'er used it·._.J',' _. \ ,.'.,., '. " D

. . ".;, , . , ..... .~ .'. . ' :." ' .. '"..... : ...... sf~tfv.... .' .Nb.77534-6.,.'.. . . . ' . -.".:.", ":..' .,:: ":::. .- '.' '.:......... ·

~---~----------~---~ ---~ -- --- -----------~---~~--~--~ ----~------- .. -.--- - ._----- ---~------~~~~--~~-~---------------, ,.~-------.. '.- .-- ' . -' .-'- :~ '- '.;'-' ",.'''.' -:': '.'".... , ,,_.,'';' ..,~- ' .I.: .. ~ ,· ~. }... ._.', ': .. ;': ;"',':;"":,.'I.' ..

:;": .' '.o/,'..' .... ,., . . ,. -: " .. ~ , } ... ',-'." ",',:; ...........• ,- " ,'. '...' ..':', .....:.. ". . . '.,::'. . '.• .' ;.: •. .; ;' • • , . . ''C,,:'. ". ~ . •. • • '-, .' .,'~ " ,.i,,:j,::::""St~tff:~, -NO:;775'~4-6?" , .. '':'.'. '. :'.~~.':;;./'~;;:'iljt~tih;!;{hlg~l§ar cbndiJio:n';' . . ,,' .. ;. . (c) Is a.re~)dentoffh&:,~t.ateof\rJasbington at the:time ofsUc;hqiagno~ls;'~ . '.', " :,.' ..... . ",. (d)

~" .....'., '., .......... '::.': .-., . '.' ... "',:-.'. ... '... ":, .. '...;. . :',~ . ...,. t.. , . • . . .'. .:;.... state·v . ".' ·······N();775j4-~.· ........ ,.':"" .';.. '.,'"'. ',,:.' .... ;,':, ," : .J .,',',' ... ,....,. .!, ;- ,:):'::( : -;:.':'.~.:-' ':. '.. '. : :"~" ' ' .. • .'"~~~~~~~$~0i- ", .'".-:. .-:..,'. "" ~',. ;';" ...... , .. ::;:.\, ..•. ,.:;;" .. '.: .. t(~;~f~.b9.~nt~.~~erting ... ·a~ .. ·~&ifW.~ii¥~'~&fe+?e,,::,.~d:ch:'~~:~6;~': "',.' .,".: ':', .. ,. cd;npas~i·~·na.t~'u~e defens~, be9r~/lg~;b~~d~n ·~·f~,off~rdl~g··~~~i~;i~nt:. '.' ..:; -,: ',."''':'' .," ..... ;" . ;'" ." ,.:.:: :. r .. '" ."." ... ~:. ,'Y" " ..".... ~.>:--.. -: :~:">,:..:~. ." ... ,$he coUlg aS$ert the compassion9t~~~e,d~fense. Cf. Janes~J ~.1.W:n.~d at.' "1\ " '. ..;: ~...,' "..':.:. >.:: " ..... ". ,:':',";':,;;\::.;',\;;'(.:.:"";',', .'. '.."?37; 5.tate V. McCullum, 98 Wn.2d4~.~, 4$8, 656 P~2d 1064'(J ~?3h" ".''. ' .. : . .:~. ' .. ~ . ~ . '. " . .. .',' .4We hote" thatthisiikelyaccords vJiththe s·tafu.~ory schE1,hie. A defendant .. seekihg to pres,erir6ompassi'Onatefusea's 'anaHirmativ~defense must presentvql)q documentation to 'anyofficer who ql1~stionstHepresen'cEl of m~dJuana.. RCVv,.q~,51·A,d4b(2)(c) .. H~wever,wene~d·r19tr$achwh~~h¢r·the tri,allLidge'corredlyexCiuded theOreg6ndodot i s authoHzatIbr1 on review on thos'egrounds,glven our dis'p'osition of·thece.ntraiissue in the case.",:'. ' .. ...RCWE3$tablishesthl;st~tut9ry system wh\chr~'gul$,te~:':'.,., .. ;:--. ".:: .,/: .. ,:. :'-: .:-;y,''-• :~ 1 •6. ooold5'~

n ,." • • • • • :"' .'~ .. .' • • :"' " "., ••. . ......, ""'" ," . • ~ "".' c'-" .' '. . . ~·No. t7~34~6":.. '~ .' -.'.".~ : .... ':,- .,' ; .. :.. , , " -: .. :. ':,' . ,,;" .:(:1'1,:'}~:.:·< .. :/::' . ..:';.; ... ",.: "~~." "·'·.:argues that the cowts belo'Nwerenot sUffici,entiY:',~x:g:a~'Qi0~·:;'h: .•.•. : .... '-', ", .'~ -< ., ;:~LYi">

, . . '.~: ..: '.~.' "'f_ . :'. ':". . ~,.: ...... '>.:' , ;-" . ..c.,., .•.... ;:::.. ",'. . , .... ~ .. ~.".':': ......" .. ,: ..... .State v.c.··.·:::,.-",' -.'-.. .' .Nct 77534~6 '': ... ;:.:.-,,' .. :' .~. " ... " .····ij~9~~dq~~!i~i~~~()?t()t~·k~.t?Q~~ .. I.i~en,~~~y~~~i;~~~.9ingt~hla~.;::i~i~i'-' .• ·. :.",. ,.',: ," .. " >-;.;••.•'...... ,. '.,'w~~ a delio~'rat~~:bhor~e': 9.~d _gives- us ~'b' s-t~t-4t~ry re~~'o~ t~ find th~f ,','.- "",.:, .:" '.' ' .... ~:::;,:::~~;:;b··:r\,):"~:'~L,:,;. :.'::':,. ;,~::;·:,:·::X :" .. ,:: :',:,:J: .. ';/::. ," " ... ,., ....... '.":' '.' .... : ... ".~~' .:... .... .... .time of the original search .. Since it was not adnlItted:.intoevidenCe/ even'" '. . . .. .~. /:.'~"'.>.:~.:---:', . ..~ ':':.

.' ". ..~," '. ~,." ;, ' .. .'.'.'.{.: .... ~. :....... '. .";. .. . ,gr'ovnd·f~a.(th~·~~·lif~rnT~·~·edi'~~lm~rijuana'2~;:~:'wa~ ~qt inc/0d~d:;in' ih;~,"':" ",.·.c ••••.' .. : .r'~c:6;cf,;;,ad(mi9:~~~6ri~i"k.~q~:r8g:~Wh~t the c$fd~aid orbY~:hJrn:jt w~s:;',;, .'. ~'.'" . ;' ": ':, ...'.• ".. . '.. ':sl~~'~d or~h~t 'Iimit~tio,~;S:'i~ '~~;ha~e, we n'ote th~t a "qU~Ii~;'~~·'P~t'i~'~e .'. .':' ;.•. rr:~Y be brb~d~rund~rt~nf?;th.i:?]?W. " .,: ...•. , ,':>','We decline to re~chfhKfd"faith and credit claim ba?~d'Jpon the~ . , . '. :. . "" , . . " ., .,.. :',. :.' . ! .: '. . ' ," , ... :.. ;. ,. '''. . . '.'.',..,.' .. '!" , . ':, '".. ',

..,.'; •• J "... 'Sfate,.V.71534-El.... . '. : .... , .:;" ".:.'.';/'WE -c6~'6~~::> .:::. ~:, .. :.'~,:'-':;,',,_ ,,:,.,.:~.:::, ;.:,. ./.".•. C~t~~t~:~r.j5;~"q~7·~:· ~~~j.~B~7.~.. :,~.. . ':.1 ';. '.'; ..' .. :.-:.,.:.,.:\., ...... ..> ..... '. ':,':.' "·JustiC.$~;¥,1.,.E:.&~i:~y~,,:s.·. t,:';':~;;'

•• >,,'...... -" ... :.-.:. ....:: ~: ',:., ~ .Fr9rri: . ,~:'Sent:To: ",". . ",.:.,, ~~bj7qt{::',';,·.,.~~.-:.~~ ~:::.;:; ...' . >.: :... -, ....'. ·"'·~kf~~~!?t,·.,,;,··.,priJtri~t~:·i'S·',"'·.···;.,," ::{",,;Iji~~;'{p:n~j,f~J{~~~~f ",'. .;. '.";..:." " '.-:.:~' -:; '. :.:.:,:. "~~~K;··!:;:g~Y~6· .' .,Washfng,tol}" Dept. of CO~'T'qCtlOI1S,.,', Cqrrp7'i,w~ify cd!,i'i~pfions I;Hvist071·,:,Y34~Miiq¥i·§,9n;.:Tf1(CzY:sW,· "".". TiLi1iiJJqteH{,WA·98S01 ·: ....i~.~Y.:,~§:~~t~;(:·;,:,':F"· " .':' .. -::': ." .'.' ,.-, ~ .'.::.c~Y~F Dqn'n?Y.Tuesday; ,. " ',:;.'47' pM' ,':,.'>'"ISTRATbRS:"(;~;':'",',~';:";:';::'-Lizi,(DOC); ?p1ith" ~herri ,t:T~:: "·:':;-;.t'"" ~.j:~!; ... ' ,f·:~:>.. Wednesday,May~~}f':':· .. ' . .., .Subject:. '. ":::~:'" --::. '.'. ; .. '11:28 ,AM'. rhis'mattet has now 'ac~8ag~ n'. Can I ask that theAAG review the use of medical marijuana when an offenderlias aconsJitiori not to u.8e ,drugs. ... . , '.• : .... c·~'.' .1

. Thanks .. ··.. ,:,' ... ~ . :/...........::"... ; ... ' ' ~ . '..:'< ." ',.I' imp6~eaa.pOCbQ,ri~Iti8:~·~qtt~ ~o;s'~ss,n9r.·~~:e contrpli~d::.- •.·.·'plc:1c$clhim ,hi cu:stpdy tW.ice.'.H~:n,6'-Ystates he will beg~ttinga .':-.:;'~:: '...".: .' .~; . ,

.,'.-' . t .. ' '. e' ':.'J.: •, ..... :.; .. .':,.f.: '.:-.. - '. ..-.- ~ ,'. ... i. . ~ : .'. ., .'.From:. . Sent~.';.·To·:··,,·.····.. Subje9t:: .. ' ~' '. . .", .\-- 'Ma~gi~ndJack,?p:;/Ou ...':":i: .;.... , .....'.: :- ::". : .~',! . :".:, . "'Db~~~'¥~:$~~~i, .·lil'~!I~f~I§,~»~· ...1 :0'0 PM· . ". ," ..};~Opp~JackL·.(P6C~:·,.;· .. . .. . . ,'~'", '-' '.: '..: . ~ . . ..;' . ~ ..~ : . . . :.. :~., .... ' , .... ',.. .. ;'. ;;.:: .' '~: .. "'",.'::.~~::.~~ ,.:'::'ltb,~~~~~tes1:le~/)'·'hJ;jpl?izrfs)1:~5,';>·· .. ':·:'';; •... ' ..... _.' "~,. l'·;:.'.i',.:'·~~ .~: .. ~, ,. ',' t \", • " , , • • ,This matter has now surf~ced" aga·in. Can I ask that the AAG review the use ,of medici=1' marijuana when an offender has a,co,n.". d.··l(jdh,· 'ncifto(Jse 'drugs"'.' .... ""j,'\:'"", :-~:);:..... ...... ,~,".• A' .::::: •• ';:'",.' ':. ',',"". . f()r fail.i,ng to regis~er.limposed ~ DOC c()ndition not to possess nor use controlledbeUA'darid , haveplacedhiri1 in custody tWice. He now states hewiU be~gettiriga:' .. '. ...• '. . • • y",.' ' •• • ,J ." . ' . • , '............ ,..:,'/ What\s p", .., .·es in regcirds t{) rnedical marijuana prescriptions?Pleasere~Rc).hdI:>Y 05-14-07 asLwili most likely have to detain him again soon.Jo~1 K.Eskes .' ..CommLinity Corh:ictions Officer 3DepClrtlrfen(ofCorrectlbns .Everett FiEilddfficeOffice:425514-3547Cell: 425 328-6758Fax: 425290~3201 .:' ... ',' ." .'.' ..1.' 00011.2

-------------------------------------------------------------------------------------\ .J •j,-.~ .' .-..,'.". ~,: ,:.:'... -; ."'.::.:";Left'rfdgesyrd, M·~'ryV. (Doer.:,-·' -- .:.'. ....".", ' .~ ::,.'.:; ..,;:. . "'" ,.: ~ .. .'.:,",' -::,",.:,:,"; :...... "~- ..: ....'.'\,: .~:". ::','~ ":........" : .''"I."',". .,"" : ,":,', .. '',;,:.":'',' ,,/..... ~: .1

--------~------------~-PageJ:ofr-', j:._,-.'Leftridge,a:Yrcf,,/V!ar}iY· fqoet"~ . . '. - '. , . ".', . ~ - . . ... '," .;."." .. " .-" ""' " " ... -: . ."': .."~--'-~-F~om:,:' Leffrr, ,,;;,~(~h\"+h{,', To:'~,'sti6.j,ec::t~.~ ..", r·".... '"" ';~ . ',..'tosh:iyclose to' ','"," ", thi~hiorning ?'"-:,'.: ''. ,.,"," .~

._--------- .-- .. -.-----~------:.-.; . :., .-.' .,..'..: ,"':-', .:.:,·ti.'E' ... '.' ,.. ····.~~d~:EJ~~i.~~~(,~2i~t,~:gZA~i'f;~I,;2!:J:!z~: ". ........ .' .'... "'!p:;':>," ..... . ,. Littrell, Marjorie R (DOC);. Curran. Mic!lael L (DOC) , ' .'- ,".' .; . .," :'."\'.; ,,;. . Cc;,;·, . -. .. / ·Johnson. Steve·n.M CI?OC); K6pp; ~.acK·t:;·:· (qoO); ~indell·. Katrina R. (DOC);' .. ' _., .....,''. '.,' :;. , ,-. ",'.' .. : .. Mendoza .. I;\~m~h~~:(I?PC);.~~Li~.9~)rl"\-Mar.s~·,.p!efani .. L. (DOC); r0iller, Merlin:"..... ",'. _: :..- _,;,:. '. ~. !,Lin: (DOC); Muc~iI.I[, 'S.on.rile. R. JPO~); V:~~n~lI, ,_EI~ano( D. (boO)' -',:' --./'.. '., . .·. Su!?jer;:t;· ..· ., _ RE:,.,Marihol'Pr~scriptio ..n!??~· ",;.' ...-: '''.,.~.':',: :>.~.:_...'.... :;. :".... .. ;- .,: _', ", \We 'contacted' Sferling 'and they informed'us 'that. they cannot 'distirigtiish:betweed marinol and '. '•.. ,:~~j~~~:~.FYj···;·:···.: ::.~:;;... ~> ...... '." ":. .\ '. )Ct::· DOC DL EASTl i47CCOi DOC DLEAST1102 CCOi Dot DL EAST1181 ceo'Subject: . FW,: Marinol PrescrIptj6ns? . . .'. . ." ... " ..,.".. '," >Debi,Whil~.we h~ve beenadyised that i.tiQ~sJion of THCVia"slT\okingis'a violation of .'cOr]c1itions,~hqtis theAG ':SthClUghis.ci~oufqJegjtimCi:tepre.scription that is '.~s'ea for'marino I/wbi d·ri'beli~v¢' c?0'~s in' c~p~qfeJ6rrTt'MikeFrom:.. Taylor, Carl G. (DOC)Sent: . Wednesday, January 02,2008 4:59 PM . .Tei: Cole, Aaron J. (DOC)i Hurst, Travis J. (DOC); Curran, Mic~ae! L (DOC); Mooriey, Todd R .. (DOC)i

~' .. ' ;'.' ..., ",. "','.'\ ..:. ,. .'.:,.. ;".;'::;\'. " ·."i .. ·./; .." ::'·r.:'···:i:...···':·.··• .. ',., . . . d~~9rii9~\, Juiie A, (DOC); Lindqui~t; usa~~?(6~~) ::,., . '.': Sybj c:t:·\ R~: fI'lari~pl: pr~5~rip,tioriS?, ,"/",':.... '.,.,7'. i ag~e~ ~ith A:cIroh. Xi~·giti;~at~~hy~idan Vy~it:ing':a p:~~~~~iption,i ri~t'pr~Vi'ding a:, ", , . ,';,.;:'.". ceJ1ificat~, i~ .~or)1ething I' do~'t want ~o a~suf)1e,Ii.?lp'intY 01;1. My understanciing is tha,t,if. ".' ,it .is,' "pre?cri~~d':"bY"a ).egitimat~ pbctor, let. it be.,,~ ;....: ., •. ::; ..' -:·:

•• J'.... ;. . ..~ ".;' .' .. : ..... .; ....'.. ~ '.' .; .';.' - ..".,. .:'. \.'.. ~ ,. , ,"'~ ..··Cqnd.er" Qebra A. (DOG)'·:,.··.>·.......·:TiJesda

".,'>," . ...•',_. 0:. ••.;.' ....'li,2en'~e,~ p~'Y~'ic{Clt1?'",'.;:,-.':,>.ThpnB'YOl/. ..

;:..... ~,".'-'.'- -;.:: . LbrL Rcimscfell~Gilkey.. . ...; ..·Hid~ing~D~itPr~9r9mA.~tninistr.ator·c'360-239:.(54.68 .... ' '. ",. .' .....':..'.'" . - - .. ' -. "... ,-,.... ,,. ',"-.,...'"'"...... --: .. ; .. '-'.> ,~'.' ••'.,-'"1:., .-':-,.... ' .... " -'.":'- '.~' . ..... j .. . ,. • .• ·')~B-c:q;i~inal ~essaQe"--~-.. From:;' Evans, Cly F~' . 1. '.: '.' .'. :.-:...\'.. :.~~?~..., '.." ..:.., .. ,: . '.. ,',:: : .' '. ":. ·>··::i (~:" .. ',:. ::-;.\'+." .:.' .. (~ ..:.",:,:"." .. :~:.:.:;"'"... Cj~s.ts·poke. tohim .. H~sta,ted .thsH .. bi.§Je.9uJardoCtor is in Ritzvill~ \lVa§hjn9t9fL$t~¢9.mmut:]ity. H~'alth:'-.. .·9QLrQ~@l,ihg. HE;l,s~at.~QJhg.f,.r.i~.qQPfQ(th~'r.9an'\ pr~§Gri;b~ the·in\3qjC;:f:lt,iq.r\.9"~§~'H~~§~~~j~.§.§,t~t(e::Qipi9yg~,>soh,e,Wen.t to a private .physlclan.ln qregon who gave him authorization to u.s~andGonsumemarijuana .. ,.;·· .'.;.;..:",,',";'" : .." .....·· ... r· .'H~~t?t,ed that he grows his bwnM~dJualla and he.·buys itfrom Green Gross;whic;hik'lo'cafecf!h itie'S~~ttle' .are'a';' He state'd that the authOriiatfoligiVes him the authority to growitfor p~rsonhai use\/-.: .', "'. . .' '.'.:':i·. ~.~~--Original Message-----Fr:om: . Evans, ClyF.'.. Sent:Monday, August 23, 2004 11:12 AMIi:): Canterbury, stephanie M. . .Cc:TrOgdon-oster, CarrieV.j Ramsdell, Lori MSubject: RE:question . ..'... . .. tOll do come UP}vj~:q.s(>'i*(f dilly gUest ions1't1s, C.a,#t~~b:uryJ. ">' ,'. ' .. > ••••••. /':':;~":;'. . '.. ,: :.... '.. :-;" '\">":'" ::;;,'. '. ":.:,." . '. . . ':.···::i·.. ·: :...... >:: .. :, ..:'>:.;.\.,., ..: y. ....'

.•.. ' '.,',........,.:.;":' .From::' .' CanterbuIY,stephariieM.· >,' .' .' ..Sent:.. '. M()n~ay,:Augu?t'2~,?00410:5i; A,M '.Tp,i'f ,'. . . Evans, ely F; ., .,.. .' .. ' . : .".t., 'Subjec:t;< :' qu~st~9ii;.::.;,~: ,,:-:: .-" .i '. ": '::. :'" .' "j.', .. , ~h·~fif:kd.off~~~~r ha~:p~pefW~~ki;¢~;~'d~6to(~uth'6~iiih~:'hjill:'t6Li s~ ,M~rij~anafor'healtt{ reaspn{.· .'.' .'hQW.~Y~r., f6~'ciff~n(j~rdo,~,~l'1iLh@~$:e'pr~~;q'dl?t)or1 fqr¥.,~.riLL!A~a:. JY~ been told bY.~IIQ9alj)ha~r:ri§l9Y.:. -.. ~that if he had a prescription', he would hay'~ to go to Seattle to get it.·· ",',.: .. ,,'.',- , ... '.','.,.,: .He dbes'have an illness, buthotOne ofthe:ltermimil '.or debilitation medical conditions" that allow for,: .•.,...·····'ih~y~~~fq~rIJu~t:~):~:r tr~M~;.i~ai·~~f.~,~~,2~~)~~t(5b.~'p,~~er. ~9.§~:.~A~.q~;·,: ,'~., ....:'.'".: ;, "< .• y'.; ....,.'..'Ca~ h'e s,tiWpe. violated for u~ing: m~rijL!anEi,' s[nce he doesn't.liave a prescription? .'':,Tg,,'~6'6i~'~~d 'p'le1~~h'eIP!i!'" ':, . ' .. ':, . ':.,-, .' 1 ,,;'" ·;·';:,::c.' "',·'··i.! ...;. -.

. '''."-'. -'. ~ ';.' .. '-'.",.'-,.. .!.- : >,' "::,~;-" ."' .•'R~~~d-~H-G;dke~i:fcif{M\D()Cl': '" ': .,' :(,:, .. "'i,': ",,':,':,~ ,',q " .," ': ",'~~ ~:~~~:~·',:~c~~,~,,;~.~ ~~.!:". ". 'I r'~;;'-ember a' dl;Sus~rQP ':af? cCQ' me'~tirig~a,~out a, ~i!?~r- ~r'more .ag.~ra6q;ut tl)ls ,!~'sLie with the 'jl:P/3 Who is ~s~ig'fl'ed''to all"',the'heaHng$·:'issLie~1"My~~~p'~!ll3

:",- .- ...... .... ',: . . ... -..I~~~\~,.' To: .': -. '. ~ubj~ct;"".... ;-... .': . '.',:, .".".. Ifth~ iudge rule in the offenders fa·Jcirdnthlsis's~e then we don't violate?" " •. : .. :. "C'., ' ... :," '. ", ' .......... .' :'. ':.' :','1', '.,' '':' '.':;.,', ... .-. . . . .. ,,:"'thi~i~X~,~warea forn,ie~,o'ho~:~W~~H9~ ~6p't()c,~'¥d';::'f~~,~': .. ·.sent: .. Tot·~~~j;Ct:"." i'R2IrTisdell-Gilkey; Lori M, (DOC)':, " .F,rlday, janUary 04/?008-;f:07 PM .M~ridoza~'Ahnanao(bbt) " " ,"Boe,'Jerit (ooq;,:'RE: Medical'il1arijUana.. . ",r':,'.- ;.,> :'.':.'j' ." ;'.: ,--. , .. ~ ",.'. ,' .. ".',' .': ..'::. l . . ". :. .'" '", .. , ..In this case I would want to know w~at the Cburts response was to a special done in November of 2006.Chronos ,indicate the ceo ~cisb.sking JheCourt to weigh' in cin 'hi$ Meg(cal MarijUana prese:ription; .. -',".. '. ..". '. ,. '.' ." .,~,'., ".' '~'::~:' >' • ,,' l" '~\'>"~';-'Y'", .:', .. :.-.,:.. --~-·Original Message----- '. . . ,.'hi:i";: . Mendoia;Armand6 (p'6c:), .,sent: .Fri8aY~)~OuatY04; 2Qq~ ?:~6AM '. .'. :ro,;" Rall1sgen~GHkeY/L~tiM'(DOC)····. ' .· S'ubject: PN: Medicar'mafijUanc( ..', '.,1:' ,:- .', 't.' ~ ">.: '. ".'.:. '\ori, are we are c?ntln'LJ'~ng to' violate?.' ",:i{~--'Original Message-'-~7- '~',:. .'· F"ro'rn: : Bbe>Jefi'l.-(bOc)'.,_". ," .,.:s,ent: ,Thursday, JanUarY 03,-2008'2:04 PMTq: .'Mendbia, Ar.mand.o (DOC) . .· Subject: Medical madjuaml' .- ",: "'. ,.'",'. ArmEmdo, I,am sorry to bug you 'but with Karina gone just need some directiOn. I have thisoffende(who,has a dcictors note to use medical' ma'rijuana.,We received ,directiori some time ago from the 'AG office1 .'-.. '.'-.

~ . . ~ ' ...": .~. '.' .. .... ' "~b~::s;tw~~~:v~¥Wb~:,~~~~ib::·::~~~~·rt~~:.t'w.~.:.Whd~k~s:~m;~~~~t~r:·g~~2~~y.P~~X;~~r~i~~a~~i~'~,:.:". . mea letter ststmg.thaUbe cOLJIis ha\(e.~u.RhelqJhe nghtsof;law,apldlpg .. u~erS and that thiS Issue,has ,been"settlec( t,houghihe:law therefore w.~ (QOG)' ~h.q~ld nQt vi6t~te"for h'islawabiding use 'qf.medic~h .. ~... .·;mar1Ju·al}a .. Needl~ss''to say I ha.ve.Q,o iqea Vi.hat itanythfng I ,S!Y9uld'~o with the letter: .1 realize the:.;:." ,;...·•••. ~~~J~r~\[.z~~~~n~:~~~I!~~~JI~fol~7q~h~~gt~.~~~g:?p:~;~i~v~~t~~tih~~.;a~l;~~injj?,i,;. "./;., Thank.s:bUnchesJorYcJLihelp 0[1, this.: .. "',,:" ,. ,.' ....\: ...... ;.,,',.. ... -~::~:.,::.,:.,.;.,;:,,' .. :.:: .. .'~ .... ' ..... ,.:". ",. ,";'--:' ~''':. :';>: . '~~.I.··-:~.{':: " ... ,' .. ~ . '. ~:~',:;,~: ",: ;.:. ' ..',.'. ~.~ ... ~~'> ...

• ': ~ .... ":: "." ~... '. • •••• • '. '. ;: ...":,:,,' .. :" _.' .. '.~ ',:,. ~".':', ' ...." ;From:. 'Sent:>::;'.TO:;:'.',~;>,'.",Subjec*,::"":,;::'"/.;""" ..'~amsdell-Gilkey, Lcit'iMTuesday, August 02/ 2005 1:41 PMIOckerman/Paul't), ', , "', medical marijguy , ,,' ,,--'"';::.:"::':~..\:.,... - ", . . " .' .' ,'.-:>.... ,..,. '.'/.';':'::"J:~:'>(.\"'" .""., ..... ,,ji h¢ve a hrg, with Dustin recently about his guy who was using tnarijuqna?Whqt.~apperi~d?':,,· '.' ': ", To d' " '. :,. ," '.;'.~. • • 0' ',. ", '. . . ': : ~.:. :.: "~{:'! ,I: 'I,; ~:~..:, ,.,::.::. ." '. . . ,.' ,i .. . :".) ; :,'; '. ',: , " ;,»\::';,::~

'. . .. '. ', ..: .: _. :'.~ :' '\. --": ,.'.".... ,;: '.,'. ,".;.': .'.. -'. ~ "...< ......;-./"-.. ,. . . ,., . .Page 1 of2.' DOC 09-229NC (FPReY. 06118/03) OAA 1 POLDOC 670.500. DOC 460.130OAA - CClMMUNlTY CUSTODY HEARING REPORTOOD1:25

~. ".-',.;.' .. . : ~ ;-!" .".'f'....',-. '- ,.'..... ".:'.'. ", ;".!'.'' ....._ndto'his ~ut-cif-custbdy h~~~ii).g;!,;,~here, were' prelip1in~y'­the allegati9ns. ~_. :his CommUnity: ' "., B: prescriptfqv for,n}Mj§~(~ariJuB:na:: Cd~~ity' ".. ,;.,'.; ... : .. ~' " - '":'prim.to.his heari~g': .. ·~er~aiy~d.his ~i'ght to

.'• •• L •-'- - -\ '..-:'; .. ' ..". -".. -~ : . .''>" '.' ... '.':. .. : .. '\.......... '" 'dr~ps aridjhfitirir;iri6r6~ses .. th~~Mr·_o~i1i 1i~v~t()$eFy~:~~j,{~~~s~."~) Mr. _:.' ....shall discontinu~ liseof.THc:/mariju~a\intJI rel~asedJr~m supenr.ision by th,e Department of.~·, ,'\CorreCtions. 3) Shan yvithin24'~0l:1r~ termiIlate.aIl marijuan~ cult~vat~on ai+d, SUlTYJ:?der'aIl drug _ . -' .Pafa~f.~~~!i~ '.#2. Illarij);l~~RJ~,~1~t9.)~'Y e~f9r~erri.~~t p~fi~~~I~' .~~ ,,~ir¢·~te.4by', qRnllfl~pitY,':;' '.CorrectlO11s; qf;ficer,·4} s.J;iaU.13.tt~ndJnt~~~.~reat111ent$eSSlOn on 7~2Cl,.;p'5~t~l:OOAM apd;,;:. ' ." :.,'... ', . .: .. ':;: .. ~/: .. i'~.':·';- : '.:;~ .. ::.'. .-'rii~S~~:b~ is within th, bounds of the DO. SA Sanction Gri.d fora~6¢SA b;:d~:~Cin;~."'.. :'. ' fi!st he~i~g process: This :c~s_e nas m'~y isslfes g~ven Mr. ~~tance:on'inariJua~a ~d': .."..'hls prescnp~lqn. I dId v(;)rb.(3.h;z~';]ia.t M~._~cepte~ ~pl~a. 911 ~-f9-91 m.tli all' - .:'." .. ' :the;6pl1cl!#Q'tt~. anclexpeQta~i~rf~ ()f H:liis'rrieqicarconditi¢nwas pr¢?~)Cistirig' .. aftn~t N#.~':arid;::· .'. ·

'. ;. . ~. ': - ': ~: .. " ."-'.-.

..... ". :". ~ .' .. : :... .' . -...... '.":: .. ";":" .....:, . . .. '1'.. ': .. .-', . ..' .... '~'- .. -.... ; " .-.~ .. ".. ' From:'Sent:.. ',." .- .:,...•......•.. Legg~#;·.ld~.R'.(boC);.; ..... ,:. ".> Tu~sday: July3j; 2P07 4:44PM".. . Rani~d~II,:Gilkey, LO[i 1\i1 (DOC)::To:' ..................... .sul5jes,t:-:> .' FW: }l/lsdicalTHC ..':~"> :.'-; -'.. '., .:::. '..-: .~ ,'. ':.: .-.~,c',. : ...... ::., ••• 1,' .. "' .. ' ~' .. ;; .,."'.: : .~~:.~~6rigini~~ssage7-~~::. ..' ......From" .::. ..,. Vemell,EleaI10r.D. (Dqc:)... ' TSS~U'~b·.:;e:.·.·ct\:'.·.•. ·.... .•,:.•. :...;.·.·..'J......... ': I~~~~ftlb~yr/~b~~j? 2:37 PMFW:Medical THe':.'.,lcia"c~hy9LJ·~iVe~?rr;~··irip:ufp.leClse:~~~~~Origiri~IMe~sage~~~c.~.' . . . .... Froin:':" ', ... Pearson, RobertA. (DOC) ,sell!:( . 'ThU~sday,July 26,20076:37 PMTo:.:. . Vernell,' EleahorD.(D()C) •Cc(:,~~.:.·:· :.....' - ......, . ofive;r;' Gr~g6fy .. J.: (D.bC)Sub~e~: ' RE: M~dical THe' .' ..... ...Bob·· .'-,OJiveir,'"Ttiursd~y,: . ~'6; 2POZ: 6: 11 PM,.Pearson;~obert A. (DOC)·Medic;,liTHC' . .'.'";..;'Illave a question that eitheryou,the. higher up~ or .. theAG coGldhelpme. please anEiwer.APjustr~c~ritly·p~C)0idednle ..documentatiOn of a 'recO'mme.nded THc use from a lawfLiI doctor in' the stafecif VVA.ThisTHCuse recommendation·was issuedtci.P for'his medical condition. I\ierifled the 'Dr's cre.clentialsOn the Departmel1tof H'ealthwe.bsite.:" .." :'.. ' ,...., :' :.'." :., '.: ' ........ ........ ........ ,.... :. .' '.':.' '.' ." ..... ... ... _ "",.' '. . '.".'"" . ". . " ;' " . "'. . .... ,'.': : .. ",:, . . .: ". : :'. : .... : .. : ". . . ,'" .:\ :::''- ,'., . ,In theP'sconcjitions,it talks C3b()utobeya!Jc:;ity, tribal,stateand .FEDERAL laws. The WA,RCWmakes this lawful., but. doe.sthe federal' government approve. this, If the feds dO not, tl1enisthe Piri violatioA pf his' cc;lnditiontof ,supervision .and theP shouldbe iriformedthat even though theStatecifWashingtohaliowsthis,the,Fe'ds doncitandhencec:alJ .not use tile THe?' . . . '. .' . . . . '. . .. '. ......... .' . '. '.' . '.' ... " .",".; :.:" ". -- : ...... :.: .•. !".:"Thanks,' .Greg ..00.01,2:9.'1.. ,..,.',','

I-----~------":\., .':'" w~sl:iing:~on D:el?Ji,·of' co·i.re·etioh~ ... Comniuni'ty .Corr.ee ti ons.7345 .LindeisoIi·Vf~y. SW '..····Tumwater-./o/A 9859:1/.' 36J';: 72$.;'8.3'11'", ':.

' ....... .-,'.... '.:' .. ,:'. :: . ': . ',:,..:, ...... , ...., '.' .."., .;.' .:.~ .. :~ ..:~ ..·t:·6$PP.)\ _.:(iTie.d'; Marj).. ,-, ....last week.'. ' I'cbhtact the AG,?. ~ ..:, . ':/! .. :.... . . ':.:':;:'.

; .~. -.,> .."":':',. Joan Meyers .C9m~~iti 'Cor~e~tions Supervisor, 'Paiki~ridsbtith'tJriit(253{~83~71~b' ":", ..F~~:'(253) 589-7091''. '~!':. . ' .~ ..:,..... ' ..':'::': .. , .'. ~ .. ·.-"--~Qriginal' Message-~-"-.. . .From:,' ":' Tornquisti Larry J. (DOC)Sent;Twesday,!\1.ay 01~ 2007 1:51 PMTo:,':': .. ivfeyers/Jq~r'l [vl. (DOC)Cd'::HehdrickS, Ri~hard B. (DOC)Subject: -Positive'THCResults over time'::;'

----------~--------~------------- -"" .. --.--------------.-.-----~--~_.253-843-1]Q4 (Cit{ci(RoY. OutsJatio_ri>.253-~77-8816 (Cell) . .... '.::.:.. ...... ,.,"";"..... , .. '.:".. ,':., ",.'.'.:,2000133.- :':

~~-- ~--~------~... ::'.. ';.:.' .','"".. .,"' .... ,,'-.:.:.. ~.". "-','.:; ~'{', '.~:.)....'·..i=rc,m;:""·- ,··-Sent::,' .. ~ .• TO:~~i:::,,~': ",~S upject.:> . . > . ~"- ::.:;:;..:,'; :~'.;" ..... " .",:"

':",.. ':. :.~'" -'.. ·.··:.,.· ...•. ;.·~.,,:·;{;·We~~fte has. all the 'information, wfth Be')evu~ Qlihfp .address.·~:thcfoundati~n.·cor1;/clinicsr .. i....:! .• '.'" ' .'~. \ ... '., • -j, ••PaHe~rseifreferred hi~~eff.:;'. 0;' ~. .' :,;·I:. ;. . .' "-:.':.~ ~.~.:. .. ·in .' ,.: .. '." -;{;:" :/ >t~ .. ,.:;~;;.'\,> ),.", ... .... ,'.,'... :., ..... :, .."'" ..... ,.; .... ::." .. {.. :;:.".,-..'"......2 ,.000.135'

- -----------'., ,',- : ~ ..~., ::.- ., ,,". . ,- ;-.':,,"dLrrarCMltllael;L (1)'0(£)."., "",>,:,. ,',..;.'':''':''/Office-[5Q9] 323-7378" ,~e,;I.I(')2"',[?g~r:~1~~,t9 7:7-: ..... ,.,. ", :". '~. ".'., ,'.,',"; ), '',0,'-:,:• ;,"." ' •• 1.... ,1000136-

• ~.~:'."-.': ._.'. ". " . -' .. ',:':: .. :., .,".. ~, ';'.' . .:'"'-; ,", '... .' - . :.. ',~..' .....::! ",-. ; . "~ .. :" ," .. ~curran'" Michael'l:(DOC) .:," ..... _ ....... ; "",r ".' ::,:'.'../ ..... . "'., '.~~;i;;f;~~~~~~~~~:~AW .'You.kri'oWWhocah ari:swer this que$tioois.th.e st~ff at Si"erling.',Xr:§%'~h,~!l~ey .·s~y.',·· '.' ......... , . .' , .. ~.:.:.:.)~.:: ~;:'":'::,," .... :~: .. ,;.:.:;~:;\:. .,.:',',.'. ',;.... > ~;.:Eieanor r5:'(~()C:)iF:\": .." i " .... '. .,.... ......•,:...,\\'.:.::\,.,.;.; .; •,'.,' .::c .', .Subject: RE: Mariner.Prescriptions? ....".~. ":\~:>:.'.'~'" ~'" , .'.: >.• :': ',,.'.. ;:':~ ."- ::'~'~::';;~ ::."\ ~~":~»< .'. , . .'. ~ , .~'. _. " .. ~"',' .;" .: '. ";',:- ::' :J.;., ..)',' '.',My~uhder$tandmg ls'thatwe reqUire offenders to mallltam a ch~an UA .. However, I do know that with a .JegHifn~ie RX, th~s'cr$~nfng:q9m'p:ahYwili nqtifyif the'p()sitive' results are from me R)( arid tKe,n'0e.q'(j not,·.cOmiidE;}r that .positiy.eUAaYio!atiOr\.1 db notlLet me sel1d this:outfor 6pinio'n. . ."',:',' /, ." .••.. ':.">' J' '.. FA .s~What do you thmk? ,"' ... "'.;::~.;:::.,.".":; .. ' " .... ' From:,, ·· ... ~sent:'. to:'Ct:'. sll~;ect:,.: .. :,':.,,:'{ ... ' ..... ;.-:' '~:~.~,-:' :'.':.': .,;: .:. '. c:urran,.Mit.l'\a,erL (DOC).. u '. ' .." 11'lurs.ga'y;~ar:~aiY. 0.3, 20088:35 AMCoriner,;Debra A~ (Dp9 . .' . . '. .'.DOCDLEASTU47CCOi DOC DL EAST1102 ceDi DOC DL EASTl181 CCOFW: MarlnolPrescrlptibils? .. . . ." . ' . ': ' .... , i ":-' .... ~. I , ..• ,'" .''" .: ... ;". . :.;:. ·'·:t·.':. .

"';'".... , -. 1: '.'.. :!.::. ,". :c·:",." .. , ,,:' ..: ~.". . '..-, ,: i·~ -.'. . '.' ' .. ~ ...; -. ':'. . :.-;'. :':~,:', ;:!; ~:.': ":. ' :. .:. " .' '..~" .: ~ ',:: .; .. ' .... ,: ." '. ". . . .... .. . . .':";' " . . ... .".,... :.,\, '" I,' ' •• !.::' '\.~ .. ;,. ,,':'{;';;:'i';ii i' ... 'It has much different effects than smoking THC, but it will test positive for THC on a uta. It won't be. a ve,[y high level,'but it'will be'preserlt:. ' : , ,'. .:" ',",',' !",':,;.".",~ ':.' .:' ....,:","'.' As.·t:; the,I~'g'a'li't~ ,"'1'" tn;i·nk·i.h~i···it'·jS~I.~.9al·;:if .•· it 'is, ag:~ i n ,a" ·r~~.I·· p..test.;rptiP'n···i~6~".;~'·~~;i·:dgB{ ~:~:ari~:.a::f~~·I:' .'.•;'pharmacy'., (atnnqt anat:torney,byt if it is a legal prescription I canassumei(is'lega'l.Wfmay:""ant to get clarity from an AAG. . ,,'. , . . , ,....... " :." ", ·.(r·/·"AC., .. ",,\ .........._.. ,:•.,:." .., .. ;.. :"' •.. '.~ .......... .Cahanyone tell me if it is legal, or if our offenders can take marinol.if itis prescribed by amedical doctor?' ..' .' . . 'TravisColv'ille2 '000138

'M •• _'_ ••":: ',. ,. FEH- i2-200B -rUE 1}:59 A~:""'". ,'"FAX' NO,'.:-. '" ...,. . ~,'. ..: ' .. ~ ..... .:"..... ···F~;d~~I:i~rnal}1es.s~g~~~;~riL(D ,C) . . ..... .'.. Sent::>.'" . ThurslillYi Jan cry 03, 2008 2:04 PMTCil':> ,. . ·Me~·d()za,Arm.rtdQ (DOC) .' .. 'i .: S~bJ~.~t:,:·:·:··,"' 'Medical 'M?dju n~.:- ~',.;,.: ...... !.. :,;: "5::: _.';;)':: .', '."p, ..!,,': ,':.,',; ,!.',;t,.-,: :;,:.:~:;/" ,,',. . .:>.•••,. "", .", " .. . .' . • .. • '. :'. ' •. ',.-.. ..• ~rrD?M9,;:I,.~ifi·~{)rtYJP' q.u~' pu ,.but"\'i~h~~~r-in'~,~~~~ jUSt,11~~?som~ .. ~)(~9ii~~ .. ~,-·i!:,~;~~Y~ls" ;ff~~:d~'/;;:'h6"h~~:;'~YCd~X~t6r~::;' ..... note to ··s.~mf;ldI9Ei.Ii11~qJu~ .e. yv e (eGelveddlr_~ctlo.Jr sQrnEfJIIT1j3ag9JtPDrJhe.\A~;,g:fflce;Jh?t"" _...'... " ... " ._,,,__ ". '"." .. p ",}fh?~5:~~'2o~f §nr~;hi~,~tt?rd,eY::Th!:l.e,gp.r0Ewwri~~.~ifti~-:~:!~t\~t,~,~~lt~,9,.th~,~~V,~(j~?t~f~fo1~\~Ph~.'d-th;: "0. '. '." ...'.,.; .. nghts,',oflaW abldll')g users a d thai this ISSUe has. beer), settled tHough theJaw:tHer~for~ VOle (DOC) should,not violate, .... .' ...••. ¥'.'j;f~S~rs: 1~0;'~tiid!h9:,U.~.olme~icaIITia:ijuan~'T· .•. ~~e'dles~' t9'say r.tfaV~~;6;'-ia~~.Vy~arif ~nYthing"f~h~ulda6.~ith i,'th~,1ettE.!r:,.J re.a1i~e the dlrec lon,frorn DO,Gls toc9ntlnuet9 Violate the offendi;1notdrug use. But now that I have an,'.attorrk'}YD,nCmy bacK is ther sorrieoh~, else I need to notify? Where do I'gl?from here?':i'" ....•. ',:'T~~nk'S :b'unChesfor-'YOUhel ..... . . • . . ". . ". '.. . •..... J . .•.... ,"",.:).'"":,1000139'of

" '..•. FEEF·i2~2008;·TUE-H: 5e AM"': :.':.. ....PAX: NO:::"' .., !,", .', '. Th() ~.~p~rtm~~t ·~tCor~ecti~~~·,~~~~~ .c1ar:~:~~~ati~~': ~s· ~;, i~~ .::.:--n. ...,..".-,.:.,.,-.,. 'possession ?f 'madj!i~n.a. Vl'hHe 0)1 supervisioli. '.......,'. : .':" '.. . ;--." '..." : ,', :i~/~,:?~::':;"'_' :.. :::.~,.: 'f~' :"""",.•;.t. ~. ~\, ~.'-"' ".... \',' ,\ "; "::" ,_~, ...-y ~,:.,:"., ";~"" 'Y',::: }\./.~". ."The above violation(s)"will bt: called to the Court's attention before the "defendatlt is l'equire.a'to 'appear on 'the Oi-l:~,;~~?8 '~t'9 ';00. ~~il'l.', 'lit ·cl~il~·m ..."1,,1 '. ,_ ,',,:_ ., •• ".' ., ".':

'/'.''.," -...... -,' :".,," ..~c•.. ' ~ .DATE. .cqpy ~ Pro.secutingAttorriey, DefcriseAiio~ey, Fl!o,:~::' , ",' .... tLfIi/llffor.publlc. dl3~I;'''/1~ . Sc'icWS~cu~,lfU~.t~Q~~ ;;'~Uiemf ciDlflldr:nit~llnf~"m'/#UII arul.'!!iii":,' Thls /~~Ii ~hPe1'1l'd ~r$.u~"tlv~ Orifl!l: OD:{J~, lI.crr ·a;l'1,fl/f,f/RCW 4IU'; •. '. .:,;.", :....., '..' "-'. .;~:: .-: .000141

", " .. '-' '.... ~~--.. ';.' ::--~-.: .. ,._ .... ';'.. - ..... .. :.' .. '"... :~~":','->' ..' ...... ",. ~" :.......:...",'. ';'.' ....I.',; •. ::,'-:":>' .. : ':',: .... :.;..' ... ..... , .. ,'. la~,the u~e 'c,{ln6~jc~1 marijuana. is n9:r'p'~,f#s~ip~~ f?r~qp:1e p~ti~nts ., .. ' 'qWes~e:.s~ The lawregulJitin,g t~is.@f:,W:~9~51A)@ows pliy~iCiaIis ., . ". a:r;ld,benefhs ofthe.,nedicaluse 6froiiijti:aTIa: '

FAX·NO.'·",'.. :,.",.....,'.. "~.. "'. /':. :,"···;1·:··.... :·, ,.,.. -..... ",: "~,' .",.', ',::, , ,:.',:' ;.: .... ::.;• .:. :.,1, , ,; \~ " . .'. . '; .' .' ,,',... bO,~~j;~lMf~~i~~:£.~ll*!~~~~;;;v~ .·. ,-,I :.:J . " . . .,,',' ..... ,. . .. ;",~ ',':COlrlCe:1ne:a b~~d upon recent remarks, that his use ni~y j~6~~~4b~~hii'·,· .., .,-:' : .... " '~.' ': .... ". ,. .. , ..... ,',.';"':'" •...."any'this cch~p~~t' .'privileg~, ....... .;: ...... .. ...... ... ··~.v~Pl~lfi~;ti;t~~i~~~i~~!ir~f~b·' .. ' ... p~ri.alized lnany mah'ner~9r d,¢l1-t~panyrigh.to~·.,a:i::tions~;' , ...•.. r,.... ".,,-The Courts have;; . the rights oflawabiding u~ers. For eXEiInpJe~ th~I:~d~ral .Courts h~ve e~iabl ." .... .conyiclyd pefson iihot cbmmitdi1.ge,·gr,~n1e '~!th.· ".authoriz6dilse OflH'C Ul\.,;il:ll·· . .... . \vllJle on probation or68mmunJty'~~st6dy~. P'eople'v,TUekoo' .' 4 th 1433,7 CaL Rptr.3d,226(2QP3)~: Th~Courts .'furlliera1'lalogized .....; righttOii~ea'pre's.criptfbn drug"writiii~;' .' .... .... '.'. ",' " :.'.'Ashoted,lvIoYi;er an~ogiz~d the.rightt6 .. Us~maIijtl.ru1aforr;~~} !3~' ;e:~:,:~:'; ::'" i'; ~\.:) ;" "~;.;,,,,;,.',';';;"t';/i·,,:.,· •• ~rs,~t;~&~tIUl~~{~f{~~~;.~(d),: ;.' . . . ';and¢Hl d vatihli ofri'larij Gab.~ i{liorriQ.t~ ~rirIlihahs conditions'are'satis'fied-tHiii ihepossessionor '.: .. '.. ' ....... ,< .. , .... or' .'C •..• ' .... '''C',;' .; ... :",.' .. "" ' ..~U"',L~~U·~l· . 6f4Iiy·pf~scrjption drug with a physjcian;' S',:" .. ....; .' . . .... " .. ', "": :",. .... ~. ..... :10:00143

---------------FEB~i2':2Qb8r'UE' 18:'0 r PM'-! .•....... '. : ~~ .: : .;-.-.~ ..• ; • .'.. '. .",,'./1, ~,',', ' ': :," ,;",:,t'-:'" " "-",_ -'--;. ': .... '. \',';' . " r.: • ~~~.:~. :. ',' '. ~ .:'.".., :' •...,''. ":.. ".... '.;~... ". , :. , _, FAX NO" ', ",:;, '.' : .....--,.;; .. :'.'.;">;':'~~'ieri,~s ~~ wtu settled arci. o(1~w, ~~ h,i', corripli~t .... m ilii;~w Sl~6~ldn.O;". '-,.,'lll", ./,:, !; i~#'~rJ\~d I, -', ",' ~ ,. . ':;",',--.... ';',>~ .;..' .,"",", ....'.... ':'./,... ~;.":~>.~.~ -" .. -.,~:.,.... , . j> : ~.-., :-":',,':: ,',.;,",' .,--. .. ,:'':'" "', .:", ':, : ....... '.. ',. ~ . ,: ,.::'.". '",I!l--- ,,':'r,I! ')III\2000144

~-: ..•.. ,: .',,:.:.,.::~ :; :..,-. : ',- '.:.:, ;~.':~

ons Qffi'cer 3cotrecHdhs~B6'T.Blvd. #360"""','..... :, ..~ ...': ::--, ,.;.,.:-. ,'.'":;.":... ': .. ; .."..... ,.'2. i:>

"7·'/..' '".'y~~.:';.-: :':'~~. :' .',;:' i;;::~· \' ,: ,.,PM' .. ··,'·>:;· .', .. :: ...... .• ' !>.hilip:A\:,f1~i~J."~, " •. '.. .' ..' . .,: S'erti6r, Deputy: )?rqs~cuting .,At torneyclark.C6untyprosecutin-g Attorney's1013 Franklin':' "l~ir~~~~~~I~t~z~, wa. goy '.. ' ....... :','",:'Office,.... \...,:' ....'., '.. "~. ". ".... : .''.':'I"wiii.!3ee \what ~ .• c::an do. I forwa,rded ·th~sto our drug deputies.,',':Mike/ .. " ., ..... .. /-~::-o'.;'O~igimU Message-- - --From; begi6a,t ,Jah:ri J. (DOC)sent: ,Fiidc3:y, November i7, 2Q·06 7:52AMT6

: , ... ~ - ....• .:.,- ... _ .. ;,_ $h~f!=fNE~~:~i~~k~~~~ri,iS6rBOOS NE-FoUiihPlaiIi'Blvd,vancouv:~r;:,WA;.'. 913 662L'36Q-26'O:-622~' ',','--"" .I neJ~~ h~~rd backuni i:' ask: about -, this•••••

----------------------'. ~.,;"".:.'..:,":,','!'"', .... ''. .~ ~". ''',' .. ~ .', .......,."J)-',,:'I ;~.I,·····2000149

1'----,,.,-.!......""_'".',, .",';", Degroat, J6hn:J,(DOCr·;,;,u '" ;.,i' .,"'Fi~~:', '.' "";",'::'G~rdrier, Kathryn ~. (D6C), '. ' .',"Sent:; friday, November') 7, 2006 9:12 AM ..To::" ,: .':' Degroat;' Jcihn); (DOC).>'::'»:') . .,. .:::;>:~~~~~~t~,",:·~~r~:d0~¥M.:~ju~~~~:.Fl.:':,(D()C)..\c:'·'i.:,:'.",,: :", ....::".::: . . ~'''''.; ,"-.. : '.'.";".'::' ./.. , ..... :. ". - ~". " '-,:;"':- '"'" :.~;';':-:> .... ·.··.~.J;[;\l~;:~~~j;;~~'''(~~F 9!,g",n'rl~~ b'~,~i!,{ "~~"t"''')t'Jl'''l.'j /;'tii?~iH,.i'l!I;'.:;;';~'N'hti;l":'}~I~\"¥,,j.,luo t\ii'! I"].hl\nI}s.,.0tefnp!~ •. r .. ;\:r~ 9ne:.(lrll,~c~.~e. ,\'\,h" ~V()l,J~'· pi el t't. lJ1t~ .1)n\~lldtl,:,.I\')l .. lx~ )lI1()'':·t~c;l.l'o. ~m()J{~!: mat'lluann,' ::;(),wnS'c(iil";t:r.l'l(,:~:L, ..;~'~i!~"~~~~~;~;;;:';":~AM';: " ·f'. :i'~.;·. Tn:';'';;::. ,,' .. iDOCDLSIJi,i 380 ALL STAFF; DOCDL SW 366 Au.. STAFF· . '.' ., '. '.' subject: "'FW:Medical!'4arijuana', ' .' . ":',.8008NE FourihPl'airl· Blv'd. #360 .Ya6couver,W A 98662 .' .360-260-6360.' ."...;'",...... '.'-.,. ...... .I',':'1000150'

'' .. i,'"' .. > .' .. , .". ', " ","" ~.'..D~groat)' JohnJ.( DOer,., .,:.'. ".F ;6fri~:> ,.' ' .:; >"r3~r~'I~Hb~'rb~~;'p~t~:L (086')\:: .-:, :::':,',:: '; .....:.. ~-".\ ...\ --,,:.;,.'-'." ~, ..;":.:./..-," '.:.:, :'," ';:';;':'~>:'~:::".;:':' . .._.... ".;.. ~ . '-~~"''''~''~''":''''''

,'';,.. ,".'..",.~.;- "~~'" " .' ". . , ...... ',.," ':, :-'.;:.~.; .... '.:.'. :.": .. :.'"".1',:."".".,'.', .. :','..:". :,:::""?~~bri~i~1i'1:f\1~essag~~---~:.'..::."".'."'.i< . .: ,';':: r' ..·... ','.',,c"':'. • ,! ::0.' ,'.' .. ;; ... : .',W§D~ite:has:all:tlie' ihf6rm§tioh; with'B'elievueClihic address. : WWW.thcfouridation:cdiii/Cliriicsi""''''''''··''·' ........ ,..' '"i('.o... : ..'

1000153

J .. -..~...........-.- ....._.............................:--.. • -.~. _. -""-"-' :-- .....-_._----:-•.•..•.! .............,-......." ." -5/5/2009000154

. Greetings,DOC t~t-053(5).-:. Medidnai-.Use' of Marijuana Verification~. '.. . . ". .5/5/2009000155

,.... :;;~~':~:U;.c:;;~KJ:i;XQ,i;1;~·;··?~;'·~'.;.';_y:;·(;i\?;;~,:.;·':~:.!':--;.;!:}:{;~~?·;·;;~·)1~~:j~;~·;: ;;-t:~_:::~:!5i~}·:,:r} ... S~:~~;~~5t:i~;~~;·~\,.::~-,-~~~;~-~~:j:-'-':;'~';:i{-:r-~>~}:H,Y~¥:~.\~::£t~j~\~~; 'l~~.~';;.,", :'~.'",

"',1,,-•• ',.,;'MOnica, I'.m not able to extend this since the correspondence due da'te has' already jJqst. ' ,. ;:: ~ . ' ""f~.~m:,Distefanol~MoniC9 J:'(Qq~),: ,: "$~nt:'Morid21YiFebru~rrb9, 2609 11:19 AM,i"ci:'boc Correspbnd~hce'Uni( ,'C~::.craig, Jaye E''(o6c), ' ,','S~lljeCf: RE: SugrJ'estion/Complaint DEP9743 due 2/2/09''''_ , " , " 1" :,': :,, GOod morning! Can I req~E!st an! extension on this one?, ,', '\., ,':' ' ! "," ,:: '" '.,' "j'rDwaitlng on lang'uage ft?fn the AGo's office.Tharik you!..'"',' Mbnica Distefano., ~~~c.,utrve)~~?$ist~brt9,

5/5/2009~o-n(j 158- -"... : .. . ' .

Page 3 of4 'Let me know if you need anything else,Thank you!From: Kennedy, Brigitte (DOC) , 'Sent: Thursday, January 15, 20098:28 AM'To: Witten, Dell-Autumn' W. COOC)Subject: FW: Suggestion/Complaint....................:.... ...._......._._.4 .._..,.. h_ •.._........ .Would you be able to assist me regarding the below e-mail. Where can I find whathe makes reference to and is it in DOC policy.From: Olympia Patient Resource Center [mailto:oprcinfo@gmail.com]Sent: Tuesday, January 13, 2009 2:54 PMTo: DOC Correspondence UnitSubject: Suggestion/ComplaintGreetings, ', 'My name is Jeremy Miller director of the Olympia Patiel1t Resource Center, I wouldlike to file a formal complaint; DOC policy regarding medical marijuana conflicts withstate law RCW69.51A'"Marijuana Verification/arm [DOC 14-053J states that DOC only allows the oralsyntheticfarmulatian afmarijuana ... Yet the WAC [246-75-010(e)J clearly definesuseable medical marijuana as driedjlowers. The legislative intent of RCW69.51A -clearly states it's intended to provide clarification to "law enforcement and to allparticipants in the judicial system. /IDOC 14-053(5) .,. Medicinal Use of Marijuana Verification5. While on community supervision ("par9Ie") the Department of Corrections onlyauthorizes the use of the oral synthetic fonnulatlon of marijuana.WAC 246-75-010(e) reads as follows: ,(e) "Useablemarijuana l1 means the dried leaves and flowers of the CaIU1abis plantfamily MOl:aceae.Intent -- 2007 c 371: '!The legislature intends to clarify the law on medical m,arijuanaso that th'e laY1~ful use of this substance is not il1,1paired and medical practitianel:s are,able to exercise their best professionaljudgl1'lent in the delivery afmedical treatment,qualifying patients may/ully participate in the medical use afmarijuana, anddesignated providers niay assist patients in the manner provided by this act withoutfe'clt of state criminal prosecution. This Clct is also intended to provide clarification tolaw enfarceme,:t and to all participants in the judicial s)'stem, II [2007 c 371 § 1.]Please contact me ASAP in i'egards to this issue and how you plan on fixing theproblem ...5/5/2009000159

Page 4 of4Thanks once again for your timeJeremy Miller360-951-9161 cellhttp://VI,,vw.olympiapatientr~s()urcecenter.co1115/5/2009000160

Page 1 of3 .Myer, Tracy A. (~OC)From:Sent:To:Cc:Subject:Berthon, RalphM. (DOC)Friday, January 16, 2009 12:49 PMHammond, G. Steven (DOC); Kennedy, Brigitte (DOC)Distefano, Monica J. (DOC); Daniels, Karen R. (DOC,); Blonien, John 'Scott'RE: Suggestion/ComplaintAttachments: Admin Bulletin AB-08-009 051608.pdf; -Medicinal Use of Marijuana Form 14-053;doc;Marijuana for Medicinal Use Memo 062508.pdf; 380200 Community Supervision ofOffenders. docI am the author of the policy. A~to content or agency positi~n I am not in a position to alter the agencies policy ..This request/complaint will require a review and decision at Karen's, Scqtt's or Elqon's level. Attached are Eldon'sAdmin Bulleting 08-009 and Karen's subsequent memo regarding procedures and the medical marijuana form. Ihave also attached the draft policy that is pending approval for your convenience. If there is something that I cando toasst in responding to the complaint/suggestion please let me know. .Ralph.From: Hammond, G. Steven (DOC) :Sent:· Friday, January 16, 2009 10:33 AM /To: Kennedy, Brigitte (DOC); Berthon, RalphM. (DOC) .Cc: Distefano, Monica J. (POC); Daniels, Karen R. (DOC); Blonien, John 'Scott'Subject: RE: Suggestion/Complaint .I recommend this be directed to Monica Distefano,. Karen Daniels' assistant.Steve HammondFrom: Kennedy, Brigitte (DOC)Sent: Friday, January 16, 2009 10:07 AMTo: Berthon, Ralph M. (DOC) .Cc: Hammond, G, Steven (DOC)Subject: FW: Suggestion/Complaint.Good Morning,Could you provide assistance with a response regarding Mr .. Miller's e-mail, or direct me to theappropriate staff member. Thank you. .,From: Witten, Dell-Autumn ·W. (DOC)Sent: Thursd~w, January 15, 2009 12:48 PMTo: Kennedy, Brigitte (DOC)Subject: RE: Suggestion/ComplaintThe policy language is in DOC 380.200 Community- Supervision of Offenders. The form i$ DOC 14-053Washington Department of Corrections Medicinal Use of Marijuana Verification. Both are available on. InsideDOC; j've :included links.http://insidedoc/usercontents/policiesID9c/Word/380200.pdJ5/512009000161

Page 2 of3http://in sidedoc/usercontents/policies/Doc/vVord/380200a 1. pdfhttp://insidedoc/usercontents/forms/Stan dard/14-053. pdfRalph "Berthon is the assigned author, and G. Steve Hammond in Health Services is the contact for medicinalmarijuana review. They may be able to assist you.Let me know if you need anything else,Thank you!From: Kennedy, Brigitte (DOC)Sent: Thursday, January 15, 2009 8:28 AMTo: Witten, Dell-Autumn W. (DOC) .Subject: FW: Suggestion/Complaint·Would you be able to assist me regarding the below e;-mail. Wh~re can I find whathe makes reference to and is it in DOC policy. ..From: oly~pia Patient Resource Center [mailto:oprcinfo@gmail.com] ... Sent: Tuesday, January 13, 2009 2:54 PMTo: DOC Correspondence UnitSubject: Suggestion/ComplaintGreetings,My name is Jeremy Miller director .ofthe Olympia Patient Resource Center, I would like tofile a formal complaint; DOC policy regarding medical marijuana conflicts with state lawRCW69.51A . .IIIf Marijuana Ver(ficcition form [DOC 14-053 j states that DOC only allows the oral synthetic.formulation ofmarijuanCl;,., Yet the WAC [246-75-010(eJ] clearly defines useable medical.marijuana as dried flowers, The legislative intent of RCW69. 51A - clea;-ly states it's intendedto provide clar(ficati6n to "law e11forcement and to all participants in the judicial system. "DOC 14-053(5) - Medicinal Use of Marijuana Verification5. Whil~on community supervisioil (l1-parole") the Department of Corrections only authorizesthe use of the oral synthetic formulation of marijuaila.. .WAC 246-75-010(e) r.eads as follows:(e) I1Useable marijuana l1 means the dried leaves and flowers of the Cannabis plant famllyMoraceae.Intent -- 2007 c 371: "The legislature intends to clarify the law on niedical marijuana so thatthe lawful use of this substance is not impaired and medical practitioners are able to exercisetheir best professional judgment in the delivery of medical treatment, qucdifying patients mayfully participate in the medical use ofmatijuana, and designated providers may assistpatients in the manner pl'ovided by this act "without fear of state criminal prosecution. Thisact is also intended to provide clarification to law enforcementand to all participants in the5/512009.,000162

Page 3 of3judicial system. " [2007 c 371· § ·1.]Please contact me ASAP in regards to this issue and how you plan on fixing the problem ...Thanks once again for your timeJeremy Miller360-951~9161 cell. http;llw.ww. 0 lymp i apatientresourcecenter. co m5/5/2009000163

Page 1 of2. Myer, Tracy A. (DOC)from:Serit:To:perry barnhill [chirodoc97@clearwire.net]Thursday~ JanuarY 15, 2009 8:15 AMDOC Correspondence UnitSubject: Re: ·Marinoi rightsGood Morning. I sent you a reply regarding my son_~ and marinol i·ights. I know you are verybusy. I E).ppreciate any information on this subject you cart provide~ Please let me know if you have comeup with anything, Or if you have any ideas wherel can go to research this myself. Again thank- you foryour time. Sincerely, Penny Barnhill.. .On Mon,Jan 12, 2009 at 12:32 PM, perry barnhill wrote: ... ..Thank-You for your prompt reply, I do not have his Doe number, however his name is_' ._My only requist is that this can be descreat,I do notwish to cause·a hardship between my sonal1dhis probation officer, or to anger her in .any way. I so greatly appreciate any information you canprovide. Thank,Y ou again, Pe£my BarnhilL .On Mon, Jan 12, 2009 at 8:43 AM, DOC Correspondence Unit

Page 2 of2My son is on probation in Benton county, He is also a medical marijuana'patient with a script for marinol. His probation officer has jailed himfor the use of his prescription. ,My question is, is this legal for heranddoes she have the authority to over-ride a physicians recommeildationsfora patient. I would appreciate any information you can send me on thissubject.'Sincerely,Penny Barnhill509-947-29835/5/2009..000165'

Distefano, Monica J. (DOC)-)From:Sent:To:Subject:.Hudson, Lynne A. (DOC) .Tuesday, October 14, 2008 1:10" PMHi Sherri, I rec'd d tip call from him, have you heard as to whether or not his appeal has been over turned? ThanksLynneLynne A. Hud$onCommunity Correcti"ons Officer 3P.ierce County Sex Offender Unit North1016 S. 28th StreetTacoma, WA 98409253-680-2683253-377-02341 000166

Distefano. Monica J. (DOC).From:Sent:')To:Cc:Subject:Distefano, Monic~ J. (DOC)Wednesday, October 15, 2008 1: 18 PM .Oglesby, Jon D. (DOC) . ,Dege~.orgiQ,Nanette M. DOC)FW:_:mm Request"_C' •••• : "" •••• , ." ," •• ::FYIMonica DistefanoExecutive Secretary toKaren Danie.ls, Assistant SecretaryCommunity Corrections Division7345 Linderson WaySWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFro'!':Sent:To:Cc: .Subject:Hammond,G. Steven (~OC)Wednesday, October 15, 2008 12:4t PMDaniels, Karen R. (DOC)(~OC)RequestI ,have reviewed this ~equest and denied it as it does not meet DOC criteria for approval for medical marijuana.G. Steven Hammond PhD, MD, MHADirector of Medical Services .Health Services DivisionDepartment of CorrectionsPOB 41123Tumwater, WA 98504-1123360~725-8700 .1 000167

Distefano. Monica J. (DOC)From:Sent:To:Cc:Subject:Oglesby, Jon D. (DOC) .Wednesday, October 15, 20082:25 PMDistefano, Monica J. (DOC)BOW ..·~.OC. ; House, Kevin F. (DOC)RE:..-.....,mm Request .":"'.:. '!'. ' ,". '., .,'.Thank 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". Nanett~_~:(Q9.ctSubject: FW:mm RequestFYIMonica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division. .. 7345 Linderson Way SWTumwater, WA 98501 MS: 41'126'(360) 725-8796 .mjdistefano@doc·1.wa.govFrom:Sen,t:To:Cc:SubJect:Hammond, G. Steven (DOC) )Wednesday, October 15,200812:41 PMDaniels, Karen R.Chalmers, .. r;:,

. Distefano, Monica J. (DOC)From:Sent:To: .Cc:SUbject:Oglesby, Jon D. (DOC)Wednesday, October. 15, 20084:38 PMDistefano, Monica J. (DOC)Burk~erinan, Darron J. (DOC)RE: ____ mm Request. . , ,'. . . '~""". .No thanks needed. I was curious if you have received paperworkFrom: Distefano, Monica J. (DOC)Sent: Wednesday, October 15, 20082:26 PMTo: Oglesby, Jon .Subject: RE.:min RequestThank you, Jon!·i· Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 ..mjdistefano@doc1.wa.govFrom:Sent: .To:Cc:. Subject:Oglesby, Jon O. (DOC)Wednesday, October 15, 2008 2:25 PMDistefano, Monica J: (~OC) .Bow~ House, Kevin F. (~OC) .RE: ...__mm Request ... . . . .Thank you. Offender will be directed to immediately cease using marijuana, and a UA will be taken to obtain a baselinenanogram I~vel. .. .From: Distefano, Monica J.(DOC)Sent: Wednesday, October 15, 2008 1:18 PMTo: Oglesby, Jon D. (DOC)Cc: DegeOrgi0liiiiiliilr.anette.M.. DOC ... Subject: FW: mm Request. .FYIMonica DistefanoExecutive Secretary to .Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linqerson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov4 0-00169

. Distefano, Monica J; (DOC)From:Chalmers, Cassandra L. (DOC) .Sent:Thursday, October 16', 2008 2:05 PMTo: Men J. (DOC)Subject:m requestI haven't seen any paperwork on this offender. I will keep a lookout f~Jr it.Cassandra Chalmers .AA3 Health Services HQ360-725-8712clchafmers@doc1.wa.govFrom:Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, October 16,200811:05 AM'::occ::onne::o L. (DOC); Hammond, G. Steven (POC)Good morning!Have you received paperwork for OffeMonica Distefano~xecutive Secretary toKaren Daniels, A~sistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796. mjdistefano@doc1.wa.govFrom:Sent:To:Cc:Subject:Oglesby, Jon D. CDOC)Wednesday, October 15, 2008 4:38 PMDistefano, Monica J. (DOC)No thanks needed. I was curious if you have received paperwork for Sims #314302 yet?6 '000170

Distefano. Monica J. (DOC)From:Sent:Hammond, G. Steven (DOC)Thursday, October 16,.20087:16 PMTo: Di Monica J.(DOC); Chalmers, Cassandra L. (DOC)Subject: RE: m request -I don't think so; Cassandra; have y~u? Would you remind me to check my files tomorrow?Thanks,SteveFrom:Distefano, Monica]. (DOC)Sent: Thursday, October.16, 2008 11:05 AM', .To:Chalmers, Cassandra L (DOC); Hammond, G. Steven (DOC)Subject: ....:mm req~est . .. Good mornir)g!Have you received paperWork for OffendMonica Distefano .. Executive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Div.ision7345 Linderson Way SW .Tumwater, WA 98501 MS: 41126(360) 725-8796.mjdistefano@doc1.wa.govFrom: .Sent: .To:te: .Subject:Oglesby, Jon D. (DOC)Wednesday, October 15, 2008 4:38 PMDistefano, Monica J. (DOC)'BurkaRnw'l>rm:;mRE:No thanks needed: I was curious if you have received paperwork for7 000171

Distefano. Monica J. (DOC)From:-Sent:To:Cc: .Subject:Hammond, G. Steven (DOC)Sunday, 'October '19, 2008 8:07 PM .Danieis, Karen R. (DOC); Chalmers, Cassandra L (DOC)Distefano, Monica J. (DOC); Smith,' Sherri K. (DOC) .RE: Medical use of marijuanaSorry for the delay in response. I don't believe so. Cassandra?Steve HammondFrom: Daniels, Karen R. (DOC)Sent: Tuesday, September 30, 20086:12 PM. To: Hammond, G. Steven (DOC)Cc: Distefcino, Monica J. (DOC); Smith, Sherri K: (DOC)Subject: FW: Medical use of marijuanaHave you received this request? kd .Karen Daniels. Assistant Secretary. . '.Community Corrections DivisionDepartment of Correcticins .7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360"791~7768Fax: 360-586-0252email: krdaniels@doc1.wa.govFrom: Graves, Bethany M. (DOC) .Sent: Monday, September 29, 20086:12 PM.'To: Daniels, Karen R. (DOC) .'Subject: Medical use of marijuanaHi Karen,I have an offender--he submitted his medical marijuana papers on approximately 8/20108 through his .doctor. I·have not ~ Can you tell me who I may contact to find out about his answer?8000172

Thanks.Betliany GravesCommunity Corrections Officer 3Department of Correctionsphone: 360449 7670fax: 360260623.9email: . bmgraves@doc1.wa.gov.9 00.017-3

Page ~oflDistefano, Monica J. (DOC)From: Daniels; Karen R. (DOC)Sent: Friday, October 24, 2008 2:33 PMTo:Distefano, Monica J. (DOC)Subject: FW: Policy 380.200Attachments: 380.200 Admin BUlletin.docDo we use an appeal form?Karen DanielsAssistant SecretaryCommunity Corrections Division 'Department of Corrections7345 Linderso.n Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniefs@doc1.wa.govI'-From: Grisham, Susan M. (DQC)'Sent: Friday, October 24,200811:12 AMTo: Witten, Dell-Autumn W. (DOC)Cc: Fiala, Anne L. (DOC); Daniels, Karen R. (DOC)Subject: Policy 380.200, .Attached is a draft Administrative Bulletin that should be added to policy 380.200.. .Thank you!Susan Grisham; Executive Secretary .to Anne Fiala, Community Corrections Administrator ..Northwest Region Community CorrectionsPhone: 360-725-8317 .Fax: 360-586-72745/13/2009000174

ADMINISTRATIVE BULLETIN AB-__TO:, Executive Staff')IFROM:RE:Eldon Vail, SecretaryDOC 380.200 Community Supervision of OffendersThis policy is being changed effective immediately to clarify the appeal process regardingMedicinal Use of Marijuana. ' ' ,Directive IV. sectionD. should state the following, ' .The offender may appeal a denial to the Assistant Secretary for Community Corrections who willapprove or deny the appeal in conjunction with the Assistant Secretary for Health Services. Theappeal will be submitted in writing to the Assistant Secretary for Community Corrections within14 days written notice of the denial. The Assistant Secretary will provide a response to theoffender within 30 days of receipt. The offender can only appeal a denial ifthey includeadditional information, not previously utilized for the original denial. 'If you have any questions about this change please contact Marc Stem, Assistant SecretaryHealth Services.' ,cc:'(000175

Distefano. Monica J. (DOC)·From:Sent:To:Cc:Subject:Daniels, Karen R. (DOC)Monday, Novemb\3r 03,20085:.15 PMFiala, Anr]ejL. (PO C) . .DiS. t~arper, Donta S. (DOC)RE:_. - .. - .~. ::, ... :..-.,~.

in the state of Washington, she was expected to complywith her conditions of supervision, specifically not to use orpossess controlled substances, during the appeal process.At this time it is unknown ift. even appealed the decision as Ms._was given the informatiori on bow to file anappeal and that process is a direct letter sent to Karen Daniels and this process'does not include the CCO or th.e CCS.CCO'Praven met with her, Ms" .. Lvoiced her intent to appeal, but we have no verification if she followed through orif she did what was the ultimate decision was.Again, CCO Praven communicated to' Ms.tlillithat her request for use of medical ~arijuana had been denied andtherefore, if she wished to remain in Washington, the expectation would be that she not use or possess marijuana.CCOPraven further talked with her about the residence needing to drug free. She indicated at that time, that herroommate, Ms. Cole, would riot be willing to remove the marijuana from the residence. CCO Praven ihformedher thatif that is the case and she want to remain at Ms. Cole's residence, her transfer to Washington State would be deniedas the residence would place her in direct violation 'of her conditions of supervision.She was aSkedbic .•,pravenif she had other housing resources that would riot put her it) violation in Washington.He indicated Ms. had stated she did have some family members in Washington State that she might be able tolive with. At that tirrfe, she did not provide any names or addresses, but CCO Praven did tell her if she was able tpprovide any other addresses in Washington to let her Arizona probation office~ know so that he or she could providethat information through the Interstate Office.On 8/11108, Mary Cowan of our Interstate Office forw?rded the denial to Arizona.From:Sent:To:Subject:Smith, Sherri K. (~OC)Thursday, September 04,20089:11 AMHarper,penta S. (~OC), RE: '. ..',....Just a reminder thatl kinclofn~ed to know what's going on as I have to call MsMback soon.From: .Sent:To:Subject:Sherri,Harper, Oenta S. (~OC)Wednesday, September 03, 2008 11:46 AMSmith,Sherri K, (~OC) ........ .RE:~I will follow-up with you regarding this case .. ·From:Sent:To:Subject:Smith, Sherri K. (~OC)Wednesday, September 03, 2008 9:42 AMHarper, penta S. (DOC)I.' Ms.-has phoned Assistant Secretary Daniel's office. Can you tell me 'the status of her interstate transfer fromAri.z~ Washington? Ms._has spoken to Arizona and was told that it is herCCO here that is denying the.transfer due, to the location of wher,e she is living. \ .. .Sherri Smith, Executive Assistant toKaren Daniels; Assistant Secretary .Community Corrections DivisionMS: 41126,·7345 Underson Way SWOlympia, WA 98504-1126Phone: 360-725-88472000177

Distefano, Monica J. (DOC)From:Checo, Ana V. (DOC)Sent:Friday, October 31, 20.08 8:49 AMTo": Hammond, G. Steven (DOC); Daniels, Karen R. (DOC); Distefano, Monica J. (DOC) "Subject: RE: Medical Marijuana " "I'll have Mr .• submit a completed form from his doctor.Ana V. Checo" Community Corrections OfficerFederal Way Field Office" 606 West Gowe StKent, WA 98032MS: TB-71. 253-372-6463 office253-372-6184 faxFrom: Hammond, G. Steven (DOC)Sent: Friday, October 31, 2008 8:43 AM "To: Checo, Aria V. (DOC); Daniels, Karen R. (DOC); Distefano, Monica J. (DOC)Subject: RI;:: Medical ,MarijuanaI don't have that case in my files. Also, if the request was made in March or April, that is before we had set our policy aboutauthorizing use of medical marijuana."Monica or Karen, do "you have information on this case? I would be happy to review it if you do. If indeed the request wasmade prior to bu~ setting"the policy and developing the information form, probablywe"need to have Mr .• have the"form completed by his doctor." ". " " " " ":Thanks,Steve HammondFrom: Checo, Ana V. (DOC)Sent: Friday, October" 31, 20.0.8 8:27 AMTo: Hammond, G. Steven (DOC)Subject: RE: Medical Marijuana4000178

\That Offenders information would be helpful, duh!lHis name isShould you, His previous ceo sent information to K. Daniels back in March or April of 2008.will gladly send it to you. .Thanks,Ana V. ChecoCommunity Corrections Officer,•. Federal Way Field Office', 606 West Gowe StKent, WA 98032'MS: TB-71253-372-6463 office253-372-6184 faxFrom: Hammond, G. Steven (DOC)Sent: Friday, October 31,20088:14 AM'To: Checo, Ana V. (DOC)Subject: RE:Medical MarijuanaI'm not sure what case you're talking about:GSHFrom: Checo, Ana V. (DOC)Sent: Wednesday, October 29, 2008 9:06 AMTo: Hammond, G. Steven (DOC)SLibject: RE: Medical MarijuanaI was wondering if you have had the opportunity to look at the case?Ana V. ChecoCommunity Corrections Officer5000179

· Federal Way Field O~fice606 West Gowe StKent,. WA 98032MS: TB-71253-372-6463 office253-372-6184 fax .From: Hammondr G. Steven (DOC)Sent: WednesdaYr October 01 r 2008 5:41 PMTo: Stern r Marc' F. 'Dir Hlth Svc' (DOC); Checor Ana V. (DOC)Cc: Daniels, Karen R. (DOC)Subject: RE: Medical MarijuanaI'm happy to have a look at it, Ana. If you can send the name and #, I can see if I have a record of having reviewed it 'previously.Steve HammondFrom: Sternr MQrc F. 'Dir Hlth Svc' (POC)Sent: WednesdaYr October 01 r .2008 5:01 PMTo: Checor Ana V. (DOC)Cc: Daniels, Karen R. (DOC); Hammond~ G. Steven (DOC)Subject: RE: Medical MarijuanaAna,No bother, but this is all governed by policy. It sounds like something unusual may have happened in this case (outside ofpolicy) if the paperWork ,was forwarded to Karen Daniels instead of the Medical Director. My suggestion is to send anemail to the medical director (Dr. G. ,Steve Hammond) and Karen, with the name of the patient, and see if either of themhas seen it yet. ' ,MarcFrom: Checo, Ana V. (DOC)Sent: Wednesday, October 01 r 20084:50 PMTo: Sternr Marc F. 'Dir Hlth Svc' (DOC)6000180

Subject: Medical MarijuanaI have assumed supervision of a case where the offender was prescribed medicai marijuana on 3/24/08. The previousceo has sent the necessary documents to Ms. Daniels. I was informed, not sure if correct, that the case needs to bereviewed by you. If that is the case can you let me know what information you need, P's Dr's name and number, etc. sothis issue can be resolved. , ' " ''If your not involved, sorry for any inconvenience.Thanks,, Ana V. ChecoCommunity Corrections Officer'Federal Way Field Office. ,.606 West Gowe StKent, WA 98032MS: TB-71253-372-6463 office, 253-372-6184 fax7000181

Distefano, Monica J. (DOC)From:Sent:To:Subject:Hammond, G. Steven (DOC)Monday, November 03,200810:58 PM .Checo, Ana V. (DOC);· Daniels, Karen R. (DOC); Distefano, Monica J. (DOC)RE: Medical Marijuana .OK, great; Ana, I'll be looking for it.Steve HammondFrom: Checo, Ana V. (DOC)Sent: Friday, October 31,20088:49 AMTo: Hammond, G. Steven (DOC); Daniels, Karen R. (DOC)i Distefano, Monica J. (DOC). Subject: RE: Medical MarijuanaI'll have Mr. _ submit a completed form from his doctor ... ":,'Ana V. ChecoCommunity Corrections Officer .Federal Way Field Office606 West Gowe StKent, WA 98032, MS: TB-71253-372-6463 office253-372-6184 faxFrom: Hammond, G.Steven (DOC)Sent: Friday, October 31,20088:43 AMTo: Checo, Ana v. (DOC)i Daniels, Karen R. (DOC)i Distefano, Monica J. (DOC)Subject: RE: Medical MarijuanaI don't have that case in my files. Alsp, if the request was made in March or April, 'that is before We had set our policy aboutauthorizing use of medical marijuana.Monica or Karen, do you have information on this case? I would be happy to review it if you do. If indeed the reCjuest wasmade p(ior to our setting the policy and developing the informati'on form, probably we need to hElVe Mr._have theform completed by his doctor., , . . .. ..... .8000182

Thanks;Steve HammondFrom: Checo, Ana V. (DOC)Sent: Frid~y, October 31,20088:27 AMTo: Hammond, G. Steven (DOC)Subject: RE: Medical MarijuanaThat Offenders information would be helpful, duh!His name isShould youHis previous ceo sent information to K. Daniels back in March or April of .2008.. nfbrmation I will gladly send it to you. . ."Thanks,Ana V. ChecoCommunity Corrections OfficerFederal Way Field Office606.West Gowe St ,.Kent, WA 98032MS: TB-71.253-372-6463 office253-372-6184 faxFrom: Hammond, G. Steven (DOC)Sent: Friday, October 31,20088:14 AMTo: Checo, Ana V. (DOC)Subject: RE:. Medical Marijuana.I'm not sure what case you're talking about.GSH9000183

Distefano. Monica J. (DOC)From:Sent:To:Cc:S'ubject:Daniels, Karen R. (DOC) .Wednesday, November OS, 2008 11 :55 AMFiala, Annel •. .

in the state of Washington, shE) was expected to comply with her conditions of supervision, specifically not to use orpossess controlled substan.ces, during the appeal process.At this timde ithiStunknown. if_d'. ,evien. appealedKthe deDcisi~nl as MdSt·h•· •. Swas gdiVen the.infolrdmathioncocnohOWttho ficlecasnappeal an ta process IS a Jre~Let!er sent to aren anle s an IS process oes not inC u e t e . or e .CCO Praven met with her, Ms I, . Ii/oicec;l her intent to appeal, but we have no verification if she followed through orif she did what was the ultimate'decision was. . . .. . .Again, CCO Pravencommuriicated to Ms:liIf;that her request for use of medical marijuana had been' denied andtherefore; if she wished to remain in Washlng.ton, the expectation would be that she not use or possess marijuana.CCO Praven further talked with her about the residence needing to drug free. She indicated at that time, that herroommate, Ms. Cole, would not be willing to remove the marijuana from t,he residence. CCO Praven informed her thatif that is the case and she want to remain at Ms. Cole's residence, her transfer to Washington State would be deniedas the residence would place her in direct violation of her conditions of supervision. .She was asked birc. "praven if s.he ha, d. other housing resources that WOUld. not put her in violation in Washington. .He indicated Ms. had stated she did have sorne family members in Washington State that she might be able to.live with. At that time; she did not provide any names or addresses, but CCO Praven did tell her if she was able to .provide any other addresses in Washington to let her Arizona probation officer know so th.athe or she could providethat information through the Interstate Office. . .On 8/11/08, Mary Cowan of C?ur Interstate Office forwarded the denial to Arizona.F.rom:Sent:To:Subject:·Smith, Sherri K. (~OC)Thursday, September 04, 20089:11 AMHarper, Oonta. S, (~OC)RE:~. Just aremi8d~r that Il

Distefano. Monica J. (DOC)From: Hudson, Lynne A. (DOC) .Sent:Wednesday, November 05, 2008 12:35 PMTo:Distefa·no; MODica J. (DOC)Subject:RE:_letter.pdf .Thanks Monica, I will tell_,~.Lynne.From:Sent:To:Subject:Distefano, Monica J. (DOC)Wednesday, November 05,200810:59 AMHudson, Lynne A. (DOC) .:_letter.Pdf .Good morning, Lynne! This is the letter Kare·n sent.on 10/29/08.". : . . ....I asked Karen is there is an option to .appeal this appeal decision and she said there is hot.Please let me know if you need anything else!Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126·'(360) 725~8796. mjdisteJano@doc1.wa.gov« File:_letter use of Mj 10 29 08.pdf »15000186

\DistefaMonica J.From:Sent:. To:Subject:·086" Monica J. (DOC) .Re: Initial MM Reque.st Denial and new form. . .Monica: Thank you, for the forms and denial information for my. appeal. ,In order for me to make a sensiable appeal to WA and AZ; I am looking for more forms/docum~nts .that I have been told about but have not seen. I hope you can help.1'. May 28th 2008 -- 1st Denial sent to AZ from Jeremy Parven ceo.--- On Thu, 11/6/08, Distefano, Monica ,J~ (DOC) ' wrote:From: Distefano, MonicaJ. (DOC) Sub '. nial and new formTCc: .... . (D Date: Thursday, November 6, 2008, 8:24 PM'. III "Good afternoon, . '. '.. ' ..''. Per your request, 'anisending you your initial mm request with the denial along with the new form for. you to fill outanq submit along with your appeal. Please send your appeal to this aqdress: .ATTN: Assistant Secretary Karen DanielsDepartment of Corrections. ,P.O. Box 41126Olympia, WA 98504-1126Please let me know if you have any further questions.Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov«MX-5500N_200811 06_121 ~ 21.pdf» «14-053 MM Form rev 73108.doc»16000187

·.Page 1 of2Distefano, Monica J. (DOC)From:Sent:Tp;' Distefano, Monica J. (DOC)Cc:Daniels, Karen R. (DOC)Subject: Thank you - more info pleaseAttachments: DCO-doc request.rtfSorry. Hit sent to soon. Sent attachmentwrote:FromSubject:'. .To: "Distefano, Monica J. (DOC)" Date: Friday, November 7, 2008, 2:21 PM .Monica: Thank you, for the forms and denial infonnation for my appeal.In order for me to make a sensiable appeal to WA and AZ, I am looking for more·foims/documents that I have been told about but have not seen. I hope you can help.1. May 28th 2008, -- J st penial sent to AZ from Jeremy Parven CCO.--- On Thu, 11/6/08, Distefano, Monica J. (DOC) wrote:From: Distefano, Monica J. (DOC) ,Subject: Initial MM Denial and new fonnTo:Cc:'-Date: Thl,lrsday, Novemher 6, 2008,8:24 PM ..Good afternoon,_Per your request, I am sending you your initial mm request with the denial along with the newform for you t6 fill out and submit'along with your appeal. Please send your appeal to thisaddress:A TIN: Assistant Secretary Karen Daniels.Department of Correctio~s .P.O. Box 41126Olympia, WA 98504-1126 ,Please let me know if you have any further questions." 'Monica Distefano ,Executive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA98501 MS: 41126(360) 725-8796.mjdistefano@doc1.wa.gov«MX-5500N_20081106~121121.pdf»«14-053 MM Form rev 73108.doc»511312009. 000-188

Page 2 of2.. (5/13/2009000189 ./

;.'Monica:Had issues with my email and sent the 1 st message before I was ready.The other documents that I am asking for copies of, are as follows.1. May 28th, 2008 1 st Denial sent from Jeremy Praven to AZ. This document according toAZ states that I was arrested May 21st 2008 for Possession cif MMJ. Released, May 27th 2008homeless and that I hCjve no ties to Washington~ . .2. May 29th to June 1 st, 2008 retraction of above denial sent to AZ from WA.3. August 13th, 2008 approx, date, 2nd - Denial sent to AZ from Jeremy Praven. Thisdenial docuement according toAZ·· states something to the effect of where I was living, . wasgrowing MMJ for the MMJ Growers Association ofWA State. and . again that I do not haveties to WA State ..\.As I mentioned. previously, lam writing my appreal to WA and explaining AZ what has beenhappening. . . .If you would like tocontactAZ·fbr the above documents, my officer there is Susan Hunsinger928-329-2210 ext 2344. She says she has them. AZ says that it is Washington that ishavirig theproblem of taking me on for probation; .I hope that you can help; I really want to stay in my home state of 52 years, Washington, with myfamily a~d new grandson. ..Thank you, for your'help in this matter.Warmest regards,·000 1-90

Distefano Monica J,'From:Sent:To:Subject:Monica:Just checking with you to see if you have been able to get any of the documents tl;1at I requested last,Friday?', ''1,000181

Distefan Monica J.From:Sent:To:Awesome: Have a great weekend.--- On Fri, 1117/08, Distefano, Monica J. (DOC) wrote:From: Distefano, Monica J. (DOC) . . HE: Than info please5:18 PMG~od mOrning,_riUoOk into your request and follow up with yo.utoday or Monday. Thank you! .Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division'7345 Linderson Way SWTumwater, WA 98501 Ms: 41126(360) 725-8796 .mjdistefano@doc1.wa.govFromSent:To: Distefano, Monica J. (DOC) .Cc: Daniels, Karen R. (DOC) .Subject: Thank you - more info pleaseSorry. Hit senUo soon. Sent attachment--- On Fri, 1117/08wrote:From:Subject; . MM Den .To: "Distefano~ Monica J. (DOC)" .Date: Friday, November 7,2008,2:21 PM'Monica: . Thank yOu, for the forms and denial information for my appeal.In order for me to make a sensiable appeal to WA and AZ, I am Iqoking for more forms/documentsthat I have been told about but have not seen. I hope you can help:2000192

1. May 28th 2008 -- 1 st Denial sent to AZ from Jeremy Parven CCO ..--- On Thu, 11/6/08, Distefano, Monica J. (DOC) wrote:J. (DOC) "" ial and new form "To:Cc: " " "" ," Date: Thursday; November 6, 2008," 8:24 PMGood aiternoon;_ "Per your reque'$t,1 am ~ending you your initial mm request with the den"ial along with the new form for you to fill outand submit along with your appeal. Please send your appeal to this address:ATTN: Assistant Secretary Karen Daniels . , . ":Department of CorrectionsP.O. Box 411.26Olympia, WA 98504-1126Please let me know if you have any further questions.Monica DistefanoExecutive Secretary toKaren Daniels, Assistant Secretary" Community Corrections Division ' "7345 Linderson Way SWTumwater, W A 9,8501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov. «MX-5500N_20081106_121121.pdf» «14-053MM Form rev 73108.doc»3000193

Distefano, Monica J.,,-)(DOC)From:Hammond, G, Steven (DOC), 'Sent: ', Wednesday, November 12,20088:56 PM,,'To:Subject: _Medical Marijuana Authorization Request'.

Distefano, Monica J. (DOC)From: :Sent:To:'Subject:Hammond,G. 9teven (DOC)Wednesday, Noyember 12,20088:58 PM.. ' ~~~;Medical Marijuana Authorization Re~uest"'. .', :-:From:Sent:To:Subject:Hammond, G. Steven (DOC)Wednesday, November12, 2008 8:56PMMarijuana Authorization RequestI have reviewed. f~orn this pa'tientloffender for authorization for use of medical marijuar)8 and have found that itcannot be authorized in accord with DOC policy.G. Steven Hammond PhD; MD, MHA.Director of Medicai Services .Health Services DivisionDepartment of CorrectionsPOB 41123 .Tumwater, WA 98504-1123360-725-8700DOC # on verification for,m is erroneous,_. '.5 '000195

Page 1 of3Distefano, Monica J. (DOC)From:Sent:To:Cc:Subject: 'Owens, Marjorie (DOC)Thursday,November 13, 20088:10 AMDistefano, Moniqa ,J.(DOC)Miller, Merlin K. 'l,.in' (DOC)FW: Thank you - more info pleaseAttachments:, DCO~doc request.rtfI'm sorry. I answered this last week. I'm guessing I got got $idetracked and didn't send it.o • • t • •I have a problem with this situation. We do not accept appeals from other state's offenders. In order for us toreconsider her case, she needs to have her Ar'izona PO request reconsideration through the Arizona CompactOffice. Whil,e we will respond to inquiries from other state's offenders w.e do not work dir~ctly with them. TheICAOS Rules say all formal comm'unication 'must come through the Compact Offices. If she wants to appeal sheneeds to convince her Arizona PO to ask us to reconsider. Otherwise we are not following the compact process, , and have noway of knowing whether Arizona supports the appeal. 'The reason for the denial was because the DOC Medical Director denied her medical use of marijuana and tileaddress she requested to live at had another individual who was using medical marijuana and growing it., Canshe appeal that denial? Either the Medical Director needs to change his decision or she needs to put in a newtransfer request for a different address. ' " ., She can g'et the information she is requesting from her Arizona PO.' Why is she asking us for it? Can youguarantee that weare not helping her go behind her Arizona POs back? We wouldn't want Arizona working ,directly with our offenders behind our backs:" ' , ,'. . ....We should not set a precendent of wo~king with other state's 9ffenders instead ,of requiring them to work with theircurrent supervising ,officer and go through the official Interstate pr~cesses. ' 'If she Wants these documents from us, we'should require her to do a public disclosure request, just like We would'require our own offenders to do.'From: Distefano/ Monica J. (DOC)Sent,: Wednesday/'November 12/ 20085:13 PM,To: Owens/Marjorie (DOC)Subject: FW: Thank you - more info pleaseAny new information?Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 411265/13/2009000196

Page~ of3(360) 725-8796mjdistefano@doc1.~a.govFrom: Distefano, Monica J. (DOC)~nt: Friday, November 07,20089:15 AMTo.: Owens, Marjorie (DOC)Subject": FW: Thank you - more info please .Marjorie -Karen asked me to touch base with you on th·is request fromdocuments on the attachment to appeal the interstate· denial.She says that she needs theNormally, I would send a request for documents to the PD Unit for processing, but if she needs these for herappeal, Karen thinks we should provide them. .Please let me know how I should proceed on this ... thankyou!MODica DistefanoExecutiv~ Secretary to .Karen Daniels, Assistar,1t SecretaryCommunity Corr~ctions Division. .7345 Linderson Way SW .Tumwater, WA 98501 MS: 41126(360) 725-8796 .mjdistefat"Jo@doc1.wa.govFrQmSent:To: Distefano, Monica J, (DOC)Cc: Daniels, Karen R. (DOC)Subject:Thank you - more info pleaseSorry. Hit sent to soon. Sent. attachment---IOn Fri, Ili7/08,wrote:From: kathleen merrySubject: Re: InitialTo.: "Distefano, Monica J. (DOC)" Date: Friday, November 7,2008,2:21 PM .. ..Monica: Thank you, for the forms and ·penial information for my appeal.In or:der for me to make a sensiable appeal to· WA and AZ, I amlooking for more. forms/documents that I have been told about but have not seen. I hope you can help.1. May 28th 2008 -- 1st Denial sent to AZ from Jeremy Parven CCO.5/13/2009000197

Page 3 of3-"'- On Thu, "11/6/08, Distefano, Monica J. (DOC) wrote:From: Distefano, MonicaJ. (DOC) ect:"Denial and new form. To:Cc; _. . .' " Date: Thursday, Novel11,ber 6, 2008,8:24 PM .Good aft~rnoonillllll '. . .Per your request; I arrisending you yO!Jr initial mm request with the denial alo(:1g with the newform for you to fill out and s,ubmit along with your appeal. Please send your appeal to thisaddress:. A TIN: Assistant Secretary Karen .DanielsDepartment of CorrectionsP.O. Box 41126Olympia, WA 98504-1126 .Please let me know if you have any further questions.Monica DistefanoExecutive Secretary to'Karen Daniels, AssistantSecretaryCommunity Corrections Division7345 Linderson Way. SWTumwater, WA 98501 MS: 41126(360) 725-8796 -mjdistefaho@doc1.wa.gov«MX-5500N_200811 06_121121.pdf» «14-053 MM Form rev 731 08.doc»-- 5/13/20090'00198

Distefano, Monica J. (DOC) .From:Sent:To:'Subject:edical Marijuana RequestThanks Monica I'll contact the'offender today.From:Sent:To:Subject:. Correct!'Distefano, MonicllJ. CDOC)Wednesday, November 19, 2008 8:39 AM .ESC~' ..RE:_Medical Marijuana RequestMonica Dist~fanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity CorreCtions Division7345 Linderson Way SWTumwater, WA98501 MS: 41126(360) 725-8796mjdist?fano@doc1.wa.govFrom:Sent:. To:Subject:Marijuana RequestThanks-I was confLJsed.S~1 see that the request to use medical marijuana was denied. Correct? .From: .Sent:To:Distefano, Monica J. CDOC)Wednesday, November 19, 2008 8:16 AMEsco_arMa dal .. DOC. . .Subject: RE: .' ........ . ....... . ..' Medical Marijuana Request.Offende~did throughhi~ physician.:. , .~ . \Monic~. DistefanoExecutive Secretary toKaren Danjels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(.360) 725-8796 .mjdistefanC?@doc1.w8.govFrom:Sent:To:Escobar, Magdalena CDOC)Wednesday, November 19, 2008 6:55 AM.Distefano, Monica J. CDOC)'1 000199

Subject: RE: Chiofar Medical Marijuana RequestHi Monica, did I send a request for the use of medical marijuana?:MagC£a(ena CEsco6ar. Pedera[ (Way Pie[C£ Vn£t606 West qo'we Street1(ent) Wjl98032253-372-6452 (Phone253-37?-6184 Pax..From:Sent:To:Cc:Subject:Distefano, Monica J. eOOC)Thursday, November 13,20084:14 PM'Escobar, Magdalena eOOC); Pevey, Mac B. epOC)Oani~ .FW: _Medical Marijuana RequestFYIMonica Distefano· Executive Secretary toKaren Daniels, Assistant Secretary· Community Corrections Division7345 Linderson Way Sw.Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov.From:Sent:To:Subject:Hammond, G. Steven eOOC)Thursday, November 13, 200~ 2:31 PMR. eOOC)Marijuana Request· This request does n~t meet DOC criteria for approval.G. Steven Hammond PhD, MD, MHADirector of Medical Services .Health Services DivisionDepartment.of CorrectionsPOB 41123Tumwater, WA 98504-1123360-725..;87002000200'

Distefano. Monica J. (DOC)From:Sent:To:Subject:Oglesby, Jon D. (DOC)Wednesday, November 19,200812:39 PMDist~DOC) , 'RE:_"....... : ..... "''''''''',: . .I have received nothing' at this time, but if Ido I will forward it on to 'the medical 'director's office.'Thanks-Jon 'From: Distefano/Monica J. (DOC)Sent: 'WednesdaYI November 19 1 2008 11:37 AMTo: OglesbYI 'Subject:: ,Importa ,Hi, Jon! 'I am on the phone with the treatment provider ... a bit upset.She says that Mr .• " ubrilitted an'appeal to y~u on 11/3/08 for the medical marijuana. Can you tell me·ifyou'vereceived that pape r:, '.She states that Mr."'wastaken into custody yesterday based' on the marijuana usage......Thank you for your help with this one!Monica DistefanoExecutive Secretary to, Karen Daniels, ,Assistant Secretary, Community Corrections Division7345 Linderson Way SWTumwater, ,WA 9850'1 MS: 41126(360) 725-8796 " ,mjdistefano@doc1.wa.gov4000201

Distefano, Monica J. (DOC), From:Sent:To:S~bject: ,Sofia, Lawrence J. 'Joe' (DOC) ,'., , , 26, 2008 12:20 PMGood ~fternoon;.. :: ..... ,.:...,'.: ......Mr_ is set for a review hrng.in front of his' Sentencing Judge(Rosanne Buckner)on 12/5/08 for Probation,, violations,bLit specifically to address the' issue of Medical Marijuana for his personal use. I will be handling this hearing~r hiS CCO, Lynne Hudson, and I would like to get a copy of th~.letter that Asst. Secretary Daniels sent to Mr. '__ ~9n 10/29/08(which denied his request to use Ma~ijuana for medicinal purposes)so that I can file it with the Court,Prosecutor, ,& Defense -Attorney. A faxed copy would be fine at the # below. Thank you very much for your help, andplease contact me if you have any questions; Happy Thanksgiving- ..' ,. .' .Joe Sofia, eeo 3 ,Plerte counnr Court Unit1016 8:28111' St.,CJC,Taco'lna, WI 98409Office: l:i53i680~i610Coli: '[2531255-8882f~K#: (2531671-4042MS:WT-43 ,E~mail:Ij$Ofia@doC1.wa.!iovflHey: let's ~e careful out there.". ,5000202'

Distefano. Monica J. (DOC)From:Blonien, John 'Scott'.Sent: Wed November 26,20082:58 PMTo: . J. (DOC). ......:Subject: Mj112~b8}: :Attachments:,.¢";" ,-("" "I,·Monic~attached are my suggested edits ....Thank You,John Scott BlonienDepartment of CorrectionsAssistant Secretary for Government,Community Relationsatld Regulatory Compliance360-725-8889jsblonien@DOCl.Wa.GovFrom: .Sent:To:Subject:Distefano, Monica J. (~OC)Wednesday, November 26, 2008 12:00 PM_Bionien JOhn."Scott' .. i Med Mj 112608.. : .... ,. " ...Scott -This is the denial language Karen used in the past. Will you please review and bless or advise ... ? .. Thank you!Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW .. Tumwater, ,WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa.gov1000203

--'/{ Deleted:November 26, 2008___ n' ' 'I received the request from CBR Medical, Inc., on November 19,2008, to appeal~ ___ n~ __denial of your request to use Marijuana Medicinally 'while you are under the jurisdictioi} .or supervision of the Department.• • .~n'.' __ nn ______.nn_nn.' .n_nn ____ n __ n ________________________________. . _".:-•• •• ••· In the inter~st of public safety and protection of the community at large, I.il.!tJ:"~~l]'xil18.. ________ .._.yom g~guesUQ.lt§?~ .. M..~~}j}!~P~J~!'},}}~9i£t~~LR~l~R9,~~~!~~~~!~-~}:~9"i2"Uk~:~J!l~~~9Jt __". -'-.;:=ge::-=:~~~;~-:=::=~~~:;~:-==:-;~~~:~-~:------------.;;:~:,:direction of you:r assigned CCO and your conditions of supervision.'· Sincerely"theDelt$!d: initial Medicinal Use ofMarijuanaDeleted: VerificationDeleted: find your .'. Deleted:' request for Medicinal Use ofDeleted: ~Deleted: while under the supervisionof the Department of Corrections. isdenied-]Karen Daniels, Assistant Secretary· Commup.ity Corrections DivisionKD:mdcc: Jon Oglesby, Community Corrections OfficerField File000204

Distefano, Monica J. (DOC).From:Sent:To:Cc: .Subject:Stern, Marc F. 'Dir Hlth Svc' (DOC)Thursday, November 27,20087:03 AM, Karen R. (DOC) . ., Haml1iond,G. Steven (DOC) . .DOC_- Medicinal Use of Marijuana Appeal':".1 ; ... ,::.,-,.- ..I have r'eviewed Mr._appeal.of the' Department's decision to not authorize his use of medical marijuana.My review included:-The original request form 380.200, undated by the ~uthor, with a one page attachment from Dr. Johnson;-An email from Dr. Hammond to you indicating that Mr'-did not meet medical criteria, for medicinal marijuana '(MM)use;""""-A 16 page fax - presumably an appeal - dated 11/19/2008, including:a' cover page (indicating that the fax docl,lment contains 6, not 16 pages),aclinic note, dated 11102/2008a clinic.note with no datea3 page print out entitled "Scoliosis Back Pain"an 8 page print out entitled "Effects of Smoke Marijuana in Experimentally Induced Asthma"another request form 380.200, also undated by the author. .'According to the docl!mentation of th~al request, Dr. Hammond determined that Mr .-.use of MM did not nieet .DOC criteria apparently because Mr .... did not suffer from designated complications of tWo DOC-id~ntified diseases.From a purely procedural standpoint, the appeal is flawed. First, the appeal request itself, contain~d on DOC 380.200 isincomplete. The required fields, including prescriber signature, date, and prescriber'license number and type are missing.The printed name is illegible, but appears to be similar to the physician name on the attached two clinic notes. Second,the seco.nd clinic note, indicating that Mr~_suffers from asthma and chronic intract~!;lle back pain, is undated,Sothese' might have been his diagnoses last week or 20 years ago and no longer active. Third, I question the authenticity ofthe first clinic note date 11102/2008. Unlike every other practitioner note I've ever read, and, notably, unlike the other clinicnote in this packet, it's written in the third person.' .From acli.nical standpoint I offer the following opinions:First, with regard to Mr .•,diag'nOSes requiring tr~atment withMM, the undated clinic note indicates that Mr:_"suffers from "Asthma (spasticity disorder)." NO s~ch disease exists. In the remainder of my report I am going to assumethat there was an error in the report and Mr~_suffers from asthma. .... .Second, the appeal indicates that the. rea:?on for MMis that neither Mr." .. _ .2. back pain nor.asthma are alleviated bystandard therapies. I have difficulty believing that no other analgesics and riO other asthma medications has worked.Further, there is insufficient clinical informatian in the appeal to. support either claim.'As background far the next few items, the Department requested fram Mr.-'prescriber infarmatian published in 'peer-reviewed scientific jaurnals explaining tlie medical evidence far the uS'e'OT'MM in for Mr.~ar anything ather thanthe twa designated diseases. . . .' . . . '. . ..The third apinion, then, is that with regard to Mr. diagnosis af back pain no. such scientific material was provided.The anly informatian that was provided was a pri ',' scaliosis-related back pain. The print out is the text of aquestian and answer session with a dactor who invented a spine brace, obtained at a website '(www.scoliosisbackpain.com).This is not g scientific publication nor is it peeneviewed. From an evidence basedmedicine standpoint, which is haw our profession tries to. make good clinical decisions, it has little to no value.Faurth,even if this publicatian had scientific value, it is nat.relevant to. this patient. The print aut is an the tapic ofscaliosis; the infarmatian we received from Mr._dactar did not indicate Mr. • Illas s~oliasi.s.Fifth, with regard to. the (presumed) diagnasis of asthma, ·Mr .... physician did provide an scientific article fram apeer-reviewed journal regarding the salutary effects af smakinrmariJuana an asthma. Hawever, there are seriaus .shortcomings af thiS article. First of all, it was a study an anly8 subjects. Secand, it tested the effect af a single timesmoking marijuana on asthma. It is well knawn that chronic smoking (af anything) makes asthma worse, and this is even,nated in the article itself. Third, the study was dane in 1975. There have been tremendous strides in the care af asthma in1000205

the ·Iast 33 years that don't involve marijuana. Lastly, the article about smoked marijuana is not relevant to or helpful in Mr.~ case since the Department would only allow Mr ~o use oral, not smoked marijuana.Thus, in conclusion, I do not find 'sufficient evidence of a clinical necessity for marijuana in Mr._ case.Marc F. Stern,MD, MPHAss{stantS~cretary/Health Services DirectorWiis/zingt~n State Department of CorrectionsAffili~t~ Assist.. Prof., Dept of 1! ealth Svcs,Scho.oi of Public Health, Univ. of Washington"7345 tindersolJ Way, Sw, Tumwater WA. M~il:DepiofCorrections; PO Box 41123; Olympia, WA 98504-2113111 fstern@doc1. wa. gOl' .Voice: (360) 725-8700 Fax: (36(J) 586-9060'.\.00-0206

Distefano. Monica J. (D.OC)From: .Sent:To:Subject:Distefflno, Monica J. (DOC)Monday, . 01, 2008 10:02 AMAttachments:MX-5500N_200812OC095313.pdf (.:'.Good morning, Jon! Mr_denialletter was put in outgoing mail on Wednesday (probably actually going out today.).Here is a copy for your: records.Please let me know if you have any questions!Monica Distefano.Executive Secretary toKaren Daniels, Assistant Secretary'Community Corrections Djvision7345 Linderson Way SWTumwater; WA 98501 MS:.41126(360) 725-87~6.' mjdistefano@doc1.wa.gov1000207

. . STATE OF WASHINGT()~ .DEPARTMENT OF CORRECTIONS. P.O. Box 411 00 • Olympia, washlnfJton 96504-1100November 26, 2008 .. We received the request from CBR Medical, Inc., on November 19, 2008, to appeal our·denial of your request to use Marijuana.medicinally while you are under the jUrisdictionor supervision .ofthe Department of Corrections. , . .. . .In the interest of public safety andprotection ~f the community at large, I am denying'your request to use Marijuana for medicinal'purposes during the period of time that you. are under supervision.' .I would enCourage you to continue to program in a positive manner, following thedirection of your assigned CCO and your conditions oi'sripervision. .Sincer~ly, ., ..".. ~....'. 7 , ... Kare Danie sistant SecretaryCommunity Corrections DivisionKD:md'cc:· Jon Oglesby, Community Corrections OfficerField Fileo recycicd paperII Working Together for SAFE Communities"000208

Distefano, Monica J. (DOC)From:Brooks, Sasha M, (DOC)Sent: , Monday; 8ecember 08, ,9:21 AMTo:" ,Distefah 'Subject: ' RE: MM RequestThank you for the upd,ate.Sash a ,BrookscommunIty Corrections Officer 2Department of CorrectionsOlympia Main Field Office (364)(360)493-9471 office '(360) 407-0075 faxFrom:Sent:To:Subject:FYI-Distefano, Monic~ J. (DOC)Monday, December 08,20089:18 AM8roo~h,'KurtiS R. (DOC)FW;_MM Request" ........ ,.:; ... ,.... ," ':. -This offender's request has been denied.Monica Distefano,Executive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov ' ,From:Hammond, G. Steven (DOC)Sent:Wednesday, December 03, 2008 5:23 PMTo: Daniels, Karen R. CDOC) , '-Cc: _l1almers sandra L. DOC)Subject:'MM RequestI found ttiis patient'sreq'~~~t for m~dical marijua~a not to be consistent with DOC Policy.G. Steven Hammond PhD, MD, MHADirector of Medical ServicesHealth Services Division' ,Department of Corrections1000209

POS 41123Tumwater, WA 98504-1123360-725-8700. ,, .200021.0

Distefano. Monica J. (DOC)From:Sent:To:Subject:Chalmers, Cassandra. L. (DOC)Monday,December 08,200812:43 PMDistefano, Monica J. (DOC)RE: 2 MM requestsNot yet.Cassandra ChalmersAA3 Health Services HQ360-725-8712clchalmers@doc1. wa. gOY"'-,From:.. Sel')t:To:Subject:Oistefano,Monica J. COOC)Monday, December 08, 2008 10:23 AMChalmers, Cassandra L. COOC)2 MM requestsbut had given you 2 others a day or to before hers. . .on_Good" morning! Just fO"~.paperwork and email. :".,', ," .Have those been reviewed yet?on thE:) status .of 2 of thtt 3 request.s I hand delivered to you last we~k.I received theMonica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division·7345 Underson Way SW .Tumwater, WA 98501 MS; 41126 .(360) 725-8796mjdistefan~@doc1.wa.gov4000211

Di~tefano, Monica J. (DOC)From:Sent:To:Subject:Hammond, G. Steven (DOC)Monday, De.cember OB, 200B 4:37 PM:_C~M Authorization ~equest. . . ,.",. _. . , . ':' :~'.:':' .. :-'>Not consistent with our policyG. Steven Hammond PhD, MD, MHADirectQrof Medical ServicesHealth Services DivisionDepartment of CorrectionsPOB41123Tumwater, WA9B504-1123360-725-B7005 00.0212

Distefano, Monica J. (DOC)From:Sent:To:Subject: 'Hammond, G. Steven (DOC)Monday, Dec~mp,er 08,20084:38 PM, __ M~ Authorization Request'. '. .".. "':", ;" ,'-Not consistent with DOC policyG. Steven Hammond PhD,'MD, MHA, Direct6r of Medical Services'Health S~rvices DivisionD~partment of CorrectionsPOB 41123Tumwater, 'WA 98504-1123360-725,;8700' 'I,6000213

Distefano, 'Monica J. (DOC)From:Sent:To:Subject:H?r.nIii ond, ~. Steven (DOC)Monday; December 08,' 2008 4:39 'PM.-.C)·' '..:_MM Authorization Request'. . ". '" .c;· ..:.:.

Distefano. Monica J. (DOC)From:Sen~:To:Subject:FYI-Mr._request has been denied ..Mo~16~' Di~~efano .Exec.utiv!3 Secretary toKaren Dl'miels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA. 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:""To:Subject:Hammond, G.Steven (~OC)OecElmber 08, 2008 4:37 PMAuthorization RequestNot consistentG. Steven Hammond PhD, MD, MHA. Director of Medical Services "Health Services Division. Department of CorrectionsPOB 41123 .Tumw

Distefano, Monica J. (DOC)From:Sent:To:Cc:Subject:Hammond, G. Steven (DOC)Tuesday, December 09, 2008 8:31 AMDistefano, MonicaJ.(DOC); Daniels, Karen R. (DOC) ,. , 'ndra L. (DOC); Johnson, Deborah A. (DOC)Questions about MM' .Monica,Som~one put_'" ,. .• 'through to my. voiGemaii to ask questions about our medical marijuana policy: As I recall, 'you have indicfle, wl,lngne s to .. .' . ons. Sorry, I didn't get his DOC #, but he is someone who has contactedus before. He gave a phone #Debbie and Cassandra, again, I ask that these iriquiries be put through to Monica's/Karen's office and not t~ my phone lineor voice mail. Perhaps the interns and admin staff need to be reminded., Thanks;steveG. Steven Hammond PhD, MD, MHADirector of Medical ServicesHealth Services DivisionDepartment of CorrectionsPOB 41123Tumwater, WA 985(1)4-1123360-725-8700'I9 000216

Distefano. Monica·J, (DOC)From:Sent:To:Subject: .Distefano, Monica J. (DOC)Tuesc;!ay, Decernper 09,20089:28 AMRUd.~, E. Voncille (DOC) .FW:_MM Authorization Request. .. , - .. .-., .-:. :"'~' ':'.~.'. ." . .: 'FYI-. ;This offender's request has been denied ..Monica DistefanoExecutive Secretary toKaren Daniels, Assistant SecretaryCommunity Corrections Division. 7345 LindersonWay SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:To:SLlbject:Hammond, G. Steven (DOC)Monday, December 08, 20084:38 PMAuthorization· RequestG. Steven Hammond PhD, MD, MHADirector of Medical ServicesHealth Services· Division· .Department of CorrectionsPOB 41123 .Tumwater,WA 98504-1123360-725-87001000 fJ'217

Distefano. Monica J. (DOC)From:'Distefano, Monica J. (DOC)Sent: Tuesday, D~cember 09,20089:31 AM ',' ,To:Ohm~.IY,Frank C. (DOC) , "Subject: FW:_;MM Authorization Request:..''': ",""'; -: "::. :",:.:: "'... ~ ":;."::.-'.':.{; .FYI-This offender's request was dened.Monica'Distefano ,Executive Secretary to, Karen Daniels, Assistant SecretaryComm'unity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS:41126(360) 725-8796 'mjdistefano@doC1.wa.govFrom:Hammond, G; Steven (~OC),Sent: Monday, December 08,2008 4:39PM ,,TO:' '~.'Subject: ' '_IYIM Authorization Request "'Not consistent with DbCpoiiciy" .G. Steven Hammond PhD, MD, MHADireCtor of Medical ServicesHealth Services DivisionDepartment of CorrectionsPOS 41123 ,Turriwater, WA 98504-1123360-725-870011000218

. .Distefano, Monica J. (DOC)From:Sent:To:Subject:I-:/ammond, G. Steven (DOC)W(3dnesday, DeQernber 17, 2008 9:07 AM.~... q .i_.mm request"" ," ,. :'. ," ".:',.:. ;:;:'~F'-"" ':'" ,",',:".,' ;. '",- .-:"'''. ",'~r:_request for ~edical marijuana is not consistent with DO~ policy and therefore deni~d.G. s~~J~'~'8ammond PhD, MD, MHA .DireCt6f of Medical ServicesHealth Services Division. Departmemt of CorrectionsPOB.41123 .Tljmwater, WA98504-1123360-725-8700J12 000219

Distefano, Monica J. (DOC)From:Sent:··To:.Cc:$ubject:Hammond, G. Steyen (DOC)·Friday, D~cem ""19,20089:55 AMDaniels, KejreUl. rs"tefano, Monica J. (DOC)Chalm....."

Distefano, Monica J. (DOC)From:Sent:To:. CC:Subject:HamrrlOnd, G. Steven (POC)FridaY,December 19, 20089:58 AMDa.:Hi~ls,,!~arE3n)3;. (POC); Di~tefano, Monica J. (DOC)_.L(DOC) ...~,.,m.request":"':';:;'.;~

Distefano. Monica J. (OOC)From:Sent:To:Subject:Braverman, Suzann E. (DOC)Tuesday, December 23, 2008 12:15 PMDist~); Bingham, David L (DOC)RE..-mm request - -".:" ... ~.'7'~ :">"~\\}:'~'.~:'~':"":':'::~;~'.: ~.

Distefano. Monica J. (DOC)From:Sent~To:. Subject:Bingham, David L. ·(DOC) .Monday, December 29,2008 2:53 PMDist~,2~) ..RE:_mm request• :', - ;':,: ." "::". " .; /',.;, ~.,.,~ ." -. ". -. ," 0". ", ,;.:-'Hi, is it possible that I could get a formalletier so·1 can put a copy in P's file as well as giving him a copy?Thank 'you! . .From: Distefano, Monica J. (DOC)Sent: Tuesday, December 23,200812:14 PMTo: Bingham, . . Suzann E. (DOC)Subje(j;: FW:mm requestFYI(I apologize {or the delay in forwarding this - weather issues ... )Monica DistefanoExecutive Secretary to. ,. .Karen Daniels, Assistant SecretaryCommunity Corrections Division·7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov.. !From:Sent:To:Subject:Hammond,G. Steven (DOC)IMl>f1nl>c,r1,,\I December 17, 2008 9:07 AMrequestMr._requesHor r:ned·· marijuana is not consistent with DOC policy and therefore denied.',: i,?~-:":l, '";-.':" .G. steven Hammond PhD, MD, MHADirector of Medical Services. Health Services DivisionDepartment of CorrectionsPOB 41123Tumwater, WA 98504-1123360-725-870016 000223

Distefano, Monica J. (DOC)From:Smith, Sherr.i K. (DOC)Sent:Tuesday, January 06, 2009 8:42 AMTo: Distefano, Monica J. (DOC) .Subject:FW: Re:. medical marijuana approval statusYou don't need to look for this.. From:SentrTo:Subject:Haberman, Jeffrey T. (~OC)Tuesday, January 06, 2009 8:05 AMSmith, Sherri K. (~OC)RE: Re: medical marijuana approval s·tatusSherri, .. . .FYI, P is on Marinol and not·rriedical marijuana .. Marinol has been FDA approved as an Rx drug for years. This is not acase were state law co'nflicts with fec;lerallaw. The confusion started because P called his Rx medical marijuana andthough itis a synthetics' creation of 8ome·of the compounds found in marijuana it is not part of the'issue related to the ..medical use of marijuana in Washington State .. f'Endeavor td Persevere II./#ut rI. ~, ee&JPierce Co. SeX Offender Unit-North1016 South,28th Street MS: WT-43 . .Tacoma,.W A 98409·(2§3) 680-2688'Fax: (253) 597-4352Cell: (253) ~55-8409From: Smith, Sherri K~ (~OC)Sent:Monday, January 05,200912:12 PMTo:. Bohon, Pamela L. (~OC)Cc:. Haberman, Jeffrey T. (~OC); Distefano, Monica J. (DOC)Subject: RE: Re: medical marijuana approval status 'Thank you Pamela.Monica: do we have anythingand MM?From:Sent:To:Cc:Subject:Bohon, Pamela L.(OOC)Monday, January 05,200912:10 PMSmith, Sherri K. (~OC)Haberman, Jeffrey T. (~OC) .RE: Re: medical marijuana approval statusWell,l was able to approve the address - and was directed to take the case per my supervisor., There is no indicationif his med marijuana was ever: approved by DOC. :He only has supervision until Feb 26th of this year. He is currentlyunder ceo Haberman, so he would need whatever info you IT)ay have on this .... Thanks .. ·,Pam,17000224

From:Sent:To: .Subject:Smith, Sherri K. (DOC)" Monday, January 05, 2009 11.:23 AMBohon, Pamela L. (DOC) , .RE:'Re: medical marijuana approval status,Dear Pamela: I was out of the office on extended medical leave when you wrote'this message. Did you get aresponse in my absence? ,-SherriFrpm:Bohon, PamelCl L. (DOC)Sent:Monday, October 06,20081:,29 PMTo:Smith, Sherri K. ,(DOC)Subj~ct:Re: medical marijuana approval statusIJ'npo,rtance: . High , ' " '( received an itr from the LakeWood Sex offender' unit ol1~a~d it appears that he submitted theforms to his dr on 9/10108. Due to all the, current issues'~iencing with another medicalmarijuana, case, (wanted to check on this fellows approval/deniai status before initiating the address checks as (don't want to take this case on if DOC has not approved it.' , , 'Pamela Bohon'PC SOU - North10168. 28th StreetTacoma, WA 98409(253)680-2639fax: (253) 597-:43521800022,5

Distefano. Monica J. (DOC)From:Sent:To:Subject:Attachments:Distef~no, Monica J. (DOC)Wedri~~oay, January 07, 2009 3:00 PM~oRrcmfo@gm?JU9Q,m:" "DPC Policy,,

OFFENDER 1.0. DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS.Mec:iic;:inaJ Use of'Marijuana VerificationTo be filled out by ceo:1 Patient's Name " ,I Date of Birth1 DOC Number1TO be filled out by Prescriber:Dear Prescriber,By state' sta~ute the Washington State Department of Corrections is charged with "the responsibility to supervise someoffend~rsafterthey have been convicted of a felony. The above named patient is currently undersupervis'iori by the'Department. Supervision is designed to help the offender avoid those. environments or situ~tions 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 DEi'partment6f Corrections wi" impose a condition of supervision that the offender not use, or possess illicit drugs,inclu~ing 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. ' ' ,Is this patient under your care?DYesDNa2. Are you recommending medical marijuan'a for his patient due to a diagnosis of AcquiredImmunodeficiency Syndrome (AIDS),,' 'a. 'If the answer to question 2is "Yes", d~es he/she hav~ anorexia? 'b. If the answer to question 2a is "Yes", does he/she have weight loss?DYes,DYesDYesDNo,DNoDNo3. ' ,Are you recommending medical marijuana for this patient due to nausea and vomitingassociated with canger chemotherapy?'a. If the answer to question 3 is "Yes", has the patient failed to respond to conventional,antiemetic treatments?', ,DYesDYesDNo,DNob. 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?4. If you answered "No" to itelms 2 & 3 above, what is the reason you are recommending medicinal use of,ma~uana? . 'a.,Please provide evidence published in a peer-reviewed scientific publication to support the medi,cinaluse ofmarijuana for this purpose? ' ',5. Whil,e on community supervision ("par-ole") the Department of Corrections only authorizes theuse of the oral synthetic formulation of marijuana. If the Department authorizes this patient's 0 Yes '0 Nouse of medical ma~ijuana, will you be prescribing only the oral synthetic formulatiol!?,6. The patient's accompanying Release of Information authorizes you to provide the ,Department with current and future information related to this issue. Do you agree to notifythe Department's Medical Director of any changes in your answers above?DYesDNoDOC 14-053 (Rev. 7/31/08)

Prescriber's Name (Print)License #:Prescriber's AddressPrescriber's SignatureLicense type:Phone Number'DatePrescriber,: please return this form and the patient's Release of Information t~:Medical DirectorHealth Services DivisionWashington State Department of Corrections, ,PO 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) I Dis D is not '"'consist~nt with DOC.Polic::y.Physicia~'s Name (Print)Instruction~ to DOC Physician:Physician's Signature'Date'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 70.24.10'5; RCW 71.05.390) and/or federal' regulations (42 CFR Part 2; 45 CFR Part 164) pr~hibit Q:)disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise(',Jpermitted by law.' ' C\JDOC 14-053 (Rev. 7/31/08) DOC 380.200Da

. APPLICABILITYSTATE OF WASHINGTON FIELDDEPARTMENT OF CORRECTIONS~~~~I=SI=ON~D=A=re~~--p=A=G=E=NU=M=BE=R~~--~N~UM~B=E=R--~8/4/08· 1 of 7 DOG 380.200POLICYillLECOMMUNITY SUPERVISION OF OFFENDERSREVIEW/REVISION HISTORY:Effective: .R.evised: .Revised:· Revised:8/2/053/26/07 AS-07-0065/16/08 AS-08-0098/4108SUMMARY OF REVISION/REVIEW:fV1ajor changes. Read carefully. _· APPROVED:Signature on FileELDONVAIL, Secretary· Department of Corrections6/2/08Date Signed00022~J

\~~L~C~I~liYSTATEOF WASHINGTONDEPARTMENT OF CORRECTIONS~-.~~~IS~IO~N~DA~T;E--'-~P~A~GE~N7U~M=8E=R~-'--~N~UM=8=E=R----8/4/08 2 of 7 DOC 380.200POLICYTIllE ,,' ,', \ ....COMMLJNITYSUPi:RVISION OF OFFENDERS·REFERENC·ES:. DOC 100-.100 is hereby incorporated into this policy; RCW 9AA4.130; D06·280.500 RecordsManagenientofOfficial Offender Files; DOC 320A10 Risk ManagementTeams; DOC 380.605 .InterState Com'pact; DOC 420.380 Drug/Alcohol Jesting; Dot 460.130 Violations and· .He?rings - . .. .POLICY:I..II.·III... Community supe.rvision will_ be performed in a manner that is in the best interest ofcommunity safety. . .. Community Corrections Officers (CCO}Wili supervise offenders according to the risklevel criteria and resources available for supervision.·CCOswill identify offender needs and address those needs within available resources,programs, referrals, and treatment aimed at achieving successful re-entry:DIRECTIVES:I. Duty Officer Coverage."A. Community Corrections staff will provide coverage in the office to .ensure -thatservices are available to offenders and stakeholders. .B. The Duty Officer will meet with offenders during. the. absence of the. assig ned.. CCO to perform supervisory functions including, but not limited to:1. Signing standard conditions of supervision,2.· Obtaining urinalysis (UA), if applicable, I.3. Reyiewing reporting instructions, to include next report date,4. Obtaining/updating personal information, if necessary, .5. Reviewing file material and/or court documents, and .6. In emergent situations, issuing travel permits per Department policy ~nd .office procedures.C. The Duty Officer will document contacts in the offender's electronic file per DOC280.500 Records Management of Official Offenderfiles~ . ~ ,.. . . .'. " .D. The Community Corrections Supervisor will make arrangements for coverage if·the Duty Officer IS unavailable. .1. '- When Duty Officer coverage cannot be provided, the CommunityCorrections Supervisor will post a notice to the public that lists anemergency contact person and phone nurriber. The Community000230

IG g.~. t~. -. it:'). tbt~t"':'c.~ .. APPLICABILITYSTA TE OF WASHINGTON FIELDDEPARTMENT OF CORRECTIONS..~ISIONDATEPOLICY. TITLE"PAGE NUMBER1NUMBER8/4/08 3 of? DOC 380.200COMMUNITY SUPERVISIQN OF OFFENDERS·Corrections SupelVisor will also include this contact informatio"n on the·office main voicemail message.II.SupelVision Coverage for Absences·A. Staff will notify thedr supeNisor/colleagues of absences from work, especially.when they are absentfor extended periods oftime (e.g., annual leave):B. When staff are out of the office on 'scheduled leave, they will leave a voicemailmessage that includes: .1. The "length of time that they will be out of the" office, if known."2. The name and contact information of the Duty Officer as their designee forquestions, concerns, or emergent situations.C. Staff on scheduled leave will activate the "Out of office" notice on Outlook to" make others aware of their absence and will designate a staff to collecttheir ..email and handle emergent situations.1. When staff are on unscheduled leave and/oroutof the offic~ for anextended time due to an emergency and unable to activate the "Out of "Office"noticeon Outlook, the Community Corrections SupelVisorwillauthorize Information Technology to reroute the email to another staff.D. To provide continuity of supervision, the Community Corrections SupelVisor willJe-assign offenders when a CCO has an unexpected, extended· absence greater" . than 2 weeks. The Community Corrections SupeNisor will assume case" ." .supelVision until re-assigned.III.Community SupelVjsionA. . When specific selVices ordered by the Department,. Indeterminate SentenceReview Board (ISRB), or court are not available, the CCO will notify the ISRB,court, or Community Corrections SupeNisor and request guidance.B.·The CCO has primary responsibility for monitoring the supelVisionconditions for.offenders and developing the Offender Supervision Plan. "." "C. TheCCO will complete a home visit,to make contact with the offender and/orfamily/spouse to verify the offender's address, within 10 days of assumingsuperVision.D. The ceo will respond to suspected or reported violation behavior per DOC460.130 Violations and· Hearings. . .000.231

APPLICABILITYSTATE OF WASHINGTON FIELDDEPARTMENT OF CORRECTIONSr-~~~IS~IO~N~DA~T~E--~~P~AGME~N~U~MB~E;R~-r--~N~U~MB=E~R--~8/4/08 , 4 of 7 ' DOC 380.200POLICYTITLE,'COIVIMUNITY SUPERVISION,OF OFF.ENDERS1. The supeNising CCo will investigate any informGltion s/he receivesindicating an offender may have violated court ordered conditions;a. Technic

APPLICABILITYSTATE OF WASHINGTON FIELDDEPARTMENT OF CORRECTIONS 1--_' ==O'::......-;;:-=---r----:~:-:-::-===_-_r___-__:_:_:_:_:_:==_-___1REVISION DATE PAGE NUMBER NUMBER8/4/08 5 of 7 DOG 380.200'POLICY~~E . . .' .COMMUNITY S.UPERVISIONOFOFFENDERSa.The ceo andler Re-:e,ntry SpeCialists' are respensible fer.decum~nting in the offender's electr(:mic file, within}2 heurs,verifi.ed activi~ies and events, the effender's cempliance withtargeted risk facters, and all cenditions of supervision.b. ' As apprepriate, the Risk Manageni~nt Team will provid~ input to.. the CCO fer engeing supervisien activities. . .IV.Medicinal Use of MarijuanaA. If the offender requests medicinal use ef marijuana, the ceo will provide DOC.14.:.053 Washingten Department ef Cerrectiens Medicinal Ul;e of MarijuanaVerification and DOC 13-035 Autherizatien fer Disclesure of Health Infermatien to.theeffender. .B; The effender will forward theferms to. hi~/her primary care physician: who. ~ill.cemplete the forms and ferward them to. the Director of Medical SerVices ferapproval. .C. The Directer of Medical Services willforw

STATE OF WASHINGTONAPPLICABILITYFI ELDDEPARTMENT OF CORRECTIONSr--=~~IS=lq=N=D=~=E~'-~P=A=GE=N=U=M=BE=R~~--~N~U~M=BE=R~~8/4/08 ,6 of 7 ' DOC 380.200POLICYTITLECOMMUNITY SUPERVISION OF OFFENDERS4. Low Risk offenders required to register will have a minimum of one face to'fac~ contact a month, as weH as one face to face contact in the Field eachquarter. , There should be one collateral contact every month. '5. Low Risk offenders not required to register must report by KIOSK/GENIE:whenever changes occurin their address, phone number, e'mployment,contact person, and contact person's phone m-imbe r, or if they, arearrested.'6. DOSAoffeJ:lders, must report face to face with a ceo at least once weeklyuntil tre,atment admission has been verified. '7. Homeless offenders will be required to report fac'e to face with a ceo ~tleast once weekly. When possible, these contacts should be in the Field "wherever the homeless offende.r can be located. The ceo will update the, offender's electronic file when the homeless status changes; , 'B.'eeos, Re-entry SpeCialists, and members' of the Risk Management Team willhav,e contact with the offender consistent with his/her the Offender Supe rvisionPlan.'C. Field contacts will include, butnot be limited to, contacts at the home,employment, andlor any location where the offender may engage in activ'ities.1. Demonstration of reasonable effort to contact the offender in the Field " 'andlor significant collateral contact in the Field ,may count as a Fieldcontact. Efforts to make contact will bedocumemtedin the offende~s, electronic file.2. While completing any Fieid contact, the ceo will respect the privacy of'the offender to avoid unnecessary embarrassment or indi~~ity.D. Reduction in Contacts1. With Community Corrections Supervisor approval, contact standards maybe reduced:''a.When an offender iS,in ,local custody, in-patient treatment, 'or forother reasons based on the offender's availability in the community, 'or1) ,For an offender in local custody over 30 days, the ceoshould make contact during the last 30 days of confin~mentfor release and supervision planning. ''000234

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS j-----si~iii'ii\i"i'iil'i"j:-y-PA~::ii"iMREi:~~--,-____;;:i'i""iM~(-POLICYDOC 380.200COMMUNITY SUPERVISION OF OFFENDERS,b. After 6 months of compliance if the offender's progress on, supeNi~ion warrn.nts a r~duction. For High Risk offenders and,Moderate Ri$k offenders not required to register,coritact standards, will n()t b~ redLic~dmore than the next lower contact standard.Contact s,tandards for Moderate Risk offenders required to register ,and LoW Riskoffenders required to register may not be reduced 'based on pro'gress on supelVision .. ' ' , .2. Contacts standards for Moderate Risk offenders required to register andLow Risk offenders required to register may only be reduced for reasons',of offender availability in ~he community.'3. staff will update the Offender Supervision Plan and document reasons forreduction in the offender's electronic file.'VI.,SupelVision and Complianc'e Review, A. 0TheCom m unity Corrections Supervisor wi II review case supelVision.', , ,B. Each cause will be reviewed 3 months prior to the schedyled end'of supelVisionon that cause to identify any outstanding violation behavior and prepare the casefor supeNision closure and summary adjustment ' ,DEFINITIONS: '1. The review will be documented .on' boc 02-175 M3 Review Checklist,which will be maintained in the offender's central file., Words/terms ~ppearing in this policy may be defined in the glossary section of the PolicyMaHual. 'ATTACHMENTS:NoneDOC FORMS:DOC 02-175 M3 Review ChecklistDOC 09~051 Court jurisdiction Only Notice of Violations/stipulated AgreementDOC 09-.064 stipulated A9reement (ISRB-CCB) , 'DOC 09-226 DOC Jurisdiction Only Notice of Violation/Stipulated Agreement'DOC 13-035 Authorization for Disclosure of Health InformationDOC 14-053 Washington Department of Corrections Medicinal Use of Marijuana Verification000235'

.STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS"UT'H9RIZAT'9N F()R PI~CLOSUREOF HEALTH INFORMATIQNOFFENDER 1.0. DATA:I, . , hereby authorize the use or disclosure of my health. informationas described below. The following individual or organization 'is authori~ed' to make the disclosu're:NAME: __ ~~ __________ ~ ______ ~--------__ ~ __ ~ADDRESS: ~. ____________________________ ~--____ ----The type and date(s) of information to be used or disclosed is as follows: .Purpose for disclosure: _____ -,.--________ -'-_____________ -,--____ _.1 understand that the information in my health record may include information relating to sexually transmitted· infections, Acquired Immunodeficiency Syndrome (AlPS), or Human Immunodeficiency Virus (HIV) .. It may alsoinclude information about behavioral or men~al health services and treatment for alcohol, and.drLJg abuse.. ... This i~formation may be disclosed 'to and used by the following in

5TATEOF WA$HII'IGTOI'I _DEPARTMENT OF CORRECTIONS'. . OFFICE OF Tiji: SECRETARYP. O. Bo> 41101 • Olymplq Wa~.hlngton 9850

Distefano, Monica J. (DOC)From:Sent:To:Subject:Ha~mond, G. Steven (D()qThursday, Ja·riuary 08, 2009 1 :20 PM. IS,Ka .. R. .. Distefario, Monica J. (DOC)MM RequestMr._feq~est Tor medical marijuana does· not meet m~dical necessity criteria .• ,., ...... ,' •.•. , 1"G. Stev~hHammond PhD, MD, MHAChiefrv1edi~

Distefano, Monica J. (DOC)From:. Sent:To: .. Subject:Olympia Patien.t Resource Center [oprcinfo@gmail.com] .Thursday, JanLiary 08, 2009 12:47 AMDistefano, Monica J. (DOC)Re: DOC Policy & Medical Marijuana FormGreetings,Thank you for your fast replyI j~st wa.nt to ask you about a possible conflict in DOC policy with state law [RC;W69.51 A].Your Marijuana Verification form rDOC 14-053] states that DOC only allows the oral syntheticformula,tion of marijuana ... YeHhe WAC [246-75-010(e)] Clearly defines useable medical'marijuanaas dried flowers . . .DOC 14';053 • Medicinal Use of Marijuana Verification5. While on community supervision ("parole'7 the Department of Co~rections only' authorizes theuse qf the oral synthetic formulation of marijuana.WAC 246·75~010(e) reads as- follows:(e) "useable marijuana" means the dried leaves and flowers of the cannabis plant. familv Moraceae. . . .. . .The legislative intent of RCW69.51A - clearly states it'S intended to provideclarification to "Iawenforcement and to all participants in the judicial system".Intent _. 2Q07 c371: "The legislature intends to clarify the law on medical marijuanaso thatthe lawful use of this substance is not impaired and medical practitioners areable to exercise their best professional judgment in the delivery of ·medicaltreatment,qualifying patients may fully partiCipate in the medical use of marijuana,.and deSignated providers may assist pati~nts in the manner provided bY this actwithout fear of state criminal prosecution. This act is also intended to provideclarifica·tion to law enforcement and ·to aI/participants in the judicial system."[2007 c 371 § 1.1, .Please provide clarfication on how DOC policy regarding medical marijuana does notconflict With state law .,Jere·my Miller. .On Wed, Jan 7, 200~ at 3:00 PM, Distefano, Monica J. (I?OC) wrote:2000239

«DOC 380200 Medicinal Marijuana Form.doc» «DOC 380200.,pdf» «DOC 380200 13~035 Authorization.doc» «380200 Admin Bulletin.pdf»Good afternoon, Jeremy!Here is the DOC' policy that addresses medicinal marijuana, along with ~n administrative bulletin (amendr'nent) and thenecessary forms. '.Please let me know if you riee.d anything else!Monica DistefanoExecutive Secretary toKaren Daniels, Assistant Secretary .Community Corrections Division7345 Linderson Way SWTumwater, WA 98501MS: 41126(360)725'-8796 .mjdistefano@doc1.wa.gov.13000240

Distefano, Monic~.J. (DOC)·From:Sent:.. To:Subject:Hall1mond, G. Steven (DOC)Thur~day, January 08, 2009 1 :22 PM. .......aniels ··KarenR. ·.DOC);pistefano, Monica J. (DOC)MM Request·' . .".: ."".', ,: ,:.": .. ,'. '~'. . .. ,.. '., .. .-", ~ -" .M~.:_.request for medicalm~rijuana use does not meet medical necQessity criteria.G. St~~~~h~mmond PhD,· MD, MHAChief -Medical Officer.Healtn SerVices DivisionDeparlrnent of CorrectionsPOB41123 ... Tumwater, WA 98504-1123360-725-8700.4000241

Distefano, Monica J. (DOC)From:Hamniond, G. Steven (DOC)Sent: ThLJr!3~ay, .. 08, 20091 :23 PM .To: -',. fels (DOC); Distefano, Monica J. (DOC)Subject: DOg # provided .M~._request for medicall11arij(j~ma use does not meet medical neccessity criteria."~''.:'';- .. ;. \:"~':-'

Distefano, Monica J. (DOC)From:Sent:,To:Subject: ,Attachments:, 'Smith, Sherri K. (DOC)Friday, January 09, 2009 3:00 PM" Distefano, Monica J. (DOC) ,MM Denial Letter. Letterhead2.docLetterhead2.doc(29 KB)'Sherri Smith, Executive Assistant toKaren Dan'lels, Assistant SecretaryCommunity Corrections DivisionMS: 41126'7345 Linderson Way SWOlympia, WA 98504-1126,Phone: 360-725-8847Even if you're on the right track, you'll 'get nUl over if you just sit there~ ~Will,Rogers. . . .''1000243'

STATE OF WA?HINGTONDEPARTMENT OF.CORRECTIONSp, 0, Box 41126- Oly~pia, Washington 9850'1-1126 .DearYour Medicinal Use of Marijuarra request has been received. Upon review by theDepartment's Health Services phy,siciari, your r~qlj.est has been

Distefano, Monica J. (DOC)From:Sent:To:·'Cc:Subject:Hammond, G. Steven (DOC)~.Monday; January 12, 2009 3:20PMDistefano, MODica '.' (DOC); Daniels, Karen R. (DOC)"L C) ..Reqqest.Mr.ll!llillrequest for medical m'arijuana does not m(eet our criteria for medical negessity.G.s~~~~~fH~mmond PhD, MD, MHA' . .Chief Medical Officer' .. Health SerVices DivisionDepartment of CorrectionsPOB41123. .Tumwater,. WA 98504-1123360-:725~8700 .1 .000245

Distefano, Monica J. (DOC)From:Sent:, To:Subject:Smith, Sherri K. (DOC)MondayiJanuary 12, 2009 9:42 AMDistefano, Monica J. (DOC)fW: Medical m;3rijuanaFor your action.From:Sent:To: ', Subject:Greaves, Theresa E. 'Terrie' (DOC)Monday, January 12,20099:41 AMSmith, Sherri K. (DOC)RE: Medical marijuanaHe is also the requestor.From:Sent:To: 'Subject:',Smith, Sherri K. (DOC)Thursday, January 08, 2009 4:53 PM, Greaves, Theresa E. 'Terrie' (DOC)RE: Medical marijuanaNo they would be filed here with Monica. What offender?From:Sent:To:Sub~ect:Greaves, Theresa E. 'Terrie' (DOC)Thursday, January 08, 2009 4:53 PMSmith, Sherri K. (DOC) ,Medical m~rijuana "Hi Sherr!,I have a PD request for a copy of a Medicinal Use of Marijuana Verification'form out ofan offender's file. Are those filed into the field file? 'Terrie GreavesAdministrative Assistant 5 toAnne FialaNorthwest Region and Work ReleasesMS: 411187345 Linderson Way SWTumwater, WA 98501Phone: (360) 725-8316Fax: (3,60) 586-72742000246

Distefano, Monica J. (DOC)From.Sent:To:Subject:Hammond, G. Steven (DOC)Friday, January .16" 20Q98:42 AM ''~,C,); qaniels, Karen R. (DOC),,_MM Request:. ;'~-"""'- ":.:.' ',,::~:::'='~ .\",: '.: :::.,:.>:~;, ~::\.: \:.".Mr.llllillllllrequest for authorization for medical ~arijuana use 'does not meet medic~1 necessity criteria.G. St~V~h':~~~mond PhD, MD, MHAChie(Medlcai OfficerHealth Services DivisionDep'artrrie'nt of CorrectionsPOB 41123Tumwater, WA 98504-1123360-725-8700'\1000247

Distefano, Monica J. (DOC).From:Sent:To::'Subject:nd, G. Steven (DOC). uary 20, 2009'9:28. AM .hica'J." Daniels, Karen R. (DOC) ... Request ' ... ;'.:.: ..Mr,lIIiiIiiIII~quest does not meet rriedic~1 neqessity criteria for medical marijuana.G. S~~V~'~'~~m·mond PhD, MD, MHA '. . .ChiefM~diCaiOfficer .Health Services .DivisionDeparfmentof Cc:>rrectionsPOB 41123 .Tumwater, WA 98504-112336(),. 725-8700. J1000248

Distefano, Monica J. (DOC)p'rom:Sent:To:Subj~ct:Hammond, G. Steven (DOC)TLi .. . nuary 20, 2009 9:27 AMI\lIn,,,·, ,,,,JOC); Daniels, Karen R. (DOC)MMRequestMr.~eqUest forautllorization of ~ed;baimarijUana does not meet medicaLnecessity criteria ..G. St~ve~ H~inmond PhD, MD, MHA ..ChiefMEidical OfficerHealth Services DivisionDepartrnenfof·CorrectionsPOB41i23 . . .Tumwater, WA 98504-1123360-725-87002 000249

.,'Distefano, Monica J. (DOC)From:Sent:To:Subject: ..Hammond, G. Steven (DOC) .VVedtiesday,.Janl!ary 21,20099:57 AM~.' OC); Daniels, Karen R (DOC)'_MM Request.. .'.:'..." :.:;.:. "." '.'".~:.'-: "" . :' .' . .~,,~,," ... 'Mr.l!lillrequest for authorization for use of medical marijuana does not meet criteria for medical necessity ..- ~:/\Y;'·.r..:;.''''·; ~ . .. .G. Steven Hammond PhD, MD, MHAChief Medical Officer .Health Services DivisionDepcirtrngnt of CorrectionsPOB41123 ).Tumwater, WA 98504-1123360-725-8700~)3000250

Distefano, Monica J. (DOC)From:Sent:To:Cc:SUbJect:O'Donnell, Erin M. (DOC)Wedriesday, January.21, 20091:23 PMDistefano, 'Monica J. (DOC)Liulamaga, Misi Nimese I. (DOC)Medical Marijuana 'GoOd AfternoonlI'm currently working on getting Medical Marijuana 'app~o~ed for_ I've r~viewed the policy and 'mem os; with my supervisor.and'just when we thought we figured~~ P's provider stating they havehad several conversations with you speCifically regarding timelines that were contrary to what my CCS and I hadconcluded.''CCS Liulamaga and I interpreted the policy/mem~s to state that P had two weeks for the entire process to be completedand if it had not been completed or P was denied within that timefra'me, he would then be violated for the use. However,speaking with Melissa Legee with CBR medical, she basically stated ,each party involved had two weeks to Qompleie theirpart of the process;Would you please clarify for me (or point me'in the right ditection)what exactly the timeline is? More specifically, how longdo I hold off on a viqlation process!atwhich point am I required to violate for use?'Thank you 'in advance for any help you can offer."Erin O'DonnellCommunity Corrections Officer IISE Seattle Unit206-516-7812 office206-423-7126 nextslWashington State Department of CorrectionsSeattle Community Justice Center,1550 4th Ave SSeattle, WA 9813440-002'51

Distefano. Monica J. {~OC)From:Sent:To:Subject:O'Donnell, Erin M. (DOC)Thursday, JanuC!ry 29, 2009 9:03 AMDistefano,. Monica J. (DOC)RE: Medical MarijuanaSou~ds good, th'anks!Erin O'DonneilCommunity Corrections Officer". SE Seattle UnitlSe'attle Community JL1stice Center206-516-7812From: Distefano, Monica J. (DOC). Sent: Thursday, January 29, 2009 8:59 AM.To: O'Donnell, Erin M. (DOC).Subject: RE: Medica.l MarijuanaYes, Ma'am!I highlighted the section about appeals in ft?d ..PI~aselet me know if you need anything .else!Monica Distefano. Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Lind.erson Way SWTumwater, WA 98501 MS: 41126(36'0) 725-8796 .mjdistefalio@doc1.V\:'a.gov8000252

From: O'Donnell, Erin M. (DOC)Sent: Thursdciy,January 29,'2009 8:46 AMTo: Distefano, Monica J. (DOC)Subject: RE:Medical MarijuanaDoes "this process" include the appeals?Erin O'Donnell"Community Corrections Officer II.SE Seattle Unit/Seattle qommunity JL;stice Center206-516-781.2 "From: Distefano, Monica J.(DOC)Sent: Wednesday, January 28, 2009 5:42 PMTo: O'Donnell,' Erin M. (DOC) "Cc: Liulamaga, Misi Nimese 1. (~OC)Subject: RE: Medical MarijuanaHi,'Erin!I'll try and" explain the process, butf~el free to call m,e if you have any other questions.According to policy and theadmin bulletin, the offender and their medical provider have 2 'weeks once they've received the.verification form to complete and submit it to the DOC HQ Physician for review. Once the Physician receives the form,there is nosettimeline for him to review and make his determination; however; once that decision is made, we willcommunicate that decision in writing to the offender- with a copy to you (the CeO), the ecs, and the medical provider.The '~ffender and the medical provider then have 15 BUSINESS days (3 'weeks) to subm it a written appeal directly toKaren. Once Karen receives the appeal, a decision on the appeal will be made within 30.business days. That decision will" again be communicated in writing to the same folks listed above ..Any violations related to the us~ of medicinal marijuana should not be issued until this process has run its course.9,000253

Please do not hesitate to call me if you have any other questions. Thank you!Monica Distefano·Executi\le As~istantto .Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW 'Tumwat~r, 'INA 98501 MS: 41126 .(360) 725-8796mjdistefano@doc1.wa.gov.'Fr9m: O'Donnell, Erin M. (DOC)S~nt: Wednesday, January 21,2009 1:23 PMTo,: Di~tefancf, .Monica J. (DOC)cc::: Liulamaga, Misi Nimese 1. (DOC)Sub~eC:t: Medical MarijuanaGood Afternoon! .I'm currently. working on getting Medical Marijuana approved .I've reviewed the policy andmemos with my supervisor and just when we thought we figured if '. P's provider stating they havehad several conversations with you specifically regarding timelines that were contrary to what my CCS and I hadconcluded. .CCS Uulamaga and I interpreted the policy/memos to' state that P 'had two weeks for the entire process to be completedand if it had not been completed or P was denied within that timeframe, he would then be violated for the use. However,speaking with Melissa Legee with CBR medical, she basically stated each party involved had two weeks to complete theirpart of the process. /. . .Would you please clarify for me (or point me in the right direction) what exactly the timeline is? More specifically, how longdo I hold off on a violation process/at which point am I required to violate for use? ' .. .Thank you in advance for any help you can offer.Erin O'Donnell10, 000254

CommunJty Corrections Officer IISE Seattle u.nit206-516-7812 office206-423-7126 nextelWashington State Depi3rtment of CorrectionsSeattle Com munity Justice Center15504thAve SSeattle, WA 98134..110.00255

Distefano"; Monica J. (DOC)From:Sent,:To: .Subject:M~~ _request for authorization for Jse of medical m,arijuana does not meet criteria for medical necessity.r13 000256

Distefano, Monica J. (DOC)From:Sent:T ..... 0:. Subject:Johnson, Deborah A. (DOC) on behalf of I-:Iammond, G. Steven (DOC)M . . February 02, 2009 4:29 PMje>t".f"'r,n. Monica:J' . . Daniels, Karen R. (DOC)Mr .• request forauthorizati~n for u~e of medical marijuana does not meet criteria for medical necessity. .14. 000257

Distefano, Mon'ica J. (DOC)From:Sent:To:Subject:JohnsQn, Deborah A. (DOCron behalf of Hammond, G. Steven (DOC)Friday, Febru~ry 06, 2009 8:24 AM ' ,~ .. OC); Daniels, Karen R. (DOC)_,MM Request, ., ~.-.. ;.--~. ".. " ":- .,":. " ':

Oistef~mo, Monica J. (~OC)From: Johnson, [)eborah A. (DOC) ,Sent:To:Subject:Mo . F~brua!y 2009 4:46, PM ,. . , . bC); Daniels, Karen R. (DOC)Request,for authorization for use' of medical marijuana does not meet criteria for medical necessity.16 0002-58.

Distefano. Monica J. (DOC) ,From:Sent:to:Subject: "Importance:' ,Brucldk, Jaqk M. (DOC)Fr"id .Scott A. (DOC)MONICA; "" . " '. "SCOTT HASTAKEN CARE OF THE CONDITION.Jack Brucick ".Comm'. Corrections Supervisor" Dept,' of Correc;tions4705 N. Addison, Spokane, W A 99207(509) 482-3855" 'From: , Distefano, Monica J. (DOC)Seilt:.Wednesday,F~bruary 11, 20094:06 PM. ~~~ject::_' Jack M. (DOC)• Good afternoon,Sc:8it&·J~ck!·':

Distefano. Monica J. (DOC)From:·Sent:To:Cc:Subject:Hammond, G. Steven (DOC)friday, ·F.ebruary13, 2009 4:08 PM . .. Distefano, Mg I'] ica J. (qOC);:Daniels, Karen R. (DOC); Blonien; John 'Scott'Johnson, Deborah A. (DOC)· .RE:QuE;lsticihs· regarding medical marijuana'.... ',.,', ....That's a good question, Monica. Here's how I see it. We are committed to DOC offenders' receiving medically necessaryhealth care asdeJined in .the OHP. We review each request for medical marijuana for medical necessity as defined in theOHP. The OHP is cite:d and described in Policy 600.000 III A. . ..... .So I don't know if it is entirely accurate to say that the decision is made in accord with Policy. It is made on' the·basis .of anie.dicaI hecessity judgment that is in ~ccord with the defintiion of medical necessity used to determine what services'areprovidE;ld to offenders incarcerated in DOC .. I think it is appropriate to continue to use a~imilC\r definition of medicalnecessity in·judging whether the use of medical marijuana is necessary for offenders under commnity supervisiori, but Idon't. know if it is completelyaccurate to say that the proposed use is consistent or inconsistent with DOC policy. I think itmaybe, but I'm not sure. What do you think, Karen and Scott? ' "SteveFrom:Sent:To:Subject:Distefano, Monica J. (DOC). Wednesday, February 11; 20094:30 PMHammond, G. Steven (DOC)Questions regarding medical marijuana·Good afternoon!. I need a little guidancefrom you, please.I have regeived sev~ral questions from offe,nders and physicians regarding the forms that are denied with the statement"denied - inconsistent with DOC Policy". ..Can you clarify with me which DOC Policy you are referencing? i don't see anything, spe~ific in DOC 380.200 that s~owswhat is or is not consistent.Thank you in advance for your assistance!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary.Community Corrections Division'7345 Underson Way SWTumwater, WA98501 MS: 41126(360) 725-8796mjdistefano@doc1,wa.gov18 000261-

Distefano, Monica J.'(DOC)From:,Sent:To:Subject:ni

Distefano. Monica J. (DOC)From:Sent:To:Subject:We received an :appealtoMi~iilililnediCiilal marjiUan'a denial from his physician.:- ".~! :!:., : . ;". Please do not proceed with any violations related to the medicinal marijuan~ until the decision has been ,made on theappeal in the qext 30 days. . " .I will'let'you know the outcome.Thank you!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary·Comml,lnltyCorrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126'(360) 725-8796mjdistefaoo@doc1 .wa.gov,.20 '000263

Distefano, Monica J. (DOC)From: ,Distefano, Mpnica~. (DOC) ,Sent:MondaY .. Feqr,uaty 23, 2009 10:40 AMTo:' ..... ~.a".a,MiSLN j ri1.,ese. [,(DOC); 0'00. nnel,l; Erin M. (DOC)Subject~,_" We received, an appeal tO~;'.:~;~i::1 :arjiUana denial fro~ his physician.Please do not proceed with any violations related to the medicinal marijuana until the decision has been made on the'appeal in the next 30 days'.I will let you know the outcome.Thank you!Monica Distefano'Executive Assistant to, . Karen D$niels; Assistant SecretaryCommunity Corrections Division7345 Underson Way SWTumwater, WA 98501 MS: 41126 ' ,(360) 725-8.796mjdistefano@doc1.wa.gbv21000264

Distefano. Monica J. (.DOC)From:. Sent:To:Subject:.'". .. Distefano, Monica J. (DOC)ond' . 10:41 AM. Kathan, Jim R: (DOC)We received an appeal to M .. . . "Please do not proceed with any ,appeal in the next 30 days.icinal marjiuana denial from his physician.related to the medicin.al marijuana until the decision ha$ been made on theI wililet you k'now the outcome.Thal)k you!Monica Distefano. Executive Assistant to.. Karen Daniels, Assistant SecretaryCommunity Corrections Division .7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@dbc1.wa.gov. .22·000265

Distefano. Monica J. (DOC)'From:Sent:To:Subject:We received an appeal to Mr :_medicinal marjiuana denial from. his. physician.. . ": ,:'.\" I:' .:,,: ...

Distefano. Monica J. (DOC)F.rom:Sent:To:Subject:You got it. Thanks!Erin O'Donnell. Community Corrections Officer /ISE Seattle Unit/Seattle Community Justice Center206-516-7812. From: Distefano, Monica J. (DOC)Sent: Monday, F¢bruary 23, 2009 10:40 AMTo: ~iUla{~C); O'Donnell, Erin M. (DOC)~~~~.. .. . ,", "'," ~.~ ....., ~:': ~.":! :..", .......... '; ....: ..... '··~:f~}·(·-·.~, "_'.~'." . .", .. . W~ received an appeal to Mr._medicinal. marjiuana denial from his physician ..Please do not proceed with any violatio~srelated to the medicinal marijuana until the decision has been made on theappeal in the nex~30 days. ,", " 'I will let you know the outcome.'Thank you!Monica Distefano ,Executive Assistant t6Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW 'tumwater, WA 98501 MS: 41126(360) ,725-8796 'mjdistefano@doc1.wa.gov." "24 000267

Distefano. Monica J. (DOC)From:Sent:To:Subject:. Mr. ....... supervision h~stir~fri~tedand \lYe'Wili sit down this afternoon to complete 5990 paperwork, and his field .file ~arded to OMMUafter my clerical staff reviews the documents. Call or email me me if there is anything I cando for 'yoiJ [j'efore I close. his' supervlsiof'). .From: Distefano, ~onicaJ. (DOC) ..'Sent: Monday, ~ebru.a·ry23, 2909 10:36 AM ,, To: . . ' . ~.jaS.'.N.·.{'b. o .•.. t: ..;.arucick, Jack M. (DOC) . , ' . 'SubJect: ' ,~ , ''We received an a8p~;I- t~',Mr __ iTIediCinal marjiuana denial from his phy~ician.' ,. '. . ,.f::l~;"':'. ~';:~-:~. -:.': ~>." . . . .' .Please do not pro~eed with anyVi6i~ti~ns rel~ted to the medicinal marijuana until the decision has been made o~ theappeal in the next 30 days.' .I will let you know the outcome.Thank you!Monica Pist~fanoExecutive Assistant to, Karen Daniels, Assistant SecretaryCommunity Corrections Division,7345. Linderson Way SW ',Tumwater, WA 98501 MS: 41126 .(360) 725-8796mjdistefano@doc1.wa.gov./25 000268,

Distefano. Monica J. (DOC)From:Sent:To:Subject:4:11 PM, Douglas N. (DOC).. Importance: . High·VE·RY GOOD, THANKS MONICA FOR THE HEADS UP. Jack BrucickComm: Corrections SupervisorDept of Corr~ctions· .4705 N. AddisonSpokane, WA 99207(509).482-3855From:Distefano, Monica J. (DOC)Sent: Monday, February 23,200910:36 AM .To:iiiiiifIiiIiOHand,DOU9IasN.·DOC' B.rUCiCk, Jack M. (DOC) .Subject:·.·.....,.·-, ,"' • :-,. ,.! ". '::. ;" -.; \,;c.,:: -:/ '''.'>', ... , "\",,,,\'\.j:/.','~.~;~', ..... IW~ received an appealto Mr._medicinal marjiuana denial from his physician ..." . ~ " '.; '. . ..Please. do n0t proceed with any violations· related to the medicinal marijuClna until the decision has been made on theappeal in the next 30 days. . . .I will let you know the outcome.Thank you!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796. mjdistefano@doc1..wa.gov26 0002G~l

Distefan.o, MonicaJ. (DOC)From:Sent:To:Cc:Subject:.Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOC)Monday, FebruClry 23, ~009 4:36 PM .Distefano, Monica J. (DOC); Daniels, K.aren R. (DOC)~

, Distefano, Monica J. (DOC)From:Sent:To:', Cc:,SUbJect:Johnson, DeborahA (DOC) on behalf of H.ammond, G. Steven (DOC)tv10pday, February 23, 20,09 4:37 PM , 'Di,stef,ai1o, Monica J. (POC); Daniels, Karen R. (DOC)~_,~~C~eques~ " '; .. : -" .... ,," . -" ~ ... ' , ..uest for authorization for use of medical m~rijuana does not meet criteria for medical necessity.,,-28 000271

Distefano, Moni~a J. (DOC)From:Sent:'To: i .Cc:, SubjElct:,Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOG)Mo'nday, February 23, 20094:39 PM 'Oi~~efano,Mo.niqaJ. (DOC); Daniels, 'Karen R. (DOC).~.en (DOC)" ,::_.MM Request:' ,~~.

Distefano. Monica J. (DOC)From:Sent:To:Subject:Daniels, Karen R. (DOC)Monday, March 02; 2009 8:55 AMDistefano, MonicaJ. (DOC)FW: DEA to end medical marijuana raids - More health news- msnbc.com- Sent UsingGoogle Toolbar . . .PIse forward to CRU officers ... thx.kdKaren DanielsAssistarit'SecretaryCommunity dorrect.ions ·DivisionDepartment of Corrections7345 Linderson ~ay SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252 .email: krdaniels@doc1.wa.gov-----Original Message----­From: Blonien, John 'Scott'Sent: Monday, March 02, 2009 6:25 AMTo: Daniels" Karen R. (DOC)Subject: FW: DEA to end medical marijuana raids - More healthnews-.msnbc.com - Sent UsingGoogle Toolba,r .. dopeageThank You,John Scott BlonienAssistant Secretary-----Orlginal Message-----From: John Scott Blonien [mailto:jsblonien@gmail.com]Sent.: Sat 2/28/2009 9: 11 AMTo: Blonien, JohU 'Scott'Subject: DEA to end medical marijuana raids - More health news- msnbc.com -Google ToolbarSent UsingDEA to end medical marijuana raids - More health news- msnbc.com. .Skip nav.igation. .'. .msnbc.comho~e* MSN Horne I* Mail * More* Hotmail 30000273

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Sexual health ~http://www.msnbc.msn.com/id/3034591>. Pet health Fitness Aging Heart health cancer .Mentalheal1:,h Health library Tech &.-scienceTravel Local news Weather Bro'wee ' ',' , ,video PJ;lOtos . : 'DisableFly~outWhat are flyouts?' .., Marketplace " ,* Credit Score' $0 at CreditReport. corn ,* ,Scottrade $7 online, trades' , , ' " ' ,* . Progres.sive Get car insurance . .,* Start 'a business Entrepreneur.com* Win Free Tuition For working adults "* Netflix Find sitters & nannies' ,,'. ,* Shoppi:p.g Deals Coupon Offers!. ' " , .* $lDOK+Jpb Bank Search Jobs Now.DEA to halt medical marijuana raids, ..,Holder confirms states to have, final say on ~seof drug, for painc(;mtrolImag/?: Medical marijuana advocates and users confront police. Medical marijuana advocates and users confront Los Angeles policeduring a Drug Enforcement Administration raid of a medicial marijuana dispensary on July25, 2007. ". 'View related.photos Robyn Beck/ AFP/Getty ImagesRelated storiesWhat's this? Raids on Medical Marijuana Will EndMedical marijuana: Is this now an American policy? Most popularMost viewed. Top rated. Most e-:mailedBuffett: Economy will remain in 'sharnb,les'32000275

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Don't miss this on msnbc.com HealthBizarre fish poisoning sparks alarm ,Deadly lag: Why tracking outbrea,k,took months Your diet may worsen seasonal allergies Germophone? What's risky vs. wh~t' s OK ,9 foods that will boost your immune system 4 einbarr~s'sing body quirks, sotved Maj or shift' in federal policy,, The new policy represents a significant turnabout for the fed$=ral gove~nment . ,During 'theBush adr:ninistration, DEA agents shut doWn 30 t;o 40, marijuana dispensaries, the agency,said.The Web site of the White House Office of National Drug Control Policy had yet to catch upto the policy shift as of Friday afternoon; and was still prominently featuring a IIMedical. Marijuana Reality Check ' ' , ' ' II declaringthat "marijuana is not considered modern medicine" and arguing that "no animal or humandata support the safety or efficacy of smoked marijuana for general medical use."Medical ina:dj uanaTh1rteen states allow the sale, distribution and use of marijuana for limited medicalpurposes:AlaskaCalifornia,ColoradoHawaii" MaineMichigan. Montana,NevadaNew MexicoO~egon,Rhode IslandVermontWashingtonHolder's comments received little notice Wednesday, overshadowed by the news of the drugarrests. But ::;upporters of, legalized ,marijuana seized on them as an important sign ofprogress in their campaign."Holder's statement marks a dramatic shift in u.s. drug policy and is a major victory forthe 72 million AIli.ericans who reside in states where the use of medical, cannabis islegal," said Paul Arm€mtano, deputy director of the National Organization for the Reformof Marijuana Laws, said in a statement.'Thirteen states allow the cultivation; sale and use of ,medical marijuana.: . .Armentano said the shift would add momentum to campaigns in states that are consideringtheir oWn medical marijuana laws. The New ,Jersey Senate approved such a bill. Monday, andGov. Jon Corzine s.aid he wouid si~n it if it, cleared the state Assembly.Charles Lynch, who operated a state-approved dispensary in Morro Bay, 'Calif:, before itwas raided in 2007, also welcomed the new policy."It's a good thing for California. It's a good thing for the other 12 states that havemedical marijuana laws," said Lynch,' who was convicted in August of federal drug charges.'Lynch could face five years in prison when he is sentenced ,late next month, but in light34000277

of the new federal policy, he said he would appeal his conviction and seek a presidential'pardon.Lynch contended that dispensaries like his were vital for patients in the last stages of apainful illness. ."Having one ,in 'your conununity, wherever that may be, is a good thing because it helps,these people that need, relief," he said.Moref'rom msnhc. com DEA to halt medical marijuana raids.. Review: 'Jonas Brothers' can't nail that thirddimension' World Blog : ,- Financial crisis dents Russian steel town, Week in pictures: Dramatic photos from across globe " ' ,How many Oscars for 'Slumdog'? Take our quiz -The following NBC stations contributed to this report: KNSD of San Diego; KSBY of San ~uisObispo, Calif.; and WNBC of New York.*, Discuss Story on NewsvineRate Story:_View popular LowRate it '0.5 Rate it 1 'Rate it 1. 5 Rate it 2..Rate it 2.5 Rate it 3' Rate it 3.5 Rate i't 4 "Rate it 4.5 Rate it 5 High4.5 after 1249 ratings'Email**' Instant Message* PrintMORE FROM MORE HEALTH NEWSMore Health, News Section Front _ Assisted suici'de case revives right..,;to-diedebate Forget dentures: Why not grow new teeth? 'Woman arrested in breast 9ancer hoax ,Bed-wetting blues': Millions of adults suffer, too' Cotton candy may help grow human tissue Urine.injection kills Bolivian woman ,New surgery may give amputees more control

Distefano. Monica J. (DOC)From:Sent: .To:. SUbje.ct:O'Donnell, Erin M. (POC)Tuesday, Maroh 03,'2009 8:34 AMDistefano, Monica J. (DOC)RE: Medical MarijuanaMakes sense! .,. for now ...© Thanks for your help!Erin O'DonnellComJYlUnity Corrections Officer". ,SE Seattle Unit/Seattle Community Ju~tice Center206-516-7812 .From: Distefano, Monica J. (DOC), Sent: Tuesday, March 03, 2009 8:33 AM,To: 'O'Donnell, Erin M. (DOC) .Subject: RE: Medical MarijuanaY0t.! are correct, once his appeal is d.enied! you will begin violatihg for use.No need to do any retro-active violations. Just put him on notice that you want to see the levels in his body declining toshow that he is no longer using after the appeal decision is communicated so he will know he will be violated for.usebeyond that point. .' . .Does that help or did I just make it more confusing?Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725~8796 'mjdistefano@doc1.wa.gov40000279

, Fro'm: O'Donnell, Erin M. (DOC) ,Sent:, Tuesd~Y,March 03; 2Q09 8:29 AMTo: Distefano, Monica J. '(DOC)Subject: 'RE:Medical MarijuanaSo if Mr. Roberts' current appeal is denied, I will have to b,egin violating for use, correct?Also .. , Is violation for use retro:-active? AKA, Do I have to violat~ him any use that occurred while paperwork was beingprocessed?Thanks for the speedy response!! I've been asked to present this information (what rve learned with Robert's) to my unit., at our staff meeting today.Erin O'ponnellCommunity Corrections Officer /ISE Seattle Unit/Seattle Community Justice Center206-516-7812, From: Distefano, Monica J. (DOC)Serlt: Tuesday, March 03, 2009 8:26 AMTo: O'Donnell; Erin M. (DOC)Subject: RE: Medical MarijuanaGood morning!, ''After the initial denial, they are allowed 1 appeal. Once that appe~1 decision is made, it is final.Monica DistefanoExecutive Assistant toKaren Dan'iels, Assistant Secretary41000280

Community Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdi~tefano@doc1.wa.govLFrom: O'Donnell, Erin M. (DOC)Sent: Tuesday, March 03, 20098:24 AMTo: pistefano, Monica J. (DOC)Subj~c:t: Medical MarijuanaHi; me again!Just curious -:-. How many appeals to a medical marijuana denial is the offender allowed before the decision by KarenDaniels is final?E'rin O'Donnell. CommLlnity Corrections Officer 1/SE Seattle Unit206-516-7812 office206-423-7126 nextelWashington State Department of Corrections·Seattle Community Jus~ice Center1550 4th Ave SSeattle, WA 9813442

Distefano, Monica J. (~OC)From:Sent:To:___ Subject:, __ ~_O'Donnell, Erin M. (DOC)Tuesqay, March 03, 2009 5:02 PMDistefano, Monica J. (DOC) . .More medicinal madju_aJJ~a __.-.---·_____. _~_.:__~-.-._--~----~---.. __._..A question that came up after my presentation at the unit meeting today -When conducting home. visits on someone who is approved for medical marijuana or has paperwork submitted aridpending ... Are we required to verify the amount of plants they have etc. and monitor compliancewith the RCW? If it isfound that they have more plants or whatevedhanthe HCW allows, is that a DOC violation only or somethrng we shouldcall police in 011 as well? How should we address that scenario? . . ..Thank you guru. ©Erin O'DonnellCommunity Corrections Offic;er "SE Seattle. Unit206-51 6~ 7 812 office206-423-7126 nextelWa.shington State Department of CorrectionsSeattle Community Justice Center1550 4th Ave SSeattle, WA 9813443000282

Distefano. Monica J. (DOC) .Froin:Sent:To:Cc:Subject:·Blonien, Johri 'Scott'Wednesday, March 04, 2009 '12:07 PM .Lane, John (GOV). Vail, E.ldon W. (DOC); Daniels, Karen R. (DOC)Medicinal use Of MJ ... ave~ing issue! .John, I hope thi~ finds you well. Recall that previou.sly I asked for your position onDOC. makfng a request for a formal AGO,on theis5ue of M.~dicinal use of MJ.'Theissues t.hatwe would ask for direction on are Iqosely stated as:' .• Can the DOC sanction an offender for the medicinal use of MJ?•.. l.fso are there limitations when the department may do so.• Also d()es the immunity from liability provision of RCW 68.51 A.OSO (The statesh911 not he heldllabl~ for any deleteriousoutconies from the medical useof. marijuana by any qualifying patient) afford any protection from'suit by those whoare injured by a supervrs~d offender when DOC knows and is aware of theirpossession and use of MJ for medicinal purposes?. .' '.When We last ,spoke you wanted me to check to see how other states handle thissituation. It's difficult to ge1'a meaningful comparison because mbst other states don'tendorse the lines of liability that Washington does, each state .medicinal use' of MJ .st(3'fute i5differ~nt. In the meantime Wfj continue to iimp along'dealing with these on a .. case by case basis, and the situation calls but for a consistent pro¢ess that a formalAGO could provide. 'May we move forward with a request to the A~O?Thank You,John Scott BlonienDepartment of Corrections,. Assistant Secretary for Government,COrrllnunity Relations and Regulatory Compliance360-725-8889 . .,jsblonien@DOCl.Wa.Gov. I44 00'0283

Distefano •. Monica J. (DOC)From:Sent:To:Subject:Daniels, Karen R.(DOC)Wedri~sday, March 04, 20Q9 2:56 PMDistefano, Monica J. (DOC)FW: MarinolLet's talk. .. thx.Karen DanielsAssistantSedetarY,CorrHllunity Corrections DivisionDepartifient of C()rrections7345 LindersolJ Way SW, Tumwa'ter, WA98504Office: 360-725~8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.gov '. ,From:Sent:To:Cc:Subject:Blonien, John 'Scott'Wednesday, March 04, 20092:30 PMDaniels, Karen R. (DOC)Ramsdell-Gilkey, Lori M (DOC). MarinolKaren :1hope this finds you well. Karen lam told that there continues to I?e someconfusion about the LIse by prescription of marinol~ It appears that some CCOsbelievethatin order for an offender to' use marinor they must gothrough the "exce'ption ,.review" that we have, developed for the use of leaf MJ for medicinal uses. ,Unlike leafMJ ,if an offender has a prescription for Marlnol a synthetic from of THC we cannotregulate, limit or prohibit it's use. Accordingly we have no authority to require'the. ,Joffender who has a prescription for madnol to go through our exception review. While Ido understand that if an offender is using marinol they will test positive for THe unles,swe have firm ,evidence that the p'ositive reading is from the use of leaf MJ rather thanmarinol we may not cite nor violate them. I hope this helps. If we can help spread the,word, please let me know. :.Thank You,J omi Scott BlonienDepartment of Corrections .Assistant Secretary for Government,Community Relations and Regulatory Compliance,360-725-8889 'jsblonien@DOCl.Wa.Gov45000284

Distefano, Monica J. (DOC)From:S~nt:To:Cc:Subject:Johns.on, Deb9rah A. (bOC) on behalf of Hammond, G. Steven (DOC). Wedhesd'c!y, March 04, 20094:1'3 PM . '.. Distef~rib, Morilc~·J. (DOC)~ baniels, Karen R. (DOC)~.eve·n ·.D.oOG) '. . ._MM Request ..:.' : .'" ... :". '::., -., .,:. '. ::. ~. -:.for authorization for use of medical marijuana does not meet criteria fo~ medical necessity.·/.,46000285

Hood, Cynthia L. (~OC)From:Sent:To:Subject:Maione, Charles L. (DOC)Thursday, January 22,200910:27 AMGastreich, Kathy E. (DOC) .FW: Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION)'FYIFro.,,:Sent:To:Cc: 'SL/bje!i:Blonien, Jo~n 'Scott'ThursdaY,January 22, 2009 10:26 AMMentzer, Eric (ATG); Malone, Charles L. (DOC); Anderson, Glen (ATG)Lang, Timothy (ATG);' Daniels, Karen R. (DOC) '. '. ",RE: Medical Marijuana (ATTORNEY~CLIENT PRIVILEGEp~OMfv1UNICAT10N) ,Thank You,1 000286

John Scott BlonienDepartment of CorrectionsAssistant Secretary for Government,COrnniimityRelations and Regulatory Compliance360-725-8889jsblonien@DOCl.Wa.GovFrom:Sent:To:,Ce:Subject:Mentzer, Eric (ATG)Thursday, January 22, 2009 9:53 AMMendoza, Armando (DOC); Malone, Charles L. (DOC); Anderson, Glen (ATG)Lang, Timothy (ATG);Blonien, John 'Scott' ,RE: Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION)Thanks for your help Armando!From: Mendoza, Armando (DOC)Sent: Thursday, January 22,20098:13 AM ,To: Malone, Charles L. (DOC); Mentzer;, Eric (ATG); Anderson, Glen (ATG)Cc: Lang, Timothy (ATG); Blonien,John 'Scott'Subject: RE: Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION) ,From:Sent:To:Ce: ,Subject:Importi,mce:Malone, Charles L. (DOC)Thlirsday, January 22, 2009 7:00 AM, Mentzer, Eric (ATG); Anderson, Glen (ATG)Mendoza, Armando (DOC); Lang, Timothy (ATG) ,RE: Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION) ,HighATTORNEY-CLIENT PRIVILEGED COMMUNICATION, DO NOT DISCLOSE. DO'NOT DISSEMINATE. . . . . ~.. ." .From:'Sent:To:Subject:Mentzer, Eric (ATG)Wednesday, January 21, 2009 2:50 PMMalone, Charles L. (DOC); Anderson, Glen (ATG)M(;!dical Marijuana2, 000287

Hood. Cynthia L (DOC) ,From:Sent:To:Cc:Subject:Blonien, JohniScott'Thursday, Jar:lUary'22, 2009 10:26 AM ,Mentzer,Eric,(ATG);-Malone, Charles L. (DOC); Anderson, Glen (ATG)Lang, Timothy (ATG); Daniels, Karen R. (DOC) ,RE: MedicaiMarijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION)Thank You,John Scott BlonienDepartment of CorrectionsAssistant Secretary for- Government,Community Relations and RegulatOlY Compliance360-725-8889 .jsblonieh@DOCl.Wa.Gov1000288

Hood, Cynthia L. (DOC)From:Sent:To: 'Cc:Subject:Mentzer, Eric (ATG)Thursday, January 22, 2009,9:52 AMMalone, Charles L. (DOC); Lang, Timothy (ATG)Anderson, Glen (ATG); Judge,Dan (ATG); Weisser, Paul (ATG) , :RE: Medical MarijUana (ATTORNEY-CLIENT PRIVILEGED COMMUNICAT'ION)Thanks to all of you for your help on this!From: Malone, Charles L. (DOC)Sent: Thursday, January 22, 2009 9:12 AMTo: Lang~Tim6thy (ATG); Mentzer, Eric (ATG) "Cc:Anderson, Glen (ATG); Judge, Dan (ATG); Weisser, Paul (ATG)Subject: RE:' Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION)From:sent:'To: ."ee:,Subject~ .Lang, Timothy (ATG)Thursday, January 22, 2009 8:06 AM, Mentzer, Eric'(ATG), . ' .Anderson, Glen (ATG); Malone, Charles L. (DOC); Judge, Dan (ATG); Weisser, Paul CATG)FW:Medical. Marijuan(! (ATTORNEY-CLIENT PRIVILEGED'COMMUNICATION)Hg~ ", ' ','Let us k~ow if you need anything else.Tim« Message: RE: Medical marijuana in the community corrections setting»From: Malone,Charles L. (DOC)Sent: Thursday, January 22, 2009 7:00 AMTo: Mentzer, Eric (ATG); Anderson, Glen (ATG) "Cc: Mendoza, Armando' (DOC); Lang, Timothy (ATG)Subject: RE: ,Medical Marijuana (ATTORNEY:-CLIENT PRIVILEGED COMMUNICATION)Importance: High ' .,ATTORNEY-CLIENTPRIVILEGED CO M'IVI U I'l ICATI ON , DO NOT DISCLOSE, DO NOT DISSEMINATE'1000289

From:Sent:To:Subject:.Mentzer, Eric (ATG)Wednesday, JanuarY 21, 2009 2:50 PMMalone, Charles L. (DOC); Andersorl, Glen (ATG)Medical Marijuana .2000290

Hood, Cynthia L. (DOC)From:Sent:To:Cc:Subject:Malons, Charles L. (DOC)Thursday, January 22, 20099:12 AMLang, Timothy (ATG); Mentzer, Eric (ATG)Andetson, Glen (ATG); Judge, Dan (ATG); Weisser, Paul (ATG) ,RE:, Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICATION)Attachments:From:Sent:To:Cc:Subject:,Importance:Lang, Timothy (ATG)Thursday, January 22, 2009 8:06 AMMentzer, Eric (ATG).'Anderson, Glen (ATG); Malone, Charles L. (DOC); Judge, Dan (ATG); Weisser, Paul (ATG)FW: Medical Marijuana (ATTORNEY-CLIENT PRIVILEGED COMMUNICAnON}H~h . , ,.Tim« Message: RE:Medical marijuana in the community corrections setting»,From: Malone, Charles L. (DOC)Sent: Thursday, January 22, 20097:00 AM. To: Mentzer, Eric (ATG); Anderson, Glen (ATG)Cc: Mendoza, Armando (DOC); Lang, Timothy (ATG)Subject: RE: MedicCjI Marijuana (ATTORNEY-CLIENT PRIVILEGED,COMMUNICATION)Importance: High .ATTORNEY-CLIENT PRIVILEGED COMMUNICATION, DO NQTDISCLOSE, DO NOT DISSEMINATEFrom:Sent:To:Subject:Mentzer, Eric (ATG)Wednesday, January 21, 2009 2:50 PMMalone, Charles L. (DOC); Anderson, Glen (ATG)Medical Marijuana1 000291

.\-:.:'., .2000292

Hood, Cynthia L. (DOC)From:.Sent:To:Subject:Anderson, Glen (ATG)Wednesday, January 21,20094:41 PMMentzer, Eric (ATG); Malone, Charl~sL(DOC)RE: Medical MarijuanaFrom: Mentzer, Eric (ATG)Sent: wednesday, January 21, 20092:50 PMTo: Malpne, CharlesL. (DOC); Anderson, Glen (ATG)SUbject: Medical Marijuana .0002931

Hood,' Cynthia L. (DOC) .From: Andrews, Gary (ATG)Sent: Friday, September 26, 2008 11 :42 AMTo: Malone, CharlesL. (DOC); Agar, Brian (OFM); Anderson, Glen (ATG)Cc: Isaki,Lucy (OC . Timothy (AT~)Subject: RE,'In additionGary,. .I'TimPlease print this oitly if necessary.From: Malone, Charles L. (DOC)Sent: Friday, September 26, 200811:38 AM .. To: Andrews, Gary (ATG); Agar, Brian . Anderson, Glen (ATG)-Cc: Isaki,Subject:From: Andrews, Gary (ATG)Sent:, Friday, September 26, 2008 10:22 AM .To: Agar, Brian (OFM); Anderson, GIE;!n (ATG); M9lo~e, Cnarles L '(DOC)Cc: Isaki,LaSubject:Please ~iint this only if necessary.000294.~/1 il?OOQ

.------.----.::.~.-.-.---------.~..-...--------.-----...-._._-_.._....._._..__.__..._._--_._--...--:.._-----:.--_..._.....__......._---_.._...__._._---_.....__.__From: Agar, Brian (OFM)Sent: Thursday, September 25, 2008 3:09 PMTo: Anderson, Glen (ATG); Andrews, Gary (ATG); Malone, Charles L. (DOC)Cc: Isaki, Lucy (OFM)Subject: Claim of Naathon Johnson DRM No. 31070223Importance: High .Glen, Gary and Charles,.. _-'ill i/?()()q000295

Thanks for the help,000296·5/13/2009

Brian M. AgarSenior Tort Claim InvestigatorTort Case LiaisonOFM / Division of Risk Management.(360) 902-7316 / Office(360) 586-1789 -/ FaxThis electronic message transmission may contain infonnation from the Office of Financial Management andDivision of Risk Management, which may be confidential or privileged .. The infonnation is intended to be forthe use of the individual, or entitY named above. If you are not the intended recipient, be aware that anydisclosure, copying; distribution or use of the contents ofthis infonnation is prohibited. If you have receivedthis eiectronic transmission in error, please notify me by telephone; or by electronic mail at . .Brian.Agar@OFM.WA.GOV.('000297:)/1 ~/2009

• r."Distefano, Monica J. (DOC)From:Sent:To:Subject:Daniels, karen R. (DOC).Wednes9ay, Marcb 04, ~009 4:57 PMDiste~ ...... ;:FW:_M,f)t1 Request" ' ...- .. ' "".. ~'" /':. . ' .. ' . .:. ":' '. .Can w~ get the paperwork on this one for the meeting tomorrow? kdKaren DanielsAssistant SecretaryComml,lnity C:orrections. DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa..govFrom:. Sent:To:Cc: .Subject:.Johnson, Deborah'",. (DOC) On Behalf Of Hammond, G. Steven (DOC)'Wednesday, March 04, 2009 4:13 PMDistefano, Monica J. .. Daniels, Karen R. (DOC)~~rn~nnrl G. .Request. authbazation for useof·medical marijuana does not meet criteri~ for medical necessity.47000298

Distefano. Monica J. (DOC)From:Daniels, Karen R. (DOC)Sent:Thursday, March 05, 2009 12:43 PMTo: Distefano, ·Monica J .. (DOC) ,Subject:RE: More medicinal marijuana, You are abso/utt!!/ycorrect ... no, we don 't need to call Scott and iF you want'me to answerher just forward her email., or yop can tell her you talked to me~ and there will be. something coming out soon on clarifying some FAQ 's ••. that mightbe the. way to go viathe memo discussion. k, 'Karen DanielsAssistant Secretary ,'community Corrections DivisionDepartment of Corrections '7345 Lindersor:t Way SWTumwater, WA98504,Office: 360-725-8787Cell: 360-791-7768 .,, Fax: 360-586-0252email: krdaniels@doc1.wa.gov 'From: Distefano, MonicaJ. (DOC)Sent: Thursday, M.arch OS, 2009 12:23 PM 'To: Daniels, Karen R. (DOC)Subject: FW: More mediCinal marijuanaBefore I re'spond to this one, can we makE;) sure we are on the same page?I know you and I talked about that they didn't need to count the plants, weigh the dope, ~tc., bl,i if it is OBVIOUS thatthere is enough that constitutes new felony, they would call law enforcement.Correct? Do we need to run this by Scott?,Monica Distefano,, Executive Assistant toKaren Daniels, AssistantSecretaryCommunity Gorrections Division,7345 Linderson Way SW 'Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov48000299

From: O'Donnelir Erin M. (DOC)SE!nt: TuesdaYr March 03 r ,2009 5:02 PMTo: Distefanor Monica J. (DOC)Subject: More medicinal marijuanaA question that came up after my presentation at the unit meeting today-When conducting heime visits on someone'who is approved for medical marijuana or hqs paperwork submitted andpending ... Are we required to verify the, amol,lnt of plants they have etc. and, monitor compliance with the RCW? If itis found that they have more plants or whatever than the RCW allows, is that a DOC violation only or something weshould call police in on as well? How should we address that scenario?Thank you guru. ©Erin O'DonnellCO,mmLioity Corrections Officer /ISE Seattle Unit206-516-7812 office206A23-7126 nextelWashington ,State Department of CorrectionsSeattle Community Justice Center1550 4th Ave SSeattle, WA 9813449000300

Distefano, Monica J. (DOC)From:Sent:. To:Cc:Subject:Pevey, Mac B. (DOC)Thursday, March 05; 2009 2:47 PMDar]iels, Karen R. (DOC) .Muccilli, Bonnie R. (~L.. (DOC). Medical Marijuana -_t:?.. . ...... ':..,.....Assistant Secretary Daniels, ..I wanted to bring you up to speed on one of our ·medical marijua,na cases .. M~ request to ·access m~dicalmarijuana was denied on 11/13/08. In a recent probation violation hearingih front onne Pierce County Superior Court, thepre~idihg Judge sign~d.an Order Modifyin.g Sentence that permits.Mr .... to use ~arinol (medical marijuana) pursuantto his doctQr's prescription. I was unsure If you or the Health Servlces~re tracking thes~ cases, but wanted to let ..you know nonetheless: Please let me know if you have any questions and/or require any additiOnal information. Thanks.Mac... ./50000301

Distefano, Monica J. (DOC)From:Sent:To:Cc:Subject:Johnson, Deborah A. (DOC) on behalf cif HaJ'!lmond, ..8. Steven (DOC). Friday, March 0.6, 20.0.9 9:10. AM .Daniels, KarenR.. ; Distefano, Monica J. (DOC)Hammond, G.'MM Requests:The following requests for authorization for use of medical marijuana do not meet criteria for medical necessity:Huebner, Richard S. 922671Lewis, Michael 810.530.,Schossow, Alex 32530.3Stevens, Matthew 322837Waggoner, Michael J. 956468".;51000302

Distefano, Monica J. (DOC)From:Sent: .To:Subject:Attachments:Morgan, Diane L. (DOC) .Wednesday, March 11, 20092:44 PMDistefano, MonicaJ. (DOC)RE: Update Medical Marijuna Form. 14-053.docMonica-You can send me a draft of the changes and justification for the changes. The changes will need to be approved by RalphBerthon ~since he is the author of DOC 380.200 in which the form is connected to.I. 14~053.doc (109KB)Thank you,DianeFrom:Sent:To:Subject:Distefano, Monica J. (DOC)Wednesday, March 11,2009·2:34 PMMorgan, Diane L (DOC)RE: Update Medical·Marijuna FormThat's right!Monica Distefano .Executive Assistant toKaren Daniels, Assistant Secretary. Com·munity Corrections Division7345 Linderson Way SW ..-Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa;govFrom:Sent:To:.Subject:Morgan, Diane L. (DOC)Wednesday, March 11, 2009 2:27 PMDistefano, Monica J. (DOC) .RE: Update Medical Marijuna FormMonica-Is the form that you are talking.about DOC 14-053?From:Sent:·To:Subject:Witten, Dell-Autumn W. (DOC)Wednesday, March 1.1, 2009 12:40 PMMorgan, Diane L. (DOC).FW: Update Medical M?lrijuna FormCan you assist Monica? Thank you!From:Sent:To:Subject:Witten, Dell-Autumn W. (DOC) On Behalf Of Lordier, Amber D ..(DOC)Wednesday, March 11, 2009 12:37 PfVlWitten, Dell-Autumn W. (DOC)FW: Update Medical Marijtma Form1000303

From: .Sent:To: .Subject:Distefano. Monica J. CDOC)TuesdaY,'March 10,20094:40 PMLordier, Amber D. (DOC). Update Medical Marijuna FormHi, Amber!We need to do a quick update to the medical marijuana .form in light of some c::hanges to. the process ..Can you help me with hpw I go about updating the form?Thanks'!Monica DistefanoExecutive As'sistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division.7345 Linderson Way SWTumwater, WA 98501 MS: 41126, (360) 725-8796 ,nijdistefano@doc1.wa.gov2000304

10-De=I.,,;~~ted_· =: _5.~,.,,;,.""""'_======-;. ,Deleted: While on community. ....... '.' " supervision ("parole") the Department:i:..... I~~.P..l!!!i~!lX~.c:l.~~.l:D.p~l1Y..i.n..g.B(3J~~~~.C?fJ.f!fC?r:r:D?ti.9.J:l .. l!!.!l.t~9.Jj~~~.YQt,l.!C?p.rQy.lg.~.t..l!~ ....................................... c.............. ... of Corrections only authorizes the useDepartment with current and future information related to this issue. Do you agree to notify 0 y 0 No .\. \ of the oral synthetic formulation ofthe Department's Medical Director of any.changes in your answers above? .' es \,\, marijuana .. If the DepartmentDOC 14·053 (Rev. 7/31/08) DOC 380.200'authorizes this patient's use of\ \ medical marijuana, will you be.. " prescribing only the oral synthetic... \ formulation?\~( Deleted: DYes. D No .'LE.~~=ted: ~_._._"_ .•• __ ._ .. _ .. _ ... _000305

Prescriber's Name (Print)License #:Prescrib.er's AddressPrescriber's SignatureLicense type:Phone NumberDa,tePrescriber: please return this. form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department of CorrectionsPO Box 41123Olympia, WA98504-2113To be filled out by.DO~ Physician:, .I have reviewed this verification form and. find that use of mediCal marijuana by this patient. '(check one) lOis 0 is notconsistent with DOC Policy. .Physician's Name (Print)Physicia~'s SignatureInstructions to DOC Physician:When form is complete:1. Email your finding above to the Assistant Secretary for Community Corrections"2. 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) anil/or federal regulations (42 CFR Part 2; 45 CFRPart 164) prohibitdisclosure of this inforination without the specific written consent of the person to whom it pertains, or as otherwisepermitted by law. . ,DOC 14·053 (Rev. 7/31/08) DOC 380.20000030'6

Distefano, Monica J. (DOC)From:Sent:To:Subject:,Mendoza, Armando (DOC)Friday, March 13, 2009 6:46 AMDistefano, Monica J. (DOC)MarjMonica,. this was in the HO's minutes, .• MEDICAL MARIJ A UNA vs. MARINOL:When we talk about "medical marijuana" we are referring to the green leafy plant typically.smok~d.This should not be confused with "Marinol" which is an FDA.approved medication that~an lawfully be prescribed, lawfully obtained from a pharmacy and lawfully consllmed by a patient.The offender must provide the written prescription to the ceo just as with Ciny other ,prescription. The Departm'ent created a process for offenders to obtain approval for the use of"medical marijuana". If an offender tells the eeo they plari on using medical 'marijuana the formshould be provided 'to the offender and the process explained. 'Armando MendozaRegional AdministratorSouthwest Region360.725.8855" '1000307

Distefano, Monica J. (DOC)From:Sent:To:Cc:Subject:'Hammond, G. Steven (DOC)Thursday, Match 12, 2009 11 :07 AM .Duran, Christopher L. (DOC)Daniels, Karen R. (DOC)RE: Marinof .Medical marijuana is covered in Policy 380..200 but it doesn't really touch on use of marinol, which will show up asmarijuana in UAs. We've had at least one case come through on the 14-053 for marino!. I think that's helpful because if wehad a case that truly met medical necessity criteria for marinol, that might be a reasonable excuse for the' positive UAs.HoWever, the medically necessary reasons for using marinol are few and far between, basically intractablenausea/vomiting during cancer chemotherapy or' severe weight loss in someone with AIDS. Chances are the offender youare looking at won't meet those criteria. '. . \!So there might be some value·to having the offender submit the 14-053 (plus the 13-035,' per Policy) for the maririol use.~~~~ ..' . .But '(think we might want to amend the Policy to include screening for marinol use. What do you think, Karen? .'Steve. From:Sent:To:Subject:Duran, Christopher L. (DOC)Thursday, March 12, 2009 8:23 AM. Hammond, G. Steven (DOC)Marino!. . .Steve,Thanks for calling me back yesterday and sorry I was unavailable. I just wanted to ask you what your thoughts are on .offenders receiving prescriptions for Marinol. I have a parole case that just released from 'prison and .he is terminally ill. Hisphysician prescribed him Marinol (which I verified) when the offender was at rap lincoln work release. During urine testingMarinol returns a positive result for THC. Icalled and talked with a lab specialist from Sterling Reference Lab's the otherday and ""as told they could not differentiate between Marinol and actl!al Marijuana so basically we can't tell if the offenderis taking· his medication or smoking weed. From what I've researched so far it appears Marinol is a legal FDA approveddrug. What are your thoughts if any concerning this matter? .. Christopher DuranCommunity Corrections Officer 3KentField Unit606 W. Gowe StreetKent, WA 98032(253) 372,6450 office(206) '423-7858 nextel(253) 372-6184 fax2000308

Distefano. Monica J. (DOC)From:Sent:To:Subject:Attachments:Berthon, Ralph M. (DOC)Friday, March 13,2009 11 :57 AMDistefano, Monica J. (DOC); Mendoza, Armando (DOC)FW: 14-053 - Medical Marijuana Form14-053.docI really can't approve it. I know there is a distinction between prescriptions for marijuana in a raw form (marijuana) and forMarinol, a synthetic THC in pill form. (FYI, Other forms are being developed such as inhalers and patches.) This DOC formneeds to clarify the. distinction. We probably do not care if the script if for Marinol, but we do care if it is for leafy greensubstance. .' .' '.RalphFrom: Distefano, Monical. (DOC)Sent: Friday~ March 13, 2009 11:44 AMTo: Berthon, Ralph M. '(DOC)Subject: FW: 14-053 - Medical Marijuana FormGood m9rriing! Since you're the Policy Owner for 380.200, I guess you need to give approval to the changes we've madein this form. ", '.Karen will be sending out a memo next week and would like to include the updated form along with it.Pleas.e let me know if you have any questions.Thanks, Ralph! .Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 :mjdistefano@doc1.wa.govFrom: .Sent:To: .Subject:Distefano, Monica J. (DOC)Thursday, March 12, 2009 4:07 PMDaniels, Karen R. (DOC)FW: 14-053 - Medical Marijuana FormKaren, I talked to Armando and he thinks this looks good.I've kept the changes inthe document.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SW'Tumwater, WA 98501 MS: 41126(360) 725-8796 ..mjdistefano@doc1.wa.gov1000309

From:Sent:To:Subject:Distefano, Monica J. CDOC)Wednesday, March 11, 2009 3:13 PMMendoza, Armando (DOC) .14-053 - MediCal Marijuana Form. 14-053.doc (106.KS)Armando -'Would you milid reviewing this medical marijuana form and letting me know if you see any other changes that need to be ..made at thJs point? .' . .Thank you!2 000310.

Distefano. Monica J. (~OC)From:Sent:To:Subject:Mendoza, Armando (DOC)Friday, March 13, 2009 12:13 PMBerthon, Ralph M.(DOC); Distefano, Monica J. (DOC),RE: 14-053 - Medical Marijuana FormI just spoke with Ralph on the phone. I told him about our clarification with the use of marinol,Heis now ok with the change;'From:Sent:To:Subject:Berthon, Ralph M. (DOC)Friday, March i3, '2009 11:57 AMDistefano, Monica J. (DOC); Mendoza, Armando (DOC)FW: 14-05'3- Medical Marijuana FormI really can't approve it. I know there' is a distinction between prescriptions for marijuana in a raw form (marijuana) and forMarinol, a synthetic THC in pill form. (FYI, Other forms are being developed such as inhalers and patches.) This ,DOC formneeds to clarify the distinction. We probably' do not Care if the script,if for Marinol, but we do care if it is for leafy greensubstance.'RalphFrom: Distefano, Monica J. (DOC)Sent: Friday, March 13,200911:44 AMTo: Berthon, Ralph M. (DOC)Subject: F\N: 14-053 - Medical Marijuana Form'Good morning! Since you're the Policy Owner for 380.200; I guess you need to give approval to the changes we;ve madein this form, ' '. ..' . .. Karen will. be' sending out a memo next week and would like to include the updated form alOng with it.Please let me know if you have any questions ..Thanks, Ralph!Monica Distefano. Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govv.From: .Sent:To:Subject:Distefano; Monica J. (DOC)Thursday, March 12, 2009 4:07 PMDaniels, Karen R. (DOC)FW:'14-053 - Medical'Marijuana Form'Kareh, I talked to Armando and he thinks this looks good. 'I've kept the changes in the document.Monica Distefano,Executive Assistant 'to1000311

Karen Daniels, Assistant SecretaryCommunity Corrections Division. 7345 Linderson Way SWTumwater, .WA 98501 MS:41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:To:Subject:. Distefano, Monica J. (DOC)Wednesday, March 11, 20093:13 PMMendoza, Armando (DOC)14-053 - Medical Marijuana Form«File: 14-053.doc»Armando -Would you mind re~iewing this medical mariju~na.form and letting me know if you see any other changes that need to bemade at this .point? .Thank you!(2 .000312

. .Distefano, Monica J. (DOC)From:Sent:To:.Cc:Subject:,Berthon, Ralph M. (DOC)Friday, March 13, 2009 12:12 PMDistefano, Monica J. (DOC)Mendoza, Armando (DOC)RE: ~ 4-053 - Medical Marijuana FormNo, it is ok, Armando cleared it up we are good to go.From: Distefano, Monica J. (DOC)Sent: Friday, March 13, 2009 11:59 AMTo: l?erthon, Ralph M. (DOC)Subject: RE: 14-053 - Medical Marijuana Form. .Would it help you if i .send the draft memo Karen will be sending WITH the form?« File: Medical Marijuana Process Change 0313·09.doc»Monica DistefanoExecutive Assistant toKaren panieJs, Assistant Secretary'Community Corrections Division7345 LindEirson Way SWTumwater, WA 98501 'MS: 41126. (360) 725-8796 ' .. mjdistefano@doc1.wc;l.govFrom:Berthonr Ralph M. (DOC)Sent:FridaYr March.13r 2009 11:57 AM . .To:Distefanor Monica J. (DOC); Mendozar Armando (DOC). Subject:FW: 14-053 - Medical Marijuana Form. . .I re§lIly can't approve it. I know there is'a distinction bet~een prescriptions for marij~aria ina raw form (marijuana) and for .Marinol, a synthetic THC in pill form. (FYI, Other forms are being developed such as inhalers and patches.) This DOC formneeds to clarify the distinction. We. probably do not care if the script if for Marinol, but we do care if it is for leafy greensubstance. .~~ JFrom: Distefano, Monica J. (DOC)Sent: Friday, March 13, 2009 11:44 AMTo: Berthon, Ralph M. (DOC).Subject: FW: 14-053 - Medical Marijuana FormGood morning! Since you're the Policy Owner for 380.200, I guess you need to give appr'oval to the changes we've madein this form. " . .Karen will be'sendingout a memo next week and would like to include the updated form along with it..Please let me k'now if you have any ques{ions.Thanks, Ralph!Monica Distefano3 OO(}313

Executive Assistant to.Karen Daniels, Assistant SecretaryCommunity Corrections Diyision7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@dcic1.wa.govFrom:Sent:To:Distefano, Monica J. (~OC)ThursdaY,March 12, 2009 4:07 PMDaniels, 'Karen R: (~OC) .Subject: FW: 14-053 - Medical Marijuana Form.' .KarE)n, I talked, to Armando and he th,inks this looks good.: I've kept the changes in the document.. Monica DistefanoExecutive Assista nt toKaren Daniels, Assistant SecretaryComrrlUnity Corrections Division .7345 Linderson Way SWTumwater; WA 98501 MS: 41126''. (360) 725-8796mjdistefano@doc1.wa.gov. From:Sent:To:Subject:Distefano, MonicaJ. (~OC). Wednesday, March 11, 20093:13 PM. Mendoza, Armando COOC)14-053 - Medical Marijuana Form«File: 14-053.doc»Armando -. -' . '.' . '. .Would you mind reviewing this medical marijuana f~rm and letting me know if you see any othe~ changesthat'need to be .made at this point?' .Thank you!4 00031.4

Distefano. Monica J. (DOC)From:Daniels, Karen R. (DOC)Sent:Sunday, March 15, 2009 12:12 PMTo:Distefano, Monica J. (DOC) .Subject: Fw: Medical Marijuana Process Change Memo & Updated FC?rrn 14~053We'.!1 wait for Scott but can add in the 10 day time for med review to the memo. ThxFrom: Hammond, G. Steven (DOC) .To: Daniels, Karen R. (DOC); Blonien, John 'Scott'Cc: Johnson, Deborah A. (DOC) .Sent: Sat Mar 14 10:15:24 2009Subject: RE: Medical Marijuana Process Change Me'mo & Updated Form 14~053. .The revision looks OK to me; Karen. I thi~k 10 business. days should. be more than enough to do the HQ review.Debbie,' please help me observe the time limit, whatever it ends up being. We can line up a susbstitute'whenl am away.Steve.., From: Daniels, Karen R. CDOC) .. Sent: Friday, March 13, 2009 12:50 PMTo: Hammond~ G. Steven (DOC); Blonien, John 'Sco~ .. .Subject: .. FW: Medical Marijuana Process Change Memo & Updated Form 14~053·. Would you two mind looking at the attachedmemo~and make any chang~s deemnecessary so we can get this change of policy out to the field . . Steve, we don 't have a .time line identified for you to comple~e yqur review in, but 1 think it might be helpful tohave one. What do you thInk? If you agree, please./etme know what an adeqiJate timeframe might beand we'll amend the mem() . . ' Thx~kd· .Karen DanielsAssistant SecretaryCommunity Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-7.91-7768Fax: 360-586-0252email: krdaniels@doc1.wa.govFrom:Distefano, Monica J. (DOC)5 000315'

Sent:Friday, 'March 13, 2009 11:38 AMTo: Daniels, Karen R. (DOC)Subject: Medical Marijuana Process Change Memo & Updated Form 14-053'« File: Medical Marijuana Process Change 031309.doc» «File: 14-053.doc »Rough draftfor your review and forwarding to Scott.. .Monica DistefanoExecutive Assistant to ,Karen Daniels, Assistant SecretaryCommunity Corrections Division'7345 Lindersot) Way SW 'Tumwater, WA 98501 MS: 41126. (360)725-8796 .mjdistefano@doc1.wa.gov..600031'6

Distefano, Monica J. (DOC)From:Sent:To:. SubJect:Johnson, Deborah A (DOC)We.dnesday, March 18,200910:18 AM,,_DOC).' .~. ' ..:..... ':;..... ,.~.: .:" '-..": ~' ';' .-' . .:Monic8, ........ Iefta message 9n Steve's Ph;neago and~ gotten a response. His number issent in medical marijuana paperwork "months"Steve· can't find in his records that he ever received pape~6rk for this offender, so he probably just needs to resubmit.9an you contact him? .... . .• ..1000317

Distefano, Monica J. (DOC) .From:.Sent:To:Cc:Subject:... .~Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOC).Tuesday, March 17, 2009 4:36 PM "Distefano, Monica J. (DOC); Daniels, Karen R. (DOC)H ..?imiillWiiit"and,. G $teven . DOC) "F..W:MM Request_. .' .,' .... . . .""'request for authorization foruse of medical marijuana does not meet criteria for medical necessity.. ,' ....... ,.', . .2'000318

Distefano, Monica J. (DOC). From:Sent:. To:Cc:Subject: .Johnson, Deborah A. (DOC) on behalf'of Hammond, G. Steven (DOC)Monday, March 23, 2009 3:02 PMDistefano, Monica J. (DOC); Daniels, Karen R. (DOC),...Tg\FQn (DOC) .M Request.Irequest for authorization for use of medical marijuana does not meet criteria for medical necessity:300031.D

Distefario. Monica J. (DOC)From:.. Sent:To:Subj~ct: .Schemnitzer, Michael S. (DOC)Monday, March 23, 2009 5:25 PMD .. .'RE:She will be going to OMMU but if you send it tome I wiH get it into her file for you.·From:Sent:To:Subject:Good afternoon!I have a letter from Karen authorizing Ms.use marijuana medicinally.I want to send a copy to be held in her fiel

Distefano, Monica J. (DOC)From:Sent:To:Subject:Chan, Winnie P. (DOC)Thursday, March 26, 2009 2:08 PMDistefano, Monica J. (DOC)MX':4601 N_20090326_142744.pdf. Attachments: MX-4501 N_20090326_142744.pdfMX-450iN~20090326_142744. pdf {.:.. . .r Medicinal Use of Marijuana Verification form. 'Thank you.Winnie ChanCommunity Corrections Officer illWest Seattle Field Office, 6335 35th Ave Sw, Seattle, WA 98126206-933-3400 .' MS: TB 75 .206-933-3414-.Fax1000321

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Distefano. Monica J. (DOC)From:Sent:To:Subject:Chan, Winnie P. (DOC)Thursday, March 26, 2009 2:14 PMDistefano, Monica 'J. (DOC)RE: MX~4501 N_20090326_1427 44.pdfOkay, thank you.From:Sent::, To:Subject:Distefano, Monica J. (DOC)Thursday, March 26, 2009 2:14 P'M'Chan, Winnie P. (DOC) ,, RE: MX-4501N_20090326_142744.pdfWe can wait I'll hold'onto this until I receive that from you next week. Don't worry about the 2-week deadline since'there was a c;:hange in process in the midst of this one,.Please let me know if ybu need anything else!Monica, DistefElno, Executive, Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360),725-8796mjdistefano@doc1.wa.ggvFrom:S~nt:To:Subject:Chan, Winnie P. (DOC)Thursday, March 26, 2009 2:11 PMDistefano, Monica J. (DOC)RE: MX-4501N~20090326_142744.pdfNo,' I did not get him to, sign that but he's scheduled. to see me next Thursday. Do, youneed it now or can' we wait till next Thursday? Th,anks.From!Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, March 26, 2009 2:09 PMChan, Winnie P.,CDOC)RE: MX~4501N_20090326_142744.pdfHi, Winnie! I received the form. Did the offender also fill out the medical release of information form'? We'll needthat as well.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson w.ay SWTumwater, WA 9'8501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Chan, Winnie P. (DOC)000323

Sent:To:Subject:Thursday, March 26, 2009 2:08 PMDistefano, Monica J. (DOC)MX-4S01N_20090326_142744.pdf« File: MX-4501N_20090326_142744.pdf»Medicinal Use of Marijuana .verification form.Thank you.Winnie ChanCommunity Corrections Officer illWest Seattle Field Office6335 35th Ave Sw, Seattle, WA 98126206-933-3400 MS: TB 75206-9j3-3414~ Fax

Distefano, Monica J. (DOC)From:Sent:To: .Cc:. Subject:Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOC)FridaYi March 27,20093:22 PM .Distefano,OC); Daniels, Karen R. (DOC)t;MM Requestu~st for authorization for use of medical marijuana does not meet criteria for medical necessity;400032'5 ..

Distefano, Monica J. (DOC)From: .Sent;To:Cc:Subject:..Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOC)Tuesday, March 31,2009"1 :41 PMni.,t.,f

Distefano. Monica J. (DOC)From:Sent:To:Subject:Holland, Douglas N. (DOC)Wednesday, April 01, 2009 8:44 AMDis~~RE._.pdf", ......" ...., ....... " . ' .. "' ....., . .Thanks Monica, he recently was terminated from supervision and 5990 reports have been filed. I will see to it that thisattachment letter i~ routed to his archived field file. Thanks, again.From:Sent:To:Subject: .Distefano, Monica J. (DOC)Wednesday, 01, 2009 8:41AM';Holland, Douglas N. (DOC)« File'G09dmorriihg!l i ve att~6hed ~ ~opyofthe letterhas been denied. .. Ahardcopy is being sent to him as well as his physician.ing his appeal of the medical· marijuana, which,v'Please let me know if you have any questions!Thank you.. .Monica'DistefanoExecutive Assistant to .. Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa.gov1 000327.

Distefano, Monica J. (DOC)From:To:Sent:Subject:Anderson, Michael W. (~OC)Oist€lfano, Monica J. (0Wednesday, April 01,·Message Recall Success:1000328

Distefano. Monica J. (DOC)From:Sent:To:CC:Subject:ScAemnitzer, Michael S. (DOC)Wednesday, April 01, 200910:33 AM .Dis~efano Monica J. ; Johnson, Todd D. (DOC); Gage, TracyL. (,?OC)pdfNo questions. Will add it to the offender's file.From:Sent:To:.Cc:Subject: .'Distefano, Monica J. (DOC)Wednesday, April' 2009 8:43 AMScherr,mitzer, S. (OOC);. Johnson, Todd D .. (DOC); Gage, Tracy L. (~OC).« FilGood morning! I'v~ attached a copy. of the lettermarijuana, which has been approved.r:ra'"I"rriing her appeal of the medicalA hardcopy is being sent to, her as well.Please let me' kno,,:, if you have any questions!Thank you.Monica pistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8799. .mjdistefano@doc1.wa.gov1 000329

Distefano. Monica J. (DOC)From:Qwens, Marjorie (DOC)Sent:Wednesday, April 01,200910:57 AMTo:ni"'tQf'~·r· ·ica J;Subject:Attachments:Why was this sent to Tracy instead or me or not to both of us? Were you s'pecifically working with Tracy on this case?From; Gage, Tracy L. (DOC) .Sent:Wednesday, April 01,2009 8:45 AMTo: owe.~Subject: . FW:;_pdf.Just in case you wantedt~i~~k ~t thi~.·~:i~d~dt see your name listed ..Tracy (Veness) GageCommunity Corrections OfficerWashington Interstate Compa.ctWashington Department of Corrections. PO Box 41126 Olympia, W A 9~504Ph:' 360-725-8756 Fax 360-586-2192From: Distefano, Monica J. (DOC) .Sent:. Wednesday, April 01,2009 8:43 AM .To:Schemnitzer, Michael $. (DOC); Johnson, Todd D. (DOC); Gage, Tracy L. (DOC)Cc: ~ ..Subject: .~pdf.' . - .. . .. ' ..,. ... , ,-. ~: ~'.Good morning! I've attached a copy of the letter towhich has been approved .regarding he~ appeal of the medical marijuana,. A hardcopy is being sent to her as well.Please let me know if you have any questions!Thank you.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity· Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov1000'330

March 23, ~009STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS. P.O. Box 41100' Olympia, Washington 98504-1100I received your ;equest to appeal the denial' ofyo\ll' inttial Medicinal Use of"MarijuanaVerification dated Januaryl, 2009. .You were approved on January 26, 2009, to use marijuana'medicinally, in accordance with·. the law, while under the supervision of the Washington State Department of Conec.tions. Myoffice contacted you to.infonn you'ofthis andI also contacted our Interstate Compact Unitand Field Administrator Donta Harper to re~initiate the process of having your supervision. transferred from Arizona to Washington State, Iunderstand that since that time, your transferwas approved. .By this letter, lam 'requesting that Community Corrections, 'Officer Michaci1' Schemrlitzerimpose a DOC condition .that you not 'operate a motor vehicle while under the influence.. .I'would encourage you to continue to progi'am in a positive manner, following the direction ..of Y0u.r assigned CCO. and your conditions of supervision.Karen Daniels, Assistant SecretaryCommunity Corrections Division'K.p:mdcc: : Donta HaJ.-per, Field AdministratorTodd Johnson, COl1:imunity Conections Supei"YisorMichael Schemnitzer, Community Corrections OfficerTracy Gage, Interstate Compact UnitField File - DOC 317514" Working Together for SAFE Communities"3: .'t.~ recycled purer000331

Distefano, Monica J. (DOC)From:Sent:To:Subject:Attachments:Chan, Winnie P. (DOC)Thursday, April 02, 2009 2:19 PMDistefano, Monica J. (DOC)MX-450.1 N_20090402~ 143851.pdfMX-4501 N_20090402_143851.pdfMX-450iN"':200904·02_143851.pc:jf{.;.Here isROI. Thanks.Winnie Chan. ._. Community Corrections Officer illWest Seattle Field Office6335 35th Ave Sw.; Seattle,WA 98126 .206-933-3400· 'MS: TB 75206-933-3414- Fax1000332

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSCRIMINAL JUSTICE SYSTEM/MUL TI- PARTYAUTHORIZATION FOR RELEASE OF INFORMATION'·-'-1-:_.____-'--_________ I, •.. ~__:--_:_'_- authorize (1) The Departmelit of CorrectionsCONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATIONABOUT MENTAL HEALTH AND·ALCOHOLOR DRUG TREATMENT., ..... and(2) the foilciwlng Mental Health Treatment .Provlder:Name:_' _Address: __Phone Number: __(3) the following Alcohol or Drug Treatment Provider:Name: __Address:Phone Number: __. (4) the following Designated Chemical Dependency Specialist IPCDS): (5) the following other proyld9C of information necessary forName:__ . crqss-systems communication:Address:_· _ Name: ScOtt Lee .Phone Numbe;:__Address: university of Washington Medical Center. . . Phone'Number:206-598-0419.'· .To· communicate with and disclose to one another the following Information (The client must Initial ea~h type of Information authorizei!):(1) Department of Corrections(gj Pre-Sentence InVestigation{gI Judgment and Sentence(gj Criminal History .. ~ Risk Assessm.ent~ Compliance with Supervision181 Conditions of Supervision~ Mental Health Assessments~ Violations of Terms of a Court Ordered -Treatment(3) Chemical Dependency/Substance Abuse Treatment~ Chemical Dependency Assessments and Treatment !=llans181 CD Treatment History and Progress Reports '. 181 CD Treatment Discharge Summaries181 CD Treatment Continuing Care Plan181 Treatment Compliance Reports (Requested by DOC)~ Request to Designated Chemical Dependency Specialist(DC OS) for an Assessment181 Involuntary Treatment History/Records (RCW 70.96 A). The purpose of the disclosures authorized in thIS consent ·Is:(2) Mental Health Treatment .D MH Treatment Discharge Summarieso MH Treatment History and Progress ReportsD: Involuntary Treatment History/Records (RCW 71.05) ..D MH Intake and Treatment Plans .D Psychological EvaluationsD Psychiatric EvaluationsD Forensic Discharge Review (State Hospital)(4) Designated Chemical Dependency Specialist (OCDS)o Violations of a Treatment Order or Condition ofSupervision that relates to. Public SafetyD Information about a Petition for InvoluntaryCommitment .(~) Other: Specify other information as necessary for crosssystems.collaboration:D .(1l To improvg public safety by allowing communication and multidisciplinarY case management and release planning.(21 To enable treatment providers to communicate conti'!uing care plan referrals to·the above agenciesI understand that my alcohoi andlor drug treatment records are protected under the federal regulations governing ConMentiality ofAlcohol and DrugAbuse 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. luriderstandthat this authorization shall remain in effect for the duration'of my DOC supervision unless revoked prior to that time. I also understand that I may ·revoke this consent at any time except to theextent that action has been taken in reliance on ·it, and that in any event this corisent expires automatically as follows:· .o·0There.has been a formal and effective t~rmination or revocatjon of my release from confinement, probation, or parole, or other'proceeding under which I VoTas mandated to treatment, or, .(Specify other time when consent can be revoked and/or expires)The (/ilcords contained herein are protected by Federal Confidentiality Regulations 42 CFR Part 2 and 45 CPR Parts 160 and 164. TIle Federal rules prohibit further disclosure .of this information to parti~s outside of the Department of Corrections unless such dIsclosure Is eKprassly permitted by the written consent of the pelSOn to whom il pertains or asolherwlse permitted by 42 CFR Part 2. A general Buthorizatlon for the release of medical or other information Is NOT sufflclenl for this purpose, Federal-rules reslricl Bny use ofthe informalion to criminally investigale or prosecule any a/cohol or drug abuse pa.fient. .DO~ 14-029 F & P (REV 04/13106)000333

FW: Here's my email address. Page 1 of1Distefano, Monica J. (06C)I. From:. Sent:To:Melissa le9gee [melissa@cbrmedical.com]Thli"rsday, April 02, 20097:41 PMDistefclno, Monica J. (DOC). Subject: CBR Medical Patient~AttachmentS:_20q~~p.,1d104c3'-'v,,,,,-,u'J'111 ........- cioc pa.p~.r. k. d.f'.20090402183430409--.• n .. r,.,n~K . 620274~-docpaperwork.p~200904021· VI J"'I'VVV"''-'1 doc paperwork:pdf ',. .. ..Monica,following Medical Marijuana patients. I really do appreciate the amount of timeSincerely,Melissa Leggee. Clinic DirectorCBR Medical, IncSpokane 509-242-8624 . Fax 509-340-2710Seattle 206-774-6493 Fax 206-418-6659.Tri-Cities 509-416-2267· Fax 509-340-2710Vancouver 360-635-6464 . Fax 206~418-6659No virus found in this incoming message:Checked by AVG. ..Version: 7.5.557 I Virus Database: 270.11.38/2037 - Release Date: 4/2/2009 6:09 AMNo virus found in this outgoing message .. Checked by AVG.Version: 7.5.557 1 Virus Database: 270.11.3872037 -.Release Date: 4/2/2009 6:09 AM5/13/2009000334

Distefano,' Monica J. (DOC)From:Sent:To:Cc:Subject:Johnson, Deborah A. (DOC) on behalf of Hammond, G. Steven (DOC)Thursday, April 09, 2009 12:54 PM .Distefano, Monica J. (DOC); Daniels, Karen R. (DOC)__. - ';"', ,".~MO~kequ~stuest for authorization for use of medi~al marijuana does not meet criteria formedical necessity.i •1 000335 ·

CBR Medfica~, hlC3115 E. Mission AveSpokane, WA 99202. 0 Urgent o For Review DPlease Comment 0 IPle~se~epIY 0 'Please RecycleoComments:,.. '/)'/072'£"(1.4/. '.. '!1lrAY )IiI.1CBR M~dical, Inc. - 3115 E. Mission Ave, Spokane, Wa 99202 .Seattle Phone 206-774-6493 Fax 206-418-6659 Spokane Phone 509-242-8624 Fax 509-~40-2710Tri-Cities Phone 509-416-2267 Fax 509-340-2710 Vancouver Phone 360-635-6464. FBX 206-418-6659,CONFIDENTIALITY NOTICE: This communication is intended for the sole use of the individual and.entity to whom it is addressed, and may contain information that is privileged, or confidential andexempt from disclosure under applicable law. You are hereby notified that. any dissemination,distribution, or duplication of this communication by someone other than the intended addressee 01' its.designated agent is strictly prohibited. .AlllnfQrmation is Protected Under U.S. Federal Law000336

... /''''' .. ,. .. OFFENOER 1.0. bATA:( ~ STATE OF WASHINGTON.DEPARTMENT OF CORRECTIONSAU180RlZA TION. FOR DISCLOSURE_OF HEALTH INF.IDRMA"--'--__ , hereby authorize the use or disQlosure of my health informationual or organization is authorized to make the disclosure:NAME: C·B R ./t1eft/C4-.(;t.n C .ADDRESS: ·,-1 j-/6"e, )1-1,',,'55!'}; ,1 t!-Ie..~ .M M I b(,;Jg '9 9- 2.IJ :2f·rii!I:r:The type and date(s) of information to be used or disclosed is as follows:-V-{ r';' C- c q -t '01'1 ('re- i£f)Oi I Ale oj, 'c a..,/ vila C

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana Verification. OFFENDER 1.0. DA'·.~:cf·F~i;; .Dear Prescriber,By state statute the. Washington State Department of Corrections is charged with the resp0l1sibiiity to supervise someoffenders after they have been convict(;ld of a felony. The above named patient is currently under supervision by theOepartment. Supervision is de~igned 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 sup~rvision that the offender not use, or possess illicit drugs,including marijuana. This offender has claim~d 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 your, assistance. If you have questions please feel free to personally contact the Medical Director of the Department at (360)725-8700 .. t.. '.. ' .. ./1. Is this patif=nt under your care? cl1 Yes 0 No2.3.Are you recommending medical marijuana·for his patient due to a diagnosis of AcquiredImmunodefir;:iency Syndrome (AIDS) .a. If the answer to qijestion 2. is "Yes", does he/she have anorexia?b. If the answer to question 2a is "Yes", does. he/she have weight loss?Are you recommending medical marijuana for this patient due to nausea and vomitingasso,ciated with cancer chemotherapy? .r6~esDYes.G,;}Ves0 Yesa. If the answer to question 3 is "Yes", has the patient failed to respond to conventional '. 0 Yesantiem.etic treatments?b. If the answer to question 3a is "Yes", please describe what those treatments were (medication, dos~, .duration):ONoffNoONo.!iI ,I!4.c. What is the planned sehedule of chemotherapy?r.V/If you answered "No" to items 2 & 3 above, what is the reason you are recommending medipinal use ofmarijuana? .a. Please provide evidence published in a peer-review~d scientific publication to support the medicinal use ofmarijuana for this purpose? .5.While on community supervision ("parole") the Department of Corrections o~ly aut~oriz.7s t~eUSI9 of the oral synthetiC formulation of marijuana. If the Department autl10nzes thiS patient suse of meolcai marijuana, will you be prescribing only the oral synthetic formulation? .[] Yes~ •..6.The patient's accompanying Release of Information authorizesyou.to provide the. .'Department with current and future informi?tion related to this issue. Do you agree to notifythe Department's Medical Director of any Ghanges in your. answers above?DYes..a-r:rcr""DOC 14-053 (Rev.7/31/08) .DOC 380.2000003-38

Prescriber's ame.(Print) .3· 2 __ 1-0 '9Date'License #: I K 3 I I License type: --J.t11~. ~b=-_~ _______Prescriber's Address "3 115:' P- M,' 'S,

. .' . .Documentation of Medical Authorization to Possess Marijuanafor Medical Purpo,ses in Washington State .,PATIENT NAME: __ _ ___ 'DATE OF BIRTH: ~I, Dr. Mohammad H. Said , 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 byRCW69.51A.010. .1 have advised the above named patient about the potential risks and benefits 'of the medical useof marijuana. I have assessed the above named patient's medical history and medical condition ..It is my medical opinion that the potential benefits of the mElqica:i use of marijuana may outweighthe health risks for this patientPhysician Name: _----:D=:.;r:.;... .:.:.M;.;:o;.:,.:h.::;.a:.:..m:.:.:m.:.:a:.::d~H..:.:..::S:.=a::..:id::....__ WA License Number: ___ M_D_O_0_01_8_3_1_1Physician Signature: __ t-f'v: __" _l_'d-_Ji_~_' ~::o..I~·C_· _"'_ Oate:' ___ 03_/2_9_/2_0_0_9 ___This recommendation expires on: 03/2912010Risks and benefits of medica!.marijuana . .~ Under Washington law, the use of medical marijuana is now permissibl€1 for some'patients .with terminal or debilitating illnesses. The law regulating this (RCW 69.51A) 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 remains. controversial 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 law the 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 pqssible long-term effects of the brain in. the areas of memory, coordination and cognition; impairment of the ability to drive or operate'heavy machinery; respiratory damage; possible lung cancer; and physical or psychologicaldependence. .RecommendationAs th.is patient's "60 Day Supply", as stipulated by RCW 69.51A.040 (3)(b) andWAC, 246-75-01 0, this Qualifying Patient can reasonably expect to have in their Posession andNeed a total of no more than 24 Ounces of "Useable Marijuana'; and no more than 15 Plants:, CBR Medical, Inc.Administrative Office311.5 E. Mission Ave, Spokane, WA 99202Spokane: 509-242-8624 Fax:509-340-2710Seattle: 206-774-6493 Fax.: 206-418-6659EMERGENCY OR LAW ENFORCEMENT ONLY. CALL 509-570-2886 OR 509-570-6943000340

j, L., ,iCISR Mea:Hfica~, h'ilc311'5 E. Mission AveSpokane, WA 99202 'i', I,0 Urgent .0 for Review 0 Please Comment 0 Please lReply 0 Please RecycleI·Comments:,ICBR Medical, Inc. - 3115 E. Mission Ave, Spokane, Wa 99202Seattle Phone 206-774-6493 Fax 206-418-6659 Spokane Phone 509-242-8624 Fax 509-340-2710Tri-Cities Phone 509-416-2267 Fax 509-340-2710 Vancouver Pilone 360-635-6464 Fax,206-418-6659,CONFIDENTIALITY NOTICE: This communication is hiteilded for the sole Lise of the individual andentity to whom it is addressed, and may contain information that is privileged, or confidential andexempt fromdisclosLire under applicable law. You are hereby' notified that any dissemination,distribution, or duplication of this communication by som~one other than the intended addressee or itsdesignated agent is'strictly prohibited. ' ,,iiiItij"1All Information is Protected Under U.S. Federal Law000341

-----....----------.. -..,__....__..,,____,....FEB-21-2Ql0'3 11: 30 Ft,!)!),,: l'lDHEY TREE 509547..:1311 Tc.:509 34~1 E:710iI.:1 ,...... 101"-4..;r ~ OI'F" .. IrJ~R I O. C1A1'A(~\STATS OF WASHINClITON"""" . DEF'ARTMENTOF CORRECTIONSAUTHORIZATION FOROF HE. '.'f..---_ hereby a~lthorl;o:e thl!l use or disclosure of my h~alth InformationI or organizstlon is authorized to make the disolosure'~R~A~edu..L.{ f:-C.l&a,....w(.~: .~:t:!::.J-eJu.· .\..c ____ _NAMe: --:-~CJ3Q

...... ~' .. ".".:\.f.~\ STATE OFWA~HINGTON;,: ~-' DEPARTMENTOFCORRECTIONS'MediCinal Use of Marijuana VerificationOFFENDER 1.0. DATA:Dear Prescriber,By state statute the Washington State Department of c:orrections is charged with the responsibility to supervise someoffenders after they have been convicted of a felony. The a,bove named patient is currently under-supervision by theDepartmerit. Supervisio,n is designed to help the offender avoid those environments or situations that lead to their criminal, behavior. Often illicit drug use is a contributing factor.in an individual's criminality. Accordingly it's usuai that the' court or, the 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 has.been ,recommended. The,below verification isto determine the legitimacy of their claim, Thank you in advance for YOWassistance. If you have questions please ~el free to personally contact the Medical Director Qf the Department at (360)725"8700. . ,1. Is this patient under your care? ~es2. Are you recommending medical marijuana for his patient due to a diagnOSis of AcquiredImmunodeficiency Syndrome (AIDS)a. If the answer to quest~on 2 is "Yes", do'es he/she have, anotexia? .b. Ifthe answer to question.2a is "Yes", does he/she ~ave weight loss?DYesD.yes "."DYes3. Are you recommending medical marijuana for this patient duetonausea'and vomitingassociated with cancer chemotherapy? ' . "a. If the answer to question 3 is "yes.... ~as the patient failed to respond to conventionalantiemetic treatments?DYesDYesb." 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?4. If yo.~ answered "~o" to items 2 ~ 3 aboV~hat is the reason you are recommending medicinal use ofmarIJuana? , . S ~ e.... ~.c.\,-.e . " . ." ," , .a. . Please provide evidence published i~ a peer-reviewed scientific publication to support the medicinal us~ ofmarijuana for this ~urpose? I '" f I) \

.', .. Ad () l4\ytyrJ H. - ~2Jsl MD- M t+~'Prescnlk?s Name (print) '".' Prescriber's SignatureLicense #: tit! P Q 0·0 { R (3 I { . LJcense type: ....,::A=--.-....::O=--.-_________ _. prescriber'sAddress·'3; I ~~- F. 1/t'SS/()t;ltVyO·· 'PhoneNumberD.pV~r"} tJ W. q 99.20 7'Prescriber: please return tliis form and the patient's Release oTInforll'lation to:Medical Director .Health Services DivisionWashington State Department of Corrections'PO B.ox41123Olympia, WA 98504-2113Sb1-S70~'; t~ b.s-D(i -cf). '-1:;< '. 1r (0 2_

,i!~i·Documentation of Medical Authorizat'ion to Possess Marijuanafor Medical Purposes in Washington State·PATIENT NAME: _.__-..:3 . DATEOFBIRTH:~I. Dr. Mohammad H. Said I am a physician licensed in the State of Washington'and I am treating the above patient for a terminal illness or a debilitating condition as defined byRCW 69.51A.010. ... .I have advised the above named patient about the potential risks and benefits of the medical useof marijuana. I have 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. .i.)Physician Name:. Dr. Mohammad H. Said WA License Number: __-,M_D_0_O_O_18_3_1_1Physician Signature:_: -·,J,f->,Ac>::::>· ....4 __,1=£.....·_·.....9t........,..'This recommendation expires on: 02/15/2010"'"".:,;;:~""'. _.. __.. _ Date: __-,02,,;;:,,/...:..15.:.;,.'-,20-,0...:.,9___~.,Risks and benefits of medical marijuana. . . .Under Washington law, the use of medical marijuana is now permissible for SOmEl patientswith terminal or debilitating illnesses. The law regulating this (RCW 69.51A) allows physicians.to 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 law the benefits of medica.l marijuana may includetreating nausea and vomiting from chemotherapy, AIDS wasting syndrome, severe musclespasmsJrorry multiple sclerosis or other spasticity disord~rs. glaucoma. and some types ofintractable pain.Some of the risks of medical marijuana may inclucie 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 psychological·dependence. .,RecommendationAs this patient's "60 Day Supply", as stipulated by RCW 69.S1A.040 (3)(b) andWAC 246-75-01-0, this Qualifying Patient can reasonably expect to have in their posession'andNeed a total of no more than 24 Ounces of "Useable Marijuana". and no more than 15 Plants.CBR Medical, Inc.Admini$trative Office3115 E. Mission Ave, Spokane, WA 99202Spokane: 509~242-B624 Fax:50S-340-2710Seattle: 206-774-6493 Fax: 206-418-6659EMERGENCY OR LAW ENFORCEMENT ONLYCALL 509-570-2886 OR509-570-6943000345

:~.,3115 E. Mission fweSpokane, \j\fA 99202cn/2-;a:~ - - ';J"U/.'j/1..-/J"

Fax ..3115 E. Mission AveSpokane, WA 99202;::..;o Please Reply.'0 Please RecycleCBR Medical, Inc. - 3115 E. Mission Ave, Spokane, Wa 99202Seattle Phone 206-774-9493 Fax 206-418-6659 Spokane Phone 509-242-8624 Fax 509-340-271 0Tri-Cities Phone 509-416-2267 Fax 509-340-2710 Vancouver Phone 360-635-6464 Fax 206-418-6659CONFIDENTIALITY NOTICE: Tilis commuilitatioll is intended for the sole use of the individual andentity to whom it is addressed, and may contain informatiotl that is privileged, or confidential andexempt from disclosLlre under applicable law. You are hereby notified that any dissemination,distribution, or duplication of this communication by someone other than the intended addressee or ttsdesignated agent is strictly prohibited. .A!llnformation is Protected Under U.S. Federal Law000347

OFFENDER 1.0. DATA;STATE OF WASHINGTONDE;PARTMENT 9F CORRECTIONSAUTHQRiZA TION FOR DISCLOSUREOF .... INFORiVlATlqNhereby authorize the use or disclosure of my h~alth information.. is authorized to make the disclosure:NAME: C,B R "A1edr'" (' ?k ( . ",il1. C .ADDRESS: .J 1/:5' f!!. JU,',S$f,1:;,1 t1:v'~ .. ~f

OFFENDER 1.0. DATA:. STATE OF WASHINGTONDEPARTMENT OF: CORRECTIONSMedicinal Use of Mariju~na VerificationDear Prescriber, .'By state statute the Washington State Department of Corrections is charged with the responsibility to supervise s6m~offenders 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 criminal .behavior: Often illicit drug use is a contributing factor in an individual's criminality. Accordingiy 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)n~ro~ "J'1. Is this patient under' your care? [2(Yes D No2.3.4.Are you recommending medical marijuana for his patient due to a diagnosis of AcquiredImmunodeficiency.Syndrome (AIDS) Ia. 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?Are you reoommending medical marijuana for this patient due to nausea and vomiting. ass?ciated with cancer chemotherapy? . '.a. If the answer to question 3 is "Yes", has the patient failed to respond to conventionalantiemetic treatments?DYes .. ~DYesDYesDYes'DYesb. If the ~nswer to question 3a is "Yes", please describe what those treatments were (medication, dose,duration): '.' .'. ". . . J1 / J4--' ..' ....c. What'is the planned schedule of chemotherapy?,;fA-a.~B1Jo0'N'ci~or:If you answered "No" to items 2 & 3 above, what i~,the :rea.s,on YOfl fre recomme'!.9.lrul.medici.~.al u,se 9. f •marijuana? . . C. k-...,., Y1 ~ ~ l'l cv..:k J> ~ ",,--eM ~. 14 0 1 ~ . V~) ()vuJ.,1 "?;r".' .fro . 1'hA~ rv

JJ / .. ~a. tV} t"l-'! q J j~. So; d.~er's Name (Print) . , Prescriber's Signature'.Q3·-( .5-0/DateLicense #: 0 (;> 0 i g- '3 J ( LIcense type: _._·...:,--#:..-!-....:!.P=· =-. ____--'-_--:....___Prescriber's Address? I I? e ~ A "5' ~,'z,;" /-). ,/.(7 Phone Number. .' SpD. t,:a.-'\...o ., lAP-. q 7 z.o.2- .Prescnber: please return thIS form ana the patient's Release of 1nformation to: .bO'7 - 5""7 [) -:J..

IFaxCBR Medical, Inc3115 E. Mission AveSpokane, WA 9920211'0 ,~_'_' ~. __; ..o Urgent' 0 For Review o Please Comment 0 Pleasla Reply 0 Please Recycle• Comments:.",,., I!.ICBR Medical, Inc. - ,3115 E. MissionAve, Spokane, Wa .99202 .Seattle Phone 206-774-6493 Fax 206-418-6659 Spokane Phone 509-242-8624 Fax'509-340-271 0", Tri-Cities Phone 509-416-2267 Fax 509-340-2710 Vancouver Phone 360-635-6464 Fax20B-418-6659CONFIDENTIALITY NOTICE: This communication is intended for the sale use of the individual andentity to whom it is addressed, and may contain Information that is privileged, or. confidential andexempt from disclosure under appiic::ible law. You are ·hereby notified'that any dissemination,djstribution, or duplication of this communication by someone other than the intended addressee or itsdesignated agent is strictly prohibited.All Information is Protected Under U.S. Federal Law00035]

.~OFFENDER 1.0. DATA:STATE OF WASHINGTONDEPARTMENT OF C.ORRECTIONSAUTHORIZATION FOR DISCLOSUREOF'HEALTH IfilF.oRMAII.Oi'-l.·a,- .-...... ', -.. '" - ....hereby authorize the use or disclosure of my health information. ... '.' 9 nization is authorized to make the disclosure:. NAME: . tiE R A1ed/('J t& ( .:i n c . '.ADDRESS:

OFr-r:NDF.R 1.0, DATA,STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS'Medicinal Use of Marijuana Verification';-' ~ ". .Dear Prescriber, .;~ Bystate statute the Washington State Department of Corrections is charged with the responsibility to supervise some.offenders after they have been convicted of a felony. The above named patient is currently under supervision by the ..Department. 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 off\=lnder not us'e, 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 legitimaQY of their claim. Thcmk you in advance for yourassistance. If you have questions please feel free to personally contact the MEldical Director of the Department at (360)725-8700. .' . ..~1. Is this patient-under your care? WYes·. DNo~o.2. Are you recommending medical marijuana for his patient due to a diagnosis -of AcquiredDYesJm~unodeficiency Syndrome (AIDS) .a. If the answer t6 question 2 is "Yes", does he/she have anorexia? . DYes DNob. If the answer to question 2a is "Yes", does he/she.have weight loss? DYes ONo3. Are you recommending medical marijuana for this patient due to nausea and vomiting ..associated with cancer chemotherapy? .a. If the answer to question 3 is "Yes", has the patient failed to respond to conventionalantiemetic treatments?DYes ~oo Yes DNab. If the answer to question3a is "Yes·, please describe what those treatments were (medication,dose,duration):.4.C.'a.What is the planned schedule of chemotherapy?. piAIf you ans~~red "No" to 'item~ 2 & 3 above! what is the reason'you are recommending medicin,al use ofmarijua.na? jJ(l~cyJI1( ~I"('/"\./e~ Ch·,jeC.Je; C.c..vJ/1'V9 ./A/ Ir

-DR.- gI!R~i£.I1 D, (;; 4n~- ~ ~Prescriber's Name (Print)'Prescriber's SignatureLicense #:.M D {p Q 0 (Q ,-'!:ce.:..... 9.:....· L_I_L.!-l ___ License type: ,....A/JO'Prescriber's A~dress 5//2- e'. At, ''5$, ';::','1 .4 v' ~, 5.p e.:> t::.., ...... ~:.... t ''::·'0 ",-, ~i'"7 .2 CJ :2-Phone NumberPrescriber: please return this form and the, patient's Release of Information to::b 9Date5/2 9 - C[""l i) w" 2- 2'!5 bMedical DirectorHealth Services DivisionWashington State Department of CorrectionsPO Box41123Olympia, WA 98504-2113I !To be filled out by DOC Physician:I haye reviewed this Verification form and find that use of medical marijuana by this patient. ,(check one) " D is '0 is not 'consistent with DOC Policy.'Physician's Name (Print)Physician's SignatureDateiI,,Instructions to DOC Physician:When form is complete:1. ~mail your findiTig above to the Assistant Secretary for Community Corrections2. File this form and the accompanying Release of Information in Uberty as 'a Community Correcti~ns Health Record .!. ,State law (RCW 70.02.; RCW 70.24.105; RCW 71.05.390) and/or federal regulations (42 CFR Part 2; 45 c:FR Part 164} prohibitdisclosure ofthis information without the specific written consent of the person. to whom it pertains, or as otherwisepermitted by law.'DOG 14-053 (Rev. 7131108) DOC 380.200000354

Documentation of Medical Au.thorization to Possess Marijuanafor Medical Purposes in Washington StatePAT!ENT NAME:' ----,-----' DATE OF BIRTH: ~!:"I, Dr. Russell D, Glynn , am a physician !icensed in the State of Washingtonand I am treating the above patient for a terminal iii ness ora debilitating condition as defined byRCW 69.51A.,010. ' ' "I have advised the above named patient about the potential risks and benefits of the meciical'use 'of marijqana, I have assessed the above named patient's medica! 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: __ D;;;...:..:..r ....;...R=u-"-ss;;.,ce:...;.;II...:;D:;...;.,.-;;G:;...;.ly"-'n..;.;.n"'--___ WA License Number:~ __ M_D_6_0_06_6_9_4_4,.;:Physl~an Signature: c:'~~ . ~te __,.-0_2_/1_5;..;../2...,:0_09 ___--,-This recommendation e~Pireson:02~ .Risks and be'nefits of medical marijuana ., Under Washington law, the use of medical marijuana is now permissible for some patientswith terminal or debilitating illnesses. The law regulating this (RCW69.51 A) allows physiciansto advise patients about the risks and benefits of the medical use of marijuana. 'The medical and scientific evidence sLipportingthe use ofiTledical marijuana remainscontroversial in the medical community. Not all health care p'roviders'believe that medicalma.rijuana 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 may includetreati ng nausea and vomiting from chemotherapy, AIDS wasting syndrome, severe muscle", spasms 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,c;oordination and cognition; impairment of the ability to drive or operat~heavy machinery; respiratory damage; possible lung cancer; and" physical or psychologicaldependence.RecommendationAs this patient's "60 Day Supply", as stipula,ted by RCW 69.51A.040 (3)(b') and ' .WAC 246-75-010, this Qualifying Patient can reasonably expect to have in their Possession andNeed a total of no more than 24 Ounces of "Useabh~ Marijuananand no more than 15 Plants .. CBR Medical', Inc.Administrative Office3115 E. Mission Ave, Spokane, WA 99202Spokane: 509-242-8624 Fax:509-340-2710Seattle: 206-774-6493 Fax: 206-418-6659-EMERGENCY OR LAW ENFORCEMENT ONLYCALL 509-570-2886 QR 509-570-6943

DR. RUSSELL D. GLYNN, M.D.CLINIC NOTES Date: 0211"5/2009PATIENT: DATE OF BIRTH:,_ 965'Blood Pressure: 169 I----109Heart Rate: 79'-':"'-=--'---Height: 6'4" Weight: 240today for re-evaluation of management of a debilitating or terminal medical illness., 'The patient has presented certain documentation for my review. Upon review of said documentation and evaluation ofthe 'patient, I have diagnosed the following debilitating or terminal medical iIIness(es):1) A disease polycystic kidney disease causing intractable pain in the abdomen and flanks, He is followed by Dr. Marak(nephrologist) who has prescribed hydrocodone, morphine. He has too many side effects from the medications -drowsiness and stomach upset. He ha's provided medical documentation:The patients symptoms have not been satisfactorily relieved by other medications and adjunctive therapies including:, Opiates Physical TherapyAcupunctureI, have discussed the risks and benefits associated with the medical, use of marijuana including difficulty with learning,, memory and judgment, distorted,perception, loss of coordination, increased heart rate and blood pressure, panic attacks,respiratory problems including bronchitis and possibly cancer, lower achievement in school and work, possible effects onfetus during pregnancy, possible drug dependence. The drug should not be used while driving 'or operating heavymachinery. . '. . .The patient was given a hand 'out summarizing the side effects,jiII have informed the patient that he/she may benefit from' thf;!' medical use ofm,arijuana and that fifteen (15) plants and24ozs. of cured I dried marijuana are an adequate sixty (60) day supply, '"~~,'..--:.~~----~ ','Russell D, Glynn, MD. . . .Per RCW 69,51a,01 0 The following are the definitions of Qualifying, Medical Conditions:(4),"Terminal or debilitating medical condition" means: ,(a) Cancer, human immunodeficiency virus (HIV), multiple sclerosis, epilepsy or other seizure disorder, or spasticitydisorders; or(b) Intractable pain, limited . for the purpose of this chapter to' mean pain unrelieved by standard medical treatments and.. .medications; or '(c) Glaucoma, either acute or chronic, limited for the purpose of this chapter to mean increased intraocular pressureunrelieved by standard treatments and medications; or(d) Crohn's disease with debilitating symptoms unrelieved by standard treatments or medications; or(e) Hepatitis C with debilitating naus~a or intractable pain unrelieved by standard treatments or tryedicatlons; or(f) Diseases, including anorexia, which result in nausea, omiting, wasting, appetite loss, cramping, seizures, musclespasms, or spasticity, when these symptoms are unrelieved by standard treatments or medications; or ' '(g) Any other medical condition duly approved by the Washington state medical quality assurance commission inconsultation with the board of osteopathic medicine and surgery as directed in, this, chapter,'i1CBR Medical, Inc. Administration OfficesSeattle/Bellevue Phone:206-774-6493 Fax 206-418-6659Vancouver Phone:360-635-6464 Fax 206-418-66593115 E, Mission Ave, Spokane, wA 99202Spokane Phone:509-242-8624 Fax 509-340-2710Tri-Cities Phone:509-242-8624 Fax 509-340-271000035f)

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano., Monica oJ. (DOC)Tuesday, January 06,2009 11 :15 AMTolliver, Linda M: (DOC) .QuestionHi; Linda. In. regards to your ql1estion about whether or not to turn over a new possible felony charge to the police while C!medical marijuana verification is in process, Karen's answer is "Yes, you still would ifthe pounds exceed the poundsallowed by the WAC. " °please let me know if you have any other questions! ..Monica bistefanoExecutive SecrE?tary toKaren Daniels, Assistant.8ecretaryCommunity Corr~ctions Division7345 Linderson Way SWTumwater, WA 98501 IvlS: 41126(360) 725-8796rrijdistef~no@doc1. wa.gov000357

. .decision is made, we will communicate that decision in writing to the offender with a copy to you (the CeO),the ees, and the medical provider.Page 2 of3The offender and the medical provider then have 15 BUSINESS days (3 weeks) to submit a written appeal.directly to Karen . Once Karen receives the app~al, a decision on the appeal will be made within 30 businessdays. That decision will again be communicated in writing to the same folks listed above.Any violations related to the use of medici~al marijuana should not be issued until this process has run its course.Please do not hesitate to call me if you have any other questions. Thank you!Monica DistefanoExecutive Assistant to. Karen Daniels, Assistc~mt Secretary .. Community Corrections Division7345 Linderson Way SW. .Tumwater, WA 98501 MS: 41126 ..(360) 725-8796mjdistefano@doc1.wa.govFrom: O'Donnell, Erin M. (DOC) .Sent: Wednesday, January 21, 2009 1:23 PM. To: o istefa no, Monica J. (DOC) ..Cc: Liulamaga,. Misi Nimese I. (DOC).. Subject: Medical Marijua·na .Good Afternoon!I'm currently working on getting Medical Marijuana appr~vei:lI've reviewed thepolicy and memos with my supervisor and just when we . .. a call from P's.provider stating they have had several conversations with you specifically regarding timelines that were contrqry.towhat my CCS and I had c~ncluded" .ces Liulamaga and·1 interpreted the policy/memos to state that P had two weeks for the eritire process to becompleted and if it had not been completed or P was denied within that timeframe, he would then be violated forthe use. However, speaking with Melissa Legee with CBR medical, she basically stated each party involved hadtwo weeks to complete their part of the process. .Would yauplease clarify for me (or point me in the right direction) what exactly the timeline is? More specifically,how long do I hold off on a violation process/at which point am I required to violate for use?Thank you in advance for any help you .can .offer.Erin O'DonnellCommunity Corrections Officer II .SE Seattle Unit206-516-7812 office206-423-7126 nextelWashington State Department of CorrectionsSeattle Community Justice Center1550 4th Ave SSeattle, WA 981345/13/200900035H

5/13/2009Page30f3

Page 1 of1Distefano, Monif:;a J.(DOC) ..From:Sent:·To:Cc:SubjDistefano, MonicaJ. (DOC)Tuesday, February 10, 2009 8:35 AMHelm, Kyle G. (DOC). MM Violations· Good morning, Kyle!I rHceived a call this morning from Offend Imedicinal use of marijuana.regarding the form she submitted for·I verified with her that the H9 ·Physician has received the form and is in the process of reviewing it.She was concerned that she may be violated while this verification is in process and I told her I would follow upwith you·.· ..Any violations related to the use·of medicinal marijuana should not be issued until the verificationprocess outlines below has run its course. .. . . '. . ." -· According to policy and the ·adl11in bulletin, the offender and their medical provider have 2 weeks once they'vereceived the verification form to complete and submit it to the DOC HQ Physician for review. Once the Physicianreceives the form, there is no set timeline for him to review and make his determination; however, once thatdecision is mad~, we will communicate that decision in writing to the offender with a copy to you (the· CCO),the CCS, and the medical provider.· .The offender and the medical provider then have 15 BUSINESS days (3 weeks) to submit a written appeal· directly to Karen. Once Karen receives the appeal, a decision on the appeal will be made within 30 businessdays. That decision will again be communicated in writing to the same folks listed above. .. .Please let me know if you have any questions regardi~g this process.Monica DistefanoExecutive Assistant to.Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov5/13/2009000361

Distefano. Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent: Wednesday, February 11, 20094:06 PM "To:Subject:. (DO~k .. Jack M. (DOC) ,DOC_ ','" ... "".GOod afternoon, Scott & Jack!I wanted to give you ,a heads up tha~appeal has been upheld and he is approved to use medicinal, marijLiana or marinol in accordance ~ . . ", ,We will be sending a letter directly to, him and his physician, but wanted to notify you first.. Assistant Secretary Karen Daniels has requested that a DOC condition be imposed along with this approval to not allowhim to operate a motor v~hicle while using ...Please let me know if you have any questions.Monica Distefano'Executive Assistant toKareripaniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way $WTumwater, WA98501 MS: 41126(360) 725-87.96mjdistefano@doc1.wa,gov1 000362

Distefano; Monica J. (DOC)From:Sent:To:Subject:DistE:)fano, Monica J.(DOC) .Wednesday, "February 11, 20094:30 PMHammond, G. Steven (DOC)Questions regarding medical marijuanaGqod afternoon! I need a little guidance from you, please.I· have received several questions from offenders and physicians regarding the forms that are denied with the statement"denied - inconsistent with DOC Policy"." .Can you cFarify with me which DOC Policy you are referencing? I don't see anything specific in DOC 380.200 that shoWswhat is or is not consistent. .Thank you in advance for your assistance!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW .Tumwater, WA 98501 Ms: 41126 ."(360) 72~-8796mjdistefano@doc1.w~.gov100(1363

Distefano. Monica J. (DOC)From:Sent:Distefano, Monica j, .(DOC)Wednesday, February 18, 20094:02 PM .To: porotesan ernieS. (DOC)Cc:Subject:Good afternoon, Bernie!.lIIIIIIII·wife,.calied Karen Daniels this afternoon to get direction on where to send her husband's completedDOC FOhh 14-0'53; Medicinal Use of Marijuan.a Verification, for r:eview. I gave her the fax number to send it here to HQ forthe Health Services Phy'sician's review per DOC Policy 380.200. .This is to let yo~ know that I received Mr .• comPleted packet this afternoon and am forwarding on to the HealthServices' Department. Once the Health Services Physician receives the form, there is no set timeline for him to reviewand make his determination;. however, once that decision'ls made, we will communicate that decision in writing to Mr_with a copy to you (his CCO), the CCS, and his medical provider. ." ,Ifdenied, the offender and the medical provider then have 15 BUSINESS days (3 weeks) to submit a written appeal. directly to Karen. Once Karen receives the appeal, a decision on the appeal will be made wit,hin 30 business.days. Thatdecision will again be communicated in writing to the same folks listed above. .. "***Please note: Per Karen's direction, any violations related to the use of medicinal marijuana should ·not be issued duringthis tim~ until the' process is complete.~** ' .' .I tOld.that I would follow up with you to let you know that w~'ve received the packet.. .. . .Please let me know if you have any questions regarding this. Thank you!Monica "DistefanoExecutive. Assistant to .Karen Daniels, Assistant SecretaryCommunity CorrectiOns Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126.(360) 725-879.6mjdistefano@doc1.wa.gov1 00036,,4

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC)Friday; February 20, 2009 11 :42 AMTucker,'ToddR. (DO~,',' "',FW:_,DOC_'.. - ' .. ' :-' '. . - - .. :. .~.Good morning, Todd!I just noticed that. file had been trasferreq to you ~nd wanted to make sure you had this information.Please let me know if you have any questions.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SW ",Tumwater, WA 98501 MS: 41126(360) 725-8796mjdi~tefano@doc1.wa.govFrom. 'Sent:To:ee:Subject:Good afternoon, Bernie!Distefano, Monica J. (DOC)Wednesday, February 18, 20094:02 PMPorotesano, Bernie S. (DOC)_FriC:e 'Jeffery S.~: DOC-.',,:,-: .. ,. :::-. . "":"""" ..... .-.wife,IiIIIII;'calied Karen Daniels this afternoon t~ get direction on where to send hei husban'd's Gompleted '~'14-05~iclrial Use of Marijuana Verification, for review. I gave her ~he fax number to send it here to HQ forthe Health Services Physician's review per DOC Policy 380.200.'This is to let you know that I received Mr-.completed pa'cket this afternoon and am forWarding on to the HealthServices Department. Once the Health ~s Physician receives the form, th~re is no set timeline for him to reviewand make his determination; however,once that decision is made, we will communicate that decision in writing to Mr. Plattwith a copy to you (his CeO), the CCS, and his medical prqvider.·'If denied, the offender anc~ the medical provider then have 15 BUSINESS days (3 weeks) to submit 8 written appeal" ,directly to Karen. pnce Karen receives the appeal, a decision on the appeal will be made within 30 business days. Thatdecision will again be communicated in writing to the same folks listed above.***Please note: Per Karen's direction,any violations related to the use of medicinalrnarijuana should not be issued duringthis time until the process iscomplete.***I told Trisha that I would follow up with you to let you know that we've received the packet.Please let me kn?w if you' have any questions regarding this. Thank y?ulMonica DistefanoExecutive Assistant to .Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov1 000.365 "

Distefano. Monica J. (DOC}From:Distefano, Monica J. (DOC)Sent: Monday, February 23, 10:36 AM.To: Dou las, Brucick, Jack M. (DOC)Subject:We 'received an appeal tOMr.llillllllmediCiri~1 marjiuana denial from his physician.. '. ',;,:.' .' . . .Please do not proceed with any violations related to the medicinal marijuana until the decision has been made on theappeal in the next 30 days.'. I will let yciu know the outcome.Thank you!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126. (360) 725-8796mjdistefano@doc1.wa.gov100f1?66.

Distefano. Monica J. (DOC)From:. Distefano, Monica J. (DOC)Sent: Mollday, F 23, 2009 10:38 AM· To: . Phil liver, Linda M. (DOC)Subject:· We received an appeal to nal marjiuana denial from his physician.Please do not proceed with any violations related to the medicinal marijuana until the decision has been made on theappeal in the next 30 days. . ..I will let you know the outcome.· Thank you! .Monica Distefano .Executive Assistant toKaren Daniels; Assistant SecretaryCommunity Corrections Division7345 Underson Way SW .Tumwater" vilA 98501MS: 41126.(360) 725-8796 .mjdistefano@doc1.wa.gov1 000367

From:Distefano, Monica J. (DOC)S.ent: Mon~ay, February 23, 2009 10:40 AM .~~~ject:: . .. . ._A- -- - :.-;/.~}~~N~,~~~~f:~§~r~~.,::·.~·": ";" /.: "::-: ;-.: .. :;"'"~''' '_zrm_- - ± -- =(DOC); O'Donnell, Erin.M: (DOC). We received an appeal to Mr:_mediCinal marjiuana denial from his physician .. -:':~:'~~:-"7" ;::c:. . . -Please do not proceed with any violations related to the medicinal marijuana until the decisi.on has been made on theappeal in :the next 30 days. .I will let you know the outcome.Thank you!Monica DistefanoExecutive Assistant toKaren Daniels, Assi$tant SecretaryCommunity Corrections Division .. 7345 Linderson Way SW . .Turi1water, WA98501 IvlS: 41·126(360)725·-8796mjdistefano@doc1.wa.~gov)..1OO{)368

Distefano. Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent:Monday, February 23,200910:41 AMTo: . . . W. Kathan, Jim R. (DOC)Subject: .We received an qppeal to Mmarjiuana denial from his physician.Please do not proceed with any ~iolations relat~d to the medicinal marijuana until the decision has been made on theappeal in the next 30 days. . . .. . .. . .....I wHilet you know the outcome.Thank you!Monica DistefanoExecutive Assistant to .Karen Daniels, Assistant Secretary. Community Corrections Division7345 Linderson Way SW .. Tum'{Vater, WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc·1.wa.gov,"j-1 000368

Distefano. Monica J. (DOC)From:Sent:~~~ject:Distefano, Monica J. (DOC)·Monday, February 23,200910:43 AM.~e,~e_y,Mac B. (DOC). . .:' ... ' '; '. ~ , ;-"; ""';/ :.....:.We re;eived an appeal to Mrllllllmedicinal marjiua~a denial from his ph~sician ... . . '. . . . ,Please do not pr·oceed with any violatiofls ·relatedto the medicinal marijuana until the decision has been made on t·he·appeal in the next 30 days. .I will let you know the outcome.Thank you!Monica- Distefano·Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41.126. (360) 725-8796 . .mjdistefano@doc1.~a.gov100037CJ

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (Monday, FebruaryG1'1:58 AMGood' morning,' Catherine!, I've received a public disclosure r~qu~st from Mr._for a copy of his meidic~1 authorization for marijuana from his', doctor to a DOC, doctor. ' , .,' " " , 'If it was sent to HQ, I would hav~ it ino,ur Jiles, but I don't have anything for Mr.-r "Can y~u tell me if you've ever request this authorization and if it may be in his field fi~e?'If so, can you scan and send me a copy? 'Thank you!Monica DistefanoExecutive Assistant toKaren Daniels, 'Assistant Secretary,Community Corrections Division'7345 Linderson Way SW ,Tumwater, WA 98501 MS: 411.26(360) 725-8796mjdistefano@doc1.wa.gov1000371

Page 1 oflDistefano; Monica J. (DOC)From: Distefano, Monica J. (DOC)Sent: . Tuesday, March 03; 2009 8:26 AM,To: . O'Donnell, Erin M. (DOC)Subject: -RE:. Medical Marijuana.Good morning!After the initial denial, they are· allowed 1 appeaL Once that a'ppeal decision is made, it is final. .Monica DistefanoExecutive Assistant toKaren Daniels, .Assistant SecretaryCommunity Corrections Division. 7345 Linderson Way SvyTumwater, WA 9H501MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom: O'Donnell, Erin M. (DOC)Sent: Tuesday, March 03, 2009 8:24 AMto: Distefano~ Monica J. (DOC) .Subject: Medical MarijuanaHi, me again! .. .Just curious - Hoyv many appeals to a medical marijuana denial is the offender allowed before the decision byKaren Daniels is final? . . ..Erin O'Donnell:Community COITections Officer /ISE Seattle Unit.206-516-7812 office206-423-7126 nextelWashington State Department of CorrectionsSeattle Community Justice Center1550 4th Ave S .Seattle, WA 981345/1312009000372

Page 1 of2Distefano, Monica J. (DOC)From:Sent:To:Distefano, Monica J. (DOC)Tuesday, March 03, 20098:33 AMq'Donnell, Erin M. (DOC), Subject: RE: Medical MarijuanaYou are correct, once his ClPpeal is denied, you will begin violating for us~., ,No need to do any retro-active violations. Just put him on notice that you want to see the levels in his bodydeclining to show that he is no longer using after the appeal decision is communicated so he will know he will beviolated for use be}fond that point, ' ,Does that help or did I just make it more confusing?Monica Distefano'Executive Assistanfto'Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Lindersan Way SW'Tumwater, WA 98501 MS: 41126,(360) 725-8796 ,mjdistefano@doc1.wa.gov,r'From: O'Donnell, Erin M. (DOC), ~nt.: TuesdCiY, March 03, 20098:29 AMTo: Distefano, Monica J. (DOC)Subject: RE:Medical Marijuana." .' .' .So if Mr,._current appeal is'denied, I will have to begin violating for use, correct? ', ....... ,.: ".' ". .... .Also ... I~ violation for use retro-active? AKA Do I have to violate him any use that occurred while paperw~rkwas being proce,ssed?. . .' . .Thanks for the speedy response!! I'Ve bee'n asked to present this information (what I've learned Wit~ tomy unit at our staff meeting today. ' ' , , , ", Erin O'Donnell .Com~nunity Corrections Officer IISE Seattle Unit/Seattle Community Justice Center206-516-7812 'From: Distefano, Monica J. (DOC)Sent: ,Tuesday, March 03, 2009 8:26 AM 'To: O'Donnell, Erin M. (DOC)Subject: RE: Medical Marijuana, Good morning!', 5/13/2009000373

Page 2 of2After the initial denial, they are allowed 1 appeal. Once that appeal decision i$ made, it is final.Monica Distefan.oExe.cutive Assistant to.Karen b~n·iels, Assistant SecretaryCommunIty Corrections Division .7345 Llnderson Way SW .Tumwater, WA 98501 MS: 41126(360) 125-8796mjdistefano@.doc1.wa.goy. From: O'Don/iell, Erin M. (DOC)Sent: Tuesday, March 03, 2009 8:24 AMTo: Distefano, Monica J. (DOC)Subject: Medical MarijuanaHi, me again!Just curious - How many appeals to a medical marijuana denial is the offender allowed before the decision byKaren Daniels is final? . .Erin O'DonnellCornmunity Corrections Officer /ISE Seattle Unit206-516-7812 office206-423-7126 nextelWashington State Department of CorrectionsSeattl.e Community Justice Center1550 4th Ave SSeattle, WA 98134/5/13/2009000·374·

Page 10f1 _Distefano, Monica J. (DOC)From: _ Distefano, Monica J. (DOC)- Sent: Thursday, March 05, 2009 12:23 PMTo:Daniels, Karen R. (DOC)Subject: FW: More medicinal marijuanaBefore I respond to this one, can we make sure we are on the same page?I know you and I talked about that they didn't need to count the plants, weigh the dope, -etc., but if it is OBVIOUSthat there is enough that constitutes new felony, they would call law enforcement. -Correct? Do we need to run this by Scott?Monica DistefanoExecutiveAssistant toKaren Daniels, Assistant Secretary­Community Corrections Divisibn7345 Linderson Way SVV -Tumwater, WA 98501 MS: 41126(360)725-8796mjdistefano@doc1.wa;govFrom: O'Donnell, Erin M. (DOC)Sent: Tuesday, March 03, 2009 5:02 PM'To: . Distefano, Monica J. (DOC)Subject: More medicinal marijuanaA question that came up after my presentation at the unit meeting today-When conducting home visits on someone who is approved for medical_ marijuana or has paperwork submittedand pending ... Are~we required to veritY the amount of plants they have etc. arid monitor compliance with the- .RCW? If it is found that they have more plants-or whatever than the RCWallows, is that a DOC violation only or -something we should-call police if) on as well? How should we. address that scenario?_ -Thank you guru. ©Erin O'DonnellCommunity Corrections Officer 1/SE Seattle Unit .206-516-7812 office206-423-7126 nextelWashington State Department of CorrectionsSeattle Community Justice Center1550 -4th Ave S -Seattle, WA 981345/13/2009.000375 '

Distefano, Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent:TuesdClY, March 10, 2009 4:40 PMTo:Lordier, Amber D. (DOC). Subject:. Update MedicClI Marijuna FormHi, Amber!. .We need to do a quick update to the medical marijuana form in light of some changes t'o the process.Can you help me with how r go about updating the form?Thanks!. Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary.. Community Corrections Division·7345 Underson Way SWTumwater, WA 98501 MS: 41126. (3pO.) 725-8796mjdistefano@doc1.wa.gov·. '1000376

Distefano. Monica J. (DOC)From:Distefano; Monica J. (DOC)Sent:Friday, March 06, 2009 12:11 PMTo:IbglaZe@~ealthP~.intchc_or I.. . . .Subject: FW: Medical Marijuana ::. .... ......' - -. ... ,.... "Good afternoon, Becky!I thought I would forward this information on to you since it is regarding your patient.It appears that he received court authorization as well ..Please let me know if you need anything else from me.I .Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW .Tumwater, WA 98501 MS: 41126(360) 725-8796 ..mjdistefano@doc1.wa.govFrom:· Sent:To:"'Cc:Subject:Mac- .Distefano, Monica J. (DOC)Friday, March 06, 2009 12:09 PMPevey, Mac B. (DOC)Daniels, Karen R.RE: Medical Marijuana• Fiala, Anne L. (DOC)Thank you for the follow up information on Mr;._Karen wiil be sending out clarification within the next week, .but the Departm~nt is no longer going to require that offendersgo through the verification process when they have a legitimate pres~ription for Mp.rinol from a licensed physician.They will still need to go through that process though when reques~in~ authorization to use marijuana medicinally.. . .Please let me know if YOll have any other questions and have a great weekend!· Monica Distefano .Executive Assistant toKaren DanieJs, Assistant secretaryCommunity Corrections Division.,7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa.gov·From:. Sent:· To:Cc:Subject:Pevey, Mac B. (DOC)Thursday, March 05, 2009 2:47 PMDaniels, Karen R. (DOC)Muccilli, Bonnie R.Medical Marijuana(boC)Assistant Secretary Daniels,2 00C'377

I wanted to bring you up to speed on one of our medical marijuana cases. Mr._ r~quest to access medicalmarijuana was deni!3d on 11/13/08. In a recent probation violation hejin.R. in.1front of the Pierce County Superior Court, thepresiding Judge signed an Order Modifying Sentence that permits Mr. . to use Marinol (medical marijuana) pursuantto his doctor's prescription. I was unsure if you or the Health Services staffwere tracking these cases, but wanted to letyou know nonetheless. Please let me know if you have any questions and/or require any additional information. Thanks.Mac3 oon378

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC)Wednesday, March 11, 20092:34 PM .Morgan, Diane L. (DOC)RE: Updafe Medical Marijuna FormThat's right!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:To:Subject:Morgan, Diane L. (DOC). Wednesday, March 11, 2009 2:27 PM .. Distefano, Monica J. (DOC)RE: Update Medical Marijuna Form .Monica-Is the frm that you are talking about DOC 14-053?From:Sent:To:Subject:Witten, Dell-Autumn W. (DOC)Wednesday, March 11, .2009 12:40 PMMorgan, Diane L. (DOC). FW:. Update Medical Marijuna FormCan you assist Monica? Thank you!From:Sent:To:Subject:Witten, Dell-Autumn W. (DOC) On Behalf Of Lordier, Amber D. (DOC)Wednesday, March 11, 2009 12:37 PM. Witten, Dell-Autumn W. (DOC)FW: Update Medical Marijuna FormFrom:. Sent:To:Subject: .Distefano, Monica J. (DOC)Tuesday, March 10, 2009 4:40 PMLordier, Amber D. (DOC)Update Medical Marijuna FormHi, Amber!We n~ed to do a quick update to the medical marijuana forr:n.in light of some changes.to the process.. . .Can you help me with howl go abol,lt updating the form?Thanks!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division4000379

7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 .mJdistefano@doc1.wa.gov"5oon 3 80

Distefano. Monica J. (DOC)From:Sent:To:Subject:Attachments:Distefano, Monica J. (DOC) ,Thursday, March 12, 2009 4:07 PMDaniels, Karen R. (DOC) ,, . FW: 14-053 - Medical Marijuana Form14-053.doc" ,Karen, I talkedto Armando and he thinks this lo~ks good., 'I've kept the changes in the document.Monica DistefanoExecutive Assistant toKaren Danieils, AssistantSecretaryCommunity Corrections Division-7345 Linderson Way SWTumwater, WA 98501 MS: 4'1126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:To:, Subject:Distefano, Monica J. (DOC)Wednesday, M~~ch 11, 2009 3:13,PMMendoza, Armando (DOC) -14-053 - Medical Marijuana Form14-053.doc (106KB)Armando -Wouldyou mind reviewing this medical marijuana form and letting me know if you s~e any other changes that need to bemade at this point? ' .Thank you!1000381

"""..... 4trt!r~ STATE OF WASHINGTON~.. DEPARTMENT OF CORRECTIONSMedicinal Use of Marijuana VerificationOFFENDER 1.0. DATA:To be filled out b ceo: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 of a felony. The above named patientis currently under supervision by theDepartment. Supervision is designed to help the offender avoid those environments or situations that lead to their criminalbehavior. Often illipit 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 coridition of supervision that the offender not use, or possess illicit drugs, .including marijuan·a. This offender has claimed that they have a condition for which the medicinal use of m.arijuana hasbeen recommended. _The below verification is to determine the legitimacy of their claim. _Thank you in advanee for YO'urassistgnee. -'f you haile que::;tions. please..95l.I)!!'I.9tt~.EI. Communitx Corrections Assistant secretar:x.f!L(~9.C1L??~:??,§.L __ "'~f:::·~~!~~!;!.!~!!~!!,~~!!-,_",'• ..' ..' .. '. '. Deleted: Medical Director.of the1. Is thiS patient I.mder your care? . DYes 0 No "'" >=D=e";,pa=rt=m",,e=nt========:-;. 2. Are you recommending medical marijuana for !his patient clue to a diagnqsis of Acquired "LD_e_le_t_ed_:_O_O~__ ~ ___-,Immun0geficiency Syndrome (AIDS)l . . '.DYes ONoa. Ifthe answer·to question 2 is "Yes", does he/she have· anorexia? DYes ·ONob. If the answer to question2a is "Yes", does he/she have weight loss? DYes DNa3. Are you recommending medical marijuana for this patient due to nausea and vomitingassociated with cancer chemotherapy? .a. Ifthe'ansiNer to question 3 is "Yes", has the patient failed to respond to conventionalantiemetic treatments?b.dYesDYesIf the answer to question 3a is "Yes", please describe what those treatments were (medication, dqse,duration):ONoONoc.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 of .marijuana? .. 1a .Please provide evidence pub/ishedin a peer-reviewed scientific publication to support the medicinal use ofmarijuana for t!:tis purpose ................................... _..........................................,............................. ~_-.-.. {p~_:_?________---'II_----·>-D_e_le_ted ...._:_5.______""""""• -.•..:r...-..•..•.•... c. ----'••--. - --...-------.-.-.. ~ ..............---....-..-....-.-----.•..•-- ----------------.'---'-••• ~---.. --..--.---' - --------\:----_ Deleted: While on comm!lnity&; Th ., . I . supervision ("parole") the Department .'. ~!.- ........ f3_P.~!~El[l.t..~_ ?_

Prescriber's Name- (Print)License #:Prescriber's AddressPrescriber's SignatureLicense type:Phone NumberDatePrescriber: please return-this form and the patienfs Release of Information to:Medical DirectorHealth Services_DivisionWashirigton State Department of Corrections", '.PO Box~1123Olympia, WA 98504·2113To be filled out by DOC Physician:I have revie~ed this verification fo~ and find that use of medical marijua~a by this p~tient(check oriel lOis 0 is notconsistentwith DOC Policy.Physician's Name (Print)Physician's SignatureDate-Instructions to DOC Physician:When form is complete:-1; Email your finding above to the Assistant Secretary for Community Corrections.2; File this form and the accompanying Release of Information in Liberty as a Community Corrections Health Rec.ord.- State law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) andlor federal regulations (42 CFR Part 2; 45 CFR Part 164) pr~hlbltdisclosure of this information without the specific written consent of the person to whom it p~rtains. or as otherwise~ermitted by law. -DOC 14-053 (Rev. 7/31/08) 00C380.200000383

. Distefano, Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC)Friday, March 13, 200~ 12:13 PMMendoza, Armando (DOC) ,RE: 14-053 - Medical Marijuana FormThank you! I Just sent him Karen's memo thatwe'li send out with the'new form and he said you cleared it up for him.You're my shiningstar ... :).Monica DistefanoExecutive Assistant toKaren Daniels; Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725.,.8796mjdistefano@doc1 :wa.govFrom:SentiTo:Subject:. Mendoza; Armando (DOC) ,Friday, March. 13, 2009 12:13 PMBerthon, Ralph M. (DOC); Distefano, Monica J. (~OC)RE: 14-053- Medical Marijuana Form, I just spoke,With Ralph on'the phone. '. I told him about our clarification with the use of marino!. Heis nowok '/I,fith the change.From:Sent:. To:Berthon, Ralph M. (~OC)Friday, March 13, 2009 11.:57 AMDistefano, Monica J. (~OC); Mendoza, Armando (~OC)FW: 14-053 - Medical Marijuana FormSubject:. . . .I really c,an.'t approve it. I know there is a dis'tinction betweet:1.prescriptions .for marijuana in a raw form' (marijuana) and for .'Marinol, a syntheticTHC in pill form. (FYI, Other forms are being developed such as inhalers and patches.) This DOC formneeds to clarify the distinction. We probably do not care if the script if for Marinol, but we do' care if it is for leafy greensubstance.Ralph'From: Distefano, Monica J. (DOC)Sent: Friday, March 13,2009 11:44 AMTo: Berthon, Ralph M. (DOC)Subject: FW: 14-053 - Medical Marijuana FormGood morning!' Since you're the Policy Owner for 380.200, I guess you need to give approvaL to the chpnges we've madein this form. . . ' 'Karen will be sending out a memo next week and would like to include the updated form along with it.Please let me know if you have any questions.Thanks, Ralph!Monica DistefanoExecutive As'sistant to1000384~

Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360)725-8796mjdistefano@doc1·.wa.govFrom:Sent: .To:Subject:Distefano, Monica J. (DOC)Ttiuj-~day, March 12, 2009'4:07 PM .. Daniels, Karen R. (DOC)FW: 14-053 - Medical Marijuana Form. Karen, I talked to Armando and he thinks this looks good: ..·I've kept the changes in the document.'Monica DistefanoExecutive Assistant to. Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa.govFrom:. Sent:To:Subject:«File: 14-053.dqc»Armando -Distefano, Monica J. (DOC)Wednesday, March 11, 2009 3:13 PMMendoza, Armando (DOq .14-053 - Medical Marijuana FormWould you mind reviewing this medical marijuam;l.form and letting me know ifyo'U see any other changes that need to bemade at this point?Thank you!2OOP385

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC) .Monday, March 16, 2009 11 :49AMMorgan, Diane L. (DOC) .RE: 14-053 - Medical Marijuana FormThank you, Diane. Looks great! :)Monica DistefanoExecutive Assistar)t toKaren DaniE;Jls, Assistant Secretary'Community Corrections Division7345 Underson Way SW ,Tumwati3r, WA 98501 MS: 41126(360) 725-8796 'mjdis~efano@doc1.wa.govFrom:Sent:To:Subject:Morgan, Diane L. (DOC)Monday, March 16, 2009 11:22 AMDistefano, Monica J. (DOC)FW: 14-053 - Medical Marijuana FormMonica-'Please see attached below this is what I will be posting to Inside DOC. Let me know if there are any changes.Thank you,DianeFrom:Sent: .To:Subject:Distefano, Monica J •. (DOC)Friday, March 13, 2009 12:19 PMMorgan, Diane L. (DOC)FW: 14-053 - Medical Marijuana Form« File: 14-053.doc »Good afternoon, Diane! We've made some changes to this form' and the policy owner, Ralph, has approved them (please',see email trC\i1).How q'uickly can we get the updated form posted? Karen needs to send a msg out the 'fir~t of next week as this needs tobe ,effective immediately.Please let me know timeframes for this and if you need anything else from me.Thank you!Moni.ca Distefc:i'noExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division ,7345 Linderson Way SW,Tumwater, WA 98501 MS: 41126(360) 725:"8796mjdistefano@doc1.wa.gov1 000386

From:Sent:To:Cc:Subject:Berthon. RalphM. (DOC) ,Friday, March 13,2.0.0912:12 PMDistefano, Monica J. (DOC)Mendoza, Armando (DOC)RE: 14~.o53 .. Medical Marijuana FormNo, it 'is ok, Arma'ndo cleared it up we are good to go.,From: 'Distefano, Monica J. (DOC)Sent: Friday, ~arch 13,2009 11:59 AMTo: Berthon, Ralph M. (DOC),, Subject: RE: 14-053- Medical Marijuana FormWouldifhelpyouif I send the draft memo Karen will be sending WITH the form?«File: Medical Marijuana,Process Change 031309.doc »Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary,,Community CorreCtions Division ", 7345 Linderson Way' SW·Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1 :wa.govFrom:Sent:To:Subject:Berthon, Ralph M. (~OC)Friday; March 13, 2009 11:57 AM ,Dist~fano, Monica J. (POC); Mendoza, Armando {~OC)FW: 14-.053 - Medical Marijuana FormI really can't approve it. I know there is a distin~tion between prescriptions for marijuana in a raw form (marijuana) and forMarinol, a synthetic THC in pill form. (FYI, Other forms are being developed such as inhalers and patches.) This DOC form, ,needs to clarify the distinction. We probably do not care if the scripUf for Marinol, but we do care if it is for leafy greensubstance. 'RalphFrom: Distefano, Mpnica J. (DOC) .Sent: Friday, March 13,200911:44 AMTo: B~rthon, Ralph M. (DOC)Subject: FW: 14~053 -: Meqical Marijuana FormGood morning! Since you're the Policy Owner for 380.200, I guess you need to give approval to the changes we've made'in this form.Karen will be sending out a memo next week and would like to include the updated form alongwith it. 'Please let me know if you have any questions.Thanks, Ralph!Monica DistefanoExecutive Assistant to2000387

Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: '41126(360) 725-8795' .mjdistefano@doc1.wa.govFrom:Sent:To:Subject:Distefano, Monica J. (DOC) .Thursday, March 12, 2009 4:07 PMDaniels, Karen R. (DOC)FW: 14-053 - Medical Marijuana Form'Karen, I talked to Armando and he thinks this looks good.I've kept the changes in the ,document.Monica DistefanoExecutive Assistant toKaren Daniels; Assistarit SecretaryCommunity Corrections Division7345 Linderson Way SW .Tumwater, WA 98501 MS: 41126. (360) 725-8796mjdistefano@doc1 .wa.govFrom:Sent:To:. Subject:Distefano, Monica J. (~OC)Wednesday, March 11,20093:13 PMMendoza, Armando (DOC)14-053 - Medical Marijuana Form"«File: 14-053.doc»Armando - ,Would YOll mind reviewing thisrnedical marijuana form and letting me know if you see any other chang~s that need to bemade at this point? . . .Thank you!3 000388

Distefano, MonicaJ. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, March 19, 2009 9:05 AMJOhn_'on' . 'ahk ) .RE: .. "':", '

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, March 19, 2009 11 :35 AMAdams, Karen P. (DOC) . ,RE: CCD Medical Marijuana Process Changes MemoAnytime.Monica DistefanoExecutive Assistant toKaren D.aniels,. Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725~8796mjdistefano@doc1.wa.govFrom: .Sent: .To:Subject:Adams, Karen P. (DOC)Thursday, March 19, 2009 11:34 AMDistefano, Monica J. (~OC) .RE: CCDMedical Marijuana Process Changes MemoThanks!!From:Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, Ma~ch 19,·2009 11:33 AMAdams, Karen P. (DOC) .,RE: CCO Medical Marijuana Process Changes MemoYou are correct - it is DOC 13-035: It's also linked to Policy 380.200 which generally outlines Medical Marijuana forCCD.'Thank you for double checking! Please let me know if you need anything else!Monica Distefano ,Executiye Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345' Linderson Way SW .Tllmwater, V\IA 98501 MS: 41126(360) 725-8796 ' 'mjdistefano@doc1.wa.gov'L-From:Sent:To:Subject:, Adams, 'Karen P. (DOC)Thursday, March 19,200911:24 AM'Distefano, Monica J. (~OC)FIN: CCD Medical Marijuana Process Changes MemoMonicaIn reading through the form to be filled out by U'ie prescriber, it notes that the patient's accompanying Release ofInformation authorizes that individual to provide the information. Since this is a medical issue, I am assuming theRelease of Information to be used is DOC 13-035, Authorization for Disclosure of Health Information rather thEm a, general release of information form, but I don't see that specified so I thought I would check so I know what to tell my100('380

staff.ThanksKarenFrom:Sent:To:ee:Subject:Daniels, Karen R. (~OC)Thursday, March 19, 2009 11:01 AMDOC DL ALL CCD STAFF .Vail, Eldon W. (DOC); Strange,

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, March 19, 2009 11 :33 AMAdams, Karen P. (DOC) .RE: CCD Medical MariJuana Process Changes MemoYou are correct - it is DOC 13-035. It's also linked to Policy 380.200 which generally outlines Medical· Marijuana for CCO.Thank you for' double checking! Please let me know if you need anything else!Monica Distefano. Executive Assistant to, Kar~n Daniels, Assistant SecretaryCommunity Corrections Division .7345 Linderson Way SWTumwater,WA98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa,govFrom:Sent:To:Subject:Adams, Karen P. (~OC)Thursday, March 19, 2009 11:24 AMDistefano, MonicaJ. (~OC) . . .FW: CCO Medical Marijuana Process Changes Memo· .·MonicaIn reading through the form to be filled out by the prescriber, it notes that the patient;s ac~ompanying Release ofInformation authorizes that individual to provide the information. Shice this is a medical issue, I. am assuming the Release"of Information to be used is DOC 13-035, Authorization for Disclosure of Health Information rather than a general releaseof information form, but I don't see that specified so I thought I would check so I know what to teli rl!y staff.Thanks ..Karen·From:. Sent:To:Cc:Subject:Daniels, Karen R .. (~OC)Thursday, March 19, 2009 11:01 AM,DOC OL ALL CCO"STAFF . ,Vail, Eldon W. (~OC); Strange, Cheryl E. (DOG); Bloni.en, John 'Scott'; Hammond, G. Steven (~OC)CCO Medical Marijuana Process Changes MemoGood morning! Please see the attached memo which identifies changes in the current medicinal marijuanaprocess. I've also attached Form 14-·053 which was updated on 3116/09to reflect the change in process.In addition, I've broken down the process to giv,e you a little guidance on timeline expectations.,. . .' .Please "feel free to con.tact me or my assistant, Monica Distefano, if you have any questions.Thank you!«File: Medical Marijuana Process Change 031309.pdf» «Fiie: 14-053 Medicinal MarijuanaFonn .031609.doc» .Karen DanielsAssistant Secretary3

Community Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Ceil: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.gov4

Documentation of Medical Authorization to Possess Marijuana', . for Medical.Purposes in ·Washin§ton StatePATIENT NAME: ---'-_--' _D.ATE OF BIRTH: ~ ./I, Dr. Mohammad H. Said , am a physician licensed in the State of Washingtonand I am treating the above patient for a terminal .illness or a debifitating condition as·defined by .~~~e ~:d~i~~ih~'a'boven:amed patient about the- pot'ential risks and benefit~:~f. th~' ~edi~a(:L\se .,.0 •. ; .. ::: .:: :'of marijYana. ·I.have assE;!ssedthe 'above named patient's medical history and riledicai, c~Jndiii6r)}.. ,'It is my medical opinion that the potential benefits_pf the medical use of marijuana .maioutWei.gh .' .~. ..the health risks for this patient. .' ..., p. hysician Nam, e: Dr. Mohammad H.Baid " WA Usense Number: ' .. "MDooo'1831i-~~=':":":":';'::;';:;"":":":'-==--'--/' ", .. ~ '. "." ~:ilL~o-

Safer Legal Appr:oach to'Medical,Marijua.na,'MediCal. Clinic Re~eipt'InstaJlmenf AtlJ'eement" Patient Name: 'b'o'ctoF'Seb'Today: DL Moharnmad Said Mb.' . \ . :~:~, . ~ .'" ",. . . .....' . . .: ... ::;, .' . '. ~ ., A'mount Due: " . , ' ' ' ", ," '5/32-60. ,. :,,,~/?,,,,:,,,,,.;:'::,,, ','+-AdlTli,n Fee~~~,'" r;(r:;~~ Pre;Pa'id.'. , , PIF, 'patj e~l{ iias" ;Jai:d,';, :;205" ":":"',",':, ""~:"~~1'5".-:): ,r2i: ~@~:w~~.~~ )il~/~lerch:l1ic' f~:"~~'~~"$,' :'( ,:' ~ ',: ~,,', .. ",;:;,';' , ""::"," "The re~aini~g b~MC~~1al1 ,5ee~i~in i~aill11eJjts ~/$ .•.~. ,.':: ..• ~~er,/ ,:,eeklmoml~. s~~ l,ilyment ....shaH be due on ' "" .. ' " of each week/month, "An adm!lllstrative fee of $5.00 shall be "assessed' and ,is included 0 each. )av111eilt If paymel1t plEin is change~l i1ati,el1t may 'be '$ubJe~t tp', '~,additional admhlistrative fe s.' '. , . . 'A te~~pol'aryrecomn?-endation 'ard/i~t~er wilJ heissLI~d' ~lntil p,~y'niel~t is made b,'fhii uJ.~oil:~l "~hi.~l~'tjn~~ ,patie,nt'shall be iSSi.l~d .their peni: ne~lt card .. ' , .' , ,,' ' .. 'Failure to'il1ake payments 1ihall be emed as abr~'acI} of tbis~ agreernent lipori which time CBR'Medical,Inc. shall Mve'the,right to P1'9c~ed '\iVi 1 an)' and aii legal i'emedies to collect the halance due. A '12%, .anm.ial hitel'est rate o'n the l;em:ahlingba ariee wHl be assess~d from the date this agreemeilt is broken.. '. '. .: .: 'J,'CBR Medical~ Inc. does' l10taccept check's,' how~ver' on the .rare occa~ion that we dO't;tccept tl c~eck theJ~e ,will be a '$3'S. 00 JeeOf Of any.r,eturn~dch~ck plus any fees associafed with the colfection 'of such q:ebt' , .includiilg a 12% Rnlll1al intei'est rate"o,n the balance due. .. ..."... .".. :" ....I ha~e read~J~e ~b~v~' agrc:e~11eJ#, Uli~er~t~~c! '~n~, agJ:6e'1o thetern1~ a~ set faith Elb~ve. '. .' . :".. .: .~.'" .da{:~f' Q,t;' C, ~2008'","'. IWe appreciate' 'your b~~il1es~"~';191ook fOl:warci to ~~~ing yC)U again next year f~r your. rene~a1. If you 'have questions or need further assistance please feel free to call us. The greatest cothplin:ientyc),Ll can 'give us is to refer your fri.,erids." ' ,'. . I•. f':Sincerely~. ../ .--' J-~''','''Y'''1 / ,/ ',,/f' / /'ct::.--' .L>r:""':"::.1 ~~\ ...,;,.«'Melissa LeggeeC1inic Administrator, Seattle Phone 206~774~6493 Fax 206-418~6659 . Spokane Phone 5(j9~242,-8624 Fax 509-34()~271 0Tri-Cities Phone 509~4 J 6-2267 Fax ~09-340-271 0, VCjI1COllVer Phone 360-635-6464 Fax 206'-418-6659eRR Medica( fne, - ,3115 E. Mission Av~, Spokane, Wa 99202 ' ,000395'

:~ .'...!,.:.". '.. . .::

___-.,-__'-------,-:-_-'----,-__ 00 ___ 00 ___ ••'.,-.: ......... . ~ : = .'. =., '. "~. ":.... : ... . .....:.;. .... ........' .... '.~: .. ,. .:.. :.",".. ~ ........ ;. ........~~i~'~¥i:!2~~;J~~PATiEN.T·N~Mi;:·:'_ '.,I, .or .. Mohammad H. :S~ld;a~'a .Ph~~l~iah lI~e~sedlri:the.S·tl.te·olWashlnglon"l.amtreatil)g·.the· .• bove.namll~ pa.tlentlor.a lerminallllness oradebilitating 'condition as defined In RCW 69.51A.01 D. I have advIsed the abovnamed patl,;'nt ~b.o~t '~fie:;poterii;al ri~ks ~rit! benefits 01 ihe .medlcal u,se ofmariJuana: I have .... se·ss·ed the abbile named patient's medical hlslory andmedlcal·condlllo.n: .. lt'ls my medl~al:oplr1i'on that the pOlential benefit. 01 themedical use of marIjuana may outweigh the health rlB~s for this qualifying palSSUEO;:\2i~~/~Db8":::' ,' .. ':'. :,,'p' )(,;-1"E:>"'''PlRE.S: 12/05/2009.....{I,-D-r-.-rv""lo~h-a-m-In""a-(-'l H--.-S"'a""'id"---:lV-i--D""O""()Q:-l=8~·...../".':'. .. '.~'000397

. ~f!\'r'e:CICrSIl/~c:lO.-(@1~\'?_,~STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSAUTHORIZAT]ON FOR DISCLOSURE.OF.H· .. . NOFFENDER I.D_ DATA:. I ______. hereby authDrizethe use or d/.sclosure Df my health infDrmation _ndividual Dr Drganization is authorized to make the 'dis~I~~ure~ _. . .., . .' ".NAME: Dr. YYlull "ct.. /I 'l )~,'(..Q - -.ADDRESS: -=::'-!---='--=-..!-:..!:.-'-"-"--'-'-'''''''->-....!.-f-I4--=--:-------~-TI-i~ type cind-date(s) of infarmation to be used ar disciOsed is as fciilows:-1\. . .~. " . . , /. " rJ·: ..1.-11 ., r---t7 ,If-Purpose far disclosure: 5-vp~'1/lfu?::"'-k1 4· :[)I:~l~-~I understand that the infarmation in my health recard may include. infarmatian relating tD~exuallyJransmitted ..infectians; Acquired ImmunDdeficiency Syndrame (AIDS), ar HumQri Immunodeficiency Virus (HIV). It may also.include information about behaviorai or mental health services and treatment for alcoh.ol·a·~d drug 'abuse.This information may be disclDsed to. and used by th~falla~ing individua.l ar orga~ization: ... NAME:' ... ~-C~,C:S:;'\

S'C',c,TE OF. WASHI/~GTONDEPARTMENT OF CORRECT/OllISau~horize the use' pr disclosure of my liealthiFlformationnization is authorized to make the disclosure: .'"! '0" ,"') :·'4.; . r"' -/. .NAME: ( •.,,,;,';. /f. /t/(ln' (.(..... 4:, -.".;.. /1.(.ADDRESS: "'1(7 C i;' .---'..:.--... --~--":"-~-' ---_. -----_._---h 1-1 :~I understand that i have a right t~ revoke this a~thorization at any time. I' understand that if I revoke thisauthorization I must do so in writing and present my wiitteri revocation to the Health Information ManagementD~partrrient. I understand that the revocation will not apply to information that has already been released in, response to this authorization. Unless otherWise revoked, this authorization will expire OD the following date, event,. or.·condition:·· ~:)-.~. ':'7 -,:

OFFENDER 1:0. DATA-ST,t:\TE OF WASHINGTONDEPARTMENT OF CORRECTIONSMedicinai Use.of f\IIariju~na Verification,.....To be filled btJt,by Presc~ib~r:' ,Dear Prescriber, " ", '" , , ,,',.,' .8ystate stE!tu.te. tb~ YVasl1in~t~n~St?,te Departni~ntof Corre.c~ions.is charged with the·.,re$ponsib,illty 'to supervise ~oril'e: " :' ,offenders after they have been Convicted :ofa felony. The' above, named patient is currently uiider supervisiOn by the. ''',' ,D~partml;lnt. Supervision IS designed to help the offender avoid those environments or sltuatiOris that lead'to theircrimirial, behavior. Often illicit drug 'use is a contributing factor 'in"an individuaJ's criminality. Ac.co~dingrY.it'~"us:u~1 that tl1890li~ 0(,.the Dep8i\ment of Corrections will impose a conditi.on of supervision that the offender not use, or possess iIIicit.dr~igs:·.. ;',inciuding marijuana. Tilis offender has Claimed fhat they have a coridition for which the medicinall,lse of ri1~rijual}ah~s "been recommended. The below verification is to determine the legitimacy oftheir cla.im. Thank you in,~dvance for your. 'assistance. If ys>u have q ut?~tions' please feel free to p.ersonally contact the Medical qirecto~ of the (bep·art.ment a.t, (3~b)725-8700. . . . . . :' '." "/" .. .' ., 1.' Is this patieht.lInderyour care? ,0 Yes," ,Di'llo", ',,2.Are'you recommending medical marijuana for his patient due to a diagnosis of Acq uiredImmunodeficiency Syndrome,'(AIDS)' ,a.lf the answer to question 2 is "Yes", does he/she'have anorexia?', . ....b. If the answer to question 28 is "Y~s", does he/she have weight loss?DYes'DYes'.·o Ye's3. Are you recommending medical marijuana for this patient due to nausea and vomiting" associated with·c$ncer chemotllerapy?' DYes4.5.a, If the 'answer to question 3 is "Yes", has the patient failed to respond to conventionalanti~lT:letjc treatments? ' , ,; .... ", M.'. ,DYesb. If the answer t~ question 38 is "Ye~", please describe What those tl:eatments were (medfcaticin, dose"duration):,. ....... ," •. > . d /' rr.-."",. ,,' . " , ': ,"".. ".'c.... ( "''',' " ','. 'TJf~' "" ,,',What is the planned schedule of chemotherapy? " ' ' , ,If' yo~ ~nswer~d ,,'No" to ite~s 2&3 above, 'what is the~r~~~on you are i-econlmending~~edicinal ~Ise' 9fmarijuana? ' ... '.' I '" \. " 0ci..ti.;c" /\.....\. '-r-t.--"l:;:-:I~-c.;\"a. Please provide evidence publislled in a p~er.reviewed scie'ntific publication to suppcirt the medicinal use ofmarijuana for this'purpo~e? ' , '., .,', .. ' ." ,,~C) ,\ " (,:' ''f).. ,.,..\, .~~- .....-,,-.. ~ ....- , ) _.

Prescri8er's Name (Print)Prescri er's Signatu e'\ ./: //..;;r'. , .·1,... ~/t; J . .iV,J,->-,. .'License #; License type: _~'·..,... '. .:.............. :~ :":' ~ ..:": . .'..'.:.:.:.'. ~ _h '., _ .... :'.' ................ ~~. ~.'. ".: .... ·.ro be filled out by DOC Physician:. . . .:' ....... ;..' .. ::.".I have reviewed this verification fprm and find that. use of medical marijuana by this patient'. (check one) I 0 isO' is not; ':. . ..... :.. " .... . . .' .' .. consistent with DOC' Policy. . .' ..Physician's Name (Print)'.p'hysician's Signature~ate ,:Instr~ctions to DOQ Physician:. When f~rm is completE!: ..1. . Em~iI. your finding above fothe' Assistant Secretary for Community C.orrections2. File this form and the accompanying Release of Information in Liberty as a Co'mmunitY cor~e.ctions He'alth ·Record.State law (RGW 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 infonnation without the specific written consent of the person to whom It pertains, or as otherwise . :permitted by law. . . 0 0 0 4 0 1DOC 300.2.00

. STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.o. Box 41100· Olympia. Washington 98504-1100l\1~rch' 26~ 2009.r recei\red 'yourrequest from your physician on February 16, 2009, to appeal ~he ~eIrial of· . yoUr initial ME1dicinal Use of Marijuana Verification. . .· III the interest of public safety and protection oft)J.e community .at large, I find your.· request for Medicinal Use ofMarijuana~. whileunder the supervision of the Department· of Corrections; is ·dfmied. . . '. .I would encourage'you to continue to program:in a positive mannl?r~ ~ol1owing thedirec.tionofyour as~ign.ed CCO andybur conditioris of supervision ..' SinC~erelY' .. ' ~'. :'.·.1. p ". ·v~·. . -::-t .... .. .· Karen Dariiels, AssistantSecretar)TGommunityCotrections Division··KD::io.dc.G: Misi Nimese Liulamaga, Comn1umty Corrections Supervlsor·Erin O'Donnell, ~ Corrections OfficerField File - DOC_ .Physician's Office: ' .Attn: Melissa LeggeeCBR Medica1 ·3115 E. Mission Ave.Spokane,· W A 99202·" Working Togeth~r for SAFE C,?mmunWes".&:~f) rcc)"dcd Ilnpcr000403

O'Donnell. Erin M. (DOC)From:Sent:To:,Subj~ct:Distefano, Monica J. (DOC)Mo~day, February 23, 2009.10:40 AM .'.'I. (DOC); O'Donnell, Erin M. (DOC)We·r.eceived an appeal to Mr nal marjiuana.depial from his phys~9ian; .. ". , .:. '. ~', .. Ple~se' do not proceed with any'violati6ns related to the medicinal marijuana u'ntil the deCision :has' been 'm~de o'n th~ .':'. appeal in the next 30 days, '. .... .... .' . . ..... '. . .:.' . ;'. ," .'...... .'1 Will'let you know' the o utCt?lT) 8. .': .,'. ,.. . .' .. " : ", ' ..Tharik you!...... ; :" .Monica DistefanoExecutive 'Assistant to. 'Karen baniels, Assistant Secretary· "Community Corrections Division7345 Linderson.Way SW'Tumwater, .WA 98501 MS: 4'1126(360) 725-8796 .mjdi.stefano@doc1.wa .. 90v" ..'. j.: • -.. : ...... : ..I"; ..... ',,' .: :,.~. .' ... :, ': ~.... , ...1OOC404

Page,2of2After the initial denial, they are ,allowed 1 appeal. Once that appeal decision is made, it is final.Monica DistefanoExecutive Assistant t6Karel) ,Daniels; .Assist~nt Secretary'Commu'nity Corrections'Division7345 Llriderson \/Vay SW'tumwate'r, W~. 9850,1 MS: 41126(36(J) 725-8796 " "'mjdistefa~o@doc1.wa.~ov,',From: O'Donnell{ E'rin M. (DOC)Sent: Tuesday~ March 03{ 2009 8:24 AMTo: Distefano{ Monica J. (DOC)?ubjeq::, Medical Marijuana "Hi, me again!·1··.••• •.• "~ . ., •• 1.". ,': ,:. . ~,,:".,Just.curiol:ls -,Haw many appeals to a medical marijuana denial is 'the offender allowed before, the decisjon byKaren Daniels is final? ,'",' " 'Erin O'Donnell, ' ' .Community Corrections Officer If 'BE Seattle Unit' '206-516-7812 office'206-423-7126 ne,xtelWashington State Department of CorrectionsSeattle Community Justice Ceriter ' ", '1550 4th Ave SSeattle, WA Q8134,000405

Page 10f2O'Donnell, Erin M. (DOC)----:--From:Sent:To: .'Distefano, Moni?a J. (DOC)Tuesday, March 03, 200S} 8:33 AMO'DOnIiell,~rin:M, (DOC)S~bj~ct:' RE: Medical Marijuana.~------.--.-.--·r .::~:.', You are borrect! once his appea'l is denied, you will begin violating for use, .. ",· No ~eed 'to do. any retro-active violations, Just put him on notice that you want to see th~ levels inhi~.bQdy .: . pecli.ningt()' show .tbat h~ is.no ]onger ~sing a~er the~pp~al decisi.on is communic~t~~" 59 ·ti~ wil.l, know .he wiJl'be '. ". '".. violated for use qeyond .t~Qt poirit.. '. . .'.: .' ...... , ..... . :', ..: ..... ,... " .:: :/~., .. :.::, .. :: .,': .. .... .:" .':""'." ",.: :: . Does: th~t' help 6rdid:1 just make ~t more confusing?.... : : .., Monica DistefanoExecutive Assistant toKa,'en Daniels, AssistanfSec'retary9ommu.nity Corrections Division7345 Linderson Way SW .·Tumwater, WA985Q1 MS: 41126(3qO) 725:-8796 ...rnjdlstefano@doc1.wa.gov"· -. --.,....,...--_._----_.f,rpm: O'Dqn.neH, Eri~.M. (DOC)Sent: TuesdaYi March 03, 2009 8:29 AM. To: Distef~3'hq,'Monica ]; (DOC) ..· Subj'ettiR\=: Medical Marijuqna :",', r ,": .;',.. '":.. . . ' ~'..: ..· So if ~r;"curre'nt appeal is denied, I will have to begin violating for us'e:~orr~ct? '.' .~Iso·. ~. Is' ~'~~Ia~ion for u~e .re;ro~·activ~? AKA ~o I ha~e.to violate hi~' ar:ty use th~t ~~c.u;~~d '~hiie pap~rWork :.was being processed? . . . ..... ". ".i-hank~ f?.[.~~e:speedy r~sp?nsE!!;! .I'ye,been asked to 'pr~sent this.information ~whaf I'ye learned Wit~tO., '.my Unit at our staff meetIng today; .' . . .. '" ." .. '. . '. ...... . ". . .'Erin O'D.onnel/Community -Correctio.ns Officer 1/SE Seattle Unit/Seattle Community Justice Center206-.516-781-2 . .. . . . . ....-:O...-rr"'..·I....-;.....,"'!ll..::..""'...,,':'M-:"'"'r,.~:o!"""l'~.-:-·.. ~.,.,·r .. M'!":"':'M·If"1'M",.,~_'l"I.,...'!":"': ...:-I":':or~~l.,...,..... ~.:~I~· .., ...,."1':'~~~~I.,.,~'l",......:'J"~N"I.:-r-=~-,---.:--r~!":~·-n-l""'>~~r.;.,.'~~I~...,.f':'l':'%'r"",,,"From: Distefano, Monica J. (DOC) ..Sent: Tuesday, March 03, 2009 8:26 AMTo: O'Donnell, Erin M. (DOC) .Subject: RE: Medical Marijuana.' Good morning! .000406

. Page 2 of3decision is made, we will communicate that decision in writing to the offender with a copy to you (the CCO),. the CCS., and the medical provider. . .The offender and the medical provider then have 15 BUSINESS days (3 weeks) to submit·a written appealdirectly to Karen . .ol}ce Karen receives the appeal, a decision on. the appeal will' be made withir.1.30busif"!ess ... d·~ys. That d~cisio~''ijill again ~e. commun!cated in writing to the same folks listed above. . . .... ':', ...,. , ,Any violations related to the use of medicinal marijuana should not be issued until this process h~s ..run it§ co'ur~e,. .,' . ~ . . .Please do'"not he:sItate to ~aJI me if yciu hav~ any

JAN 2·8 ZUU~1""",_ .. pJ.:§~,C.~_C; ..STATE OF WASHINGTONDEPARTMENT-OF CORRECTIONS""P,O. Box 41100' Olympia, Washington 98504-1100 ... .. ..'" .: 1,January 26, 2~09 . ".... ; ""~-:-" .. ' ,- ... ·.}:o:.-~ .. :.,.·.:::·:·:>I .. :'" : .: .... ,: ~:'.~ .. .' .. : '-. ,/ ...... ',,'...:".'." .: ..... ..,:, ~ .:: .' ~.: .. ' "~" ~ :: ... ,'-Your Medicinal Use of Marijuana request was received on January·14, 2009. UpontevieW by the .... - '"" Department of Corrections' Health Services physician, your request has 'been denied ...... '.. ' ':~:':::

Page 1 of3 .O'Donnell, Erin M. CDOG)-:----_.,From:Sent:Distefan~ • .Monica J. (DOC).Thursday. Januaiy i9. "2009'8:59 AM. To: '. O'Qonneli. Erin M. (DOC), '.SuQject:· RE: Medical Marijuana. "/" .... , ...... ' ';.. . .... ,.-: ..Yes, Ma'aml'--------_._--I highlighted the s,E?ction .abo~t appeClls in red:. ". . ','... .. . ... Please let me' kri'o0 If yo'u' '~~'~~'~ri~tl!ihg elsel. ": .. : .. ' :,',: .. ': .' "':- .: .... ,.... -, . ..', .': ..Monica OJstefarlo. ... '.Executive Ass.istant to.Karen Daniels I. Assistant Seqretar:yCommunity~orfedi6ns Pivisibn. .'.· 7345 Linderson' Way$W .... ':-.... Tumw:ater; WA 9850,1 MS: 41126 .(360) 725-8796 .'rnjdfstefario@d~c1.wa.gov,.' ..... .'; . ~ .~ 1 .:. ': ':"._.,..---'--'--- .. -.--~---..,..--.--.----.........---...---......--........,..--· From: O'Donnell,. Erin M. (DOC), Sent: Thursday, January 29., 2009 8:46 AMTo: Distefano, Monica J .. (DOC). '.Subject: RE: Medical Marijuana ...' . . ~ .. Does "this process" inGiudethe appeals?'Erin. O'Donnell,Community Corrections. Officer /I. . .SE Seattle Unit/Seattle Community Justice Center206-516-781~ ...: :. '. ."- .. -------.;. .. ---.. _ ........ 'f" .. __ -:--___ ~ .... --... ~:O .. _~ ____ .... _.-:..... .... -~ ...... - .... -_ .... __ "t" .... __ ....: .. _.;.. ___ ~ .. ;.......... .... ~-.. ----.I_From: Distefano, Monica J. (DOC)Sent: Wednespay, JanuarY 28, 2009 5:42 PM· To: O'Don'nell, Erin M. (DOC) .· Cc: Liularrla'ga,Misi Nimese.1. '(DOC).. Subject: RE: Medical'Marijuana'. .· Hi, Erinf. ,I'll try and explain the pr~cess. Ijut feel free to call me if you have any other questions..' ...._:1..-__:..-":"-..--" •According to policy and the admin bulletin, the offender and their medical provider have 2 weeks once they've. received the verification form to complete and submit it to the DOC HQ Physician for review. Once the Physiciari.receives the form. there is no set fimeli~e for him to r~view and make his determination; however. once that000409. '

Distefano, Monica J. (DOC)From:Sent:To:Subject:-Distefano, Monica J. (DOC)Thur~day, March 19, 2009 12:05 PMSheppard, 'Sandra K. (DOC)RE:· CCD Medical Marijuana Process Changes MemoHi, Sandy! I will check with Health Services and let you know today ..Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary. Community Corrections Division7345 LihdersonWay SWTumwater,WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa:govFr()m: .Sent:To:Subject:Sheppard, Sandra K. (DOC) .. Thursday, March 19, 2009 11:12 AMDaniels, Karen R. (DOC)RE: CCD Medical Marijuana Process Changes MemoI have a case that was submitted a couple of weeks ago,Any news on his request?Sandy Sheppard .Community Corrections Officer 3Cops Nevawood4705 NAddisonSpokane, WA 99207509-482-36;32From:Sent:To:. Cc:Subject:Daniels, Karen R. (DOC)Thursday, March 19, 2009 11:.01 AMDOC DL ALL CCD STAFF .'. . .. . . .Vail, Eldon W. (DOC); Strange, Chery! E. (DOC); Blonien, John 'Scott'; Hammond,G. Steven (DOC). CCD Medical Marijuana Process Changes Memo .Good morning! Please see the attached memo which identifies changes in the current mediCinal marijuanaprocess. I've also attached Form {4-053 which was updated on 3116/09 to reflect the change in process .. In addition, I've broken down the process to give you a little guidance on timeline expectations.PI~ase feel free to contact me or my assistant, Monica Distefano, if you have any questions.. .Thankyou!.«' file: Medical Marijuana Process Change 031309.pdf» «File: 14-053 Medicinal Marijuana Form031609.doc» .Karen DanielsAssistant SecretaryCommunity Corrections Division .Department of Corrections5.000410

7345 Linderson Way SW'Tumwater, WA 98504Office: 360-725-8787',Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@docLwa.gov" .6000411

Distefano. Monica J.' (DOC) ,From:Sent:To: ', Subject:DistE3fano, Monica J. (DOC)Thursday, March 19, 2009 1 :45 PM ,Hendricks, Richard B. (DOC); Bishop, Rebecca L. (DOC)RE: CCD Medical Marijuana Process Changes Memo '. . '. ..' ." .' . . . . . .Marinol is a synthetio formulatioritaken in a pill form and'can o'nly be obtained with a prescription.If the individual requests to use marijuan~ medicinally, they will need to fill out the form Clnd go through the process Karehoutlined in her memo.'Please let me know if you haye any other questions!, Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way 8W 'Tumwater, WA ~8501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:,To:, Subject:Hendricks, Richard B. (DOC),Thursday, March 19, ,2009 1:19 PMDistefano, Monica J. (DOC)FW: CCD Medical Marijuana Process Changes MemoFrom:,Sent:To:Subject:Bishop, Rebecca L. (DOC)Thursday, March 19, 2009 12:51 PM ,Hendricks, RiChard B. (DOC) ,RE: CCD Medical Marijuana Process Changes MemoRi~ ,I haye a question about this and I didn't think that Ms. Daniels meant for us tO,literally contact her withque~tions, so I'm sending it to y,?u.' , " .The letter says Marinol, which is what I understand it the medical equivalent of marijuana, obtainedthrough a prescription. What If our offenders are using marijuana that they obtain from the.ir local,'distributor' and not through legal means. I'm not really sure where they even get it i,n'Washington ifthey have a prescription" but I'm aS$uming theyare not entitled to grow it themselves or to buy it onthe street. Am I correct about that? ' . , ,RebeccaFrom:, Sent:'To:Cc:Subject:Daniels, Karen R. (~OC)Thursday, March i9, 2009 11:01 AMDOC DL ALL CCO STAFFVail, Eldon W. (~OC); Strange, Cheryl E. (DOC); Blonien, John 'Scott'; Hammond, G. Steven (~OC)CCD Medical Ma~ijuana Process Changes Memo'Good morning! Please See the attached memo which identifies changes in the current medicinal marijuana'process. I've also attacheq Form 14-053 which was updated on 3/16/09 to reflect the change in process.7000412

in addition, I've broken dow~ the process to give you a little guidance on timeline expectations.Please feel free to contact me or my assistant, Monica Distefano, if you. have, any questions.Thank you!«File: Medical Marijuana Process Change031309.pdf»031609.doc »Karen, DanielsAssistant SecretaryCommunity c~rrections DiyisionDepartment of Corrections7345 Linde,rson W~y SWTumwater, WA98504Office: :il60-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaQiels@doc1.wa.gov«File: 14-053 'Medicinal Marijuana Form..8000413'

Distefano. Monica -.1. (DOC)From:Sent:To: .Subject:Thank you very much! I'll send it to you within the next day.Monica DistefanoExecutive Assistant to. Karen Daniels, Assistant SecretaryCommunity Corrections Division.·7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-·8796'mjdistefano@doc1.wa.gov :From:Schemnitzer, Michael S. (~OC)Sent: Monday, March 23, 2009 5:25 PM .To:Oist~.ic.aJ.. (Ooc ...... ·Subject:· RE:~She will be going to OMMU but if you~end 'it tome I will get it into her file for "you.From: . Distefano, Monica J. (~OC) .Sent:Monday, March 23, 2009 4:~8 PMTo:Subject:Good afternoon!I have a letter from Karen authorizing Ms,use marijuana medicinally.I want to send a copy to be held in her field file~Are you her assigned ceo or is there someone else I could send it to?Thank you for the inform·ation!Monica DistefanoExecutive Assistant toKaren b~iliels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360)725-8796 ..mjdistefano@doc1.wa.gov10000414

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC) .Tuesday, March 24, 2009 10:47AMSheppard, Sandra K. (DOC).RE: CCD Medical Marijuana Process Changes Memo,Hi, Sandy! Mr._re'quest has been denied ... ." . . .I will send a letter to him with a copy to you tomorrow outliningthe timelines, including when h~ must submit his appeal by.Please let me know if you need anything else.Monica DistefanoExecutive Assistant t6Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson .Way SW .Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1 ,wa.govFrom:, Sent:To:Subject:Sheppard, Sandra K. (~OC) ,'Thursday, March 19, 2009 11:12 AMDaniels, Kqren R. (~OC)RE:'CCO ME;!dical Marijuana Process Changes MemoIhave a case that was submitted a couple of weeks ago,, 'Any news on his request?I Sandy Sheppard .ComrrlUnity Corrections Officer 3Cops Nevawood4705 NAddispnSpokane,' WA 99207'509-482-3632, From:Sent:To:ee:SLlbject: 'Daniels, Karen R. (~OC)Thursday, M

Karen DanielsAssistant SecretaryCommunity Corrections DivisionDepartment of Corrections7345 Linderson Way SW. Tumwater, WA 98.504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.gov.12000416

Distefano. MonicaJ. (DOC)From:'Sent: .To:Subject: 'Distefano, Monica J. (DOC)Thursday, March 26,20092:14 PMChan, Winnie P. (DOC) ,RE: tvtX-4501N_20090326_142744.pdfWe can wait. I'll hold onto this until I receive that from you next week. Don't worry about the 2-week deadline since therewas a change in process in the midst of this one.'Please let me know if you need anything else!Monica Distefano,Executive Assistant toKaren Daniejs, Assistant SecretaryCommunity Corrections Division', 7345 Linderson Way SWTumwater, WA98501 MS: 41126,(360) 725-8796. mjdistefano@doc1.wa.govFrom:Sent:To:Subject:Chan, Winnie P. (DOC)Thursday, March 26, 2009 2:11 PM'Distefano, Monica J. (DOC)RE: MX-4501N_20090326_142744.pdfNo, I did'not get him to sign that but he's scheduled to see me'next Thursday. Do you' needit now or can we wait till next Thursday? Thanks.From:, Sent:To:Subject:Distefano, Monica J. (DOC)Thursday, Mareti 26, 2009 2:09 PMChan, WinnieP. (DOq .RE: MX-4501N.,...2009032IL142744.pdf, .Hi, Winnie! I received the form. Did the offender also fill out the medical release of information form? We'll nee,d thatas well.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson WaySWTumwater, WA 98501 MS: 41126. (360) 725-879'6mjdistefano@doc1.wa.govFrom:Sent:To:Subject:. Chan, Winnie P. (DOC)Thursday, March 26, 2009 2:08 PMDistefano, Monica J. (DOC) ,MX -4501N_20090326_142744.pdf« File: MX-4501N_20090326.:..142744.pdf»Medicinal Use of Marijuan,a Verification form.1000417

Thank you.Winnie ChanCommunity Corrections Officer iIIWest Seattle Field Office'6335 35th Ave Sw.; Seattle, WA 98126206-933-3400 MS: TB 75206-933-3414;' Fax,.2000418

Distefano. Monica J. (DOC)From:Sent:To:Subject: ,Distefano, Monica J. (DOC), Thursday, March 26, 2009 2:Q9 PMChan, Winnie P. (DOC) '.'RE: MX-4501 N_20090326_1427 44.pdf, ,Hi, Winnie! 'I received the form. Did the offender also fill out the, medical release of information form? We'll need that aswell.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryComrnunity Corrections Division,7345 Linderson Way SW,Tumwater, WA 98'501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Sent:To:'Subject:Chan,Winnie P. (DOC)Thursday, March 26, 2009 2:08 PMDistefano, Moni,ca J. (DOC) ,MX-4501N_20090326_142744.pdf« File: MX-4501N_20090326_142744.pdf», , . .Medicinal Use of Marijuana Verification form., 'Thank you.Winnie Chan,Community Corrections Officer illWest Seattle Field Office'6335 35th Ave Sw, Seattle; WA 98126206~933-3400 MS: rB 75206·933-3414- Fax3, 00041.9

Distefano. Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent:. Tuesday, March 31,2009 2:50 PMTo: Sm Ku Sean M. (DOC)Subject:Attachments:Please' s~e the attached deriial of medical 'marijuanaA hardcopy will follow.Thanks!Monica DistefanoExecutive Assistant toKare'n Daniels, Assistant SecretaryCommunity Correcti'ons Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126, (360) 725:-8796 ,mjdistefano@doc1.wa.gov1000420

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Box41100' Olympia, Washington 98504·1100March 26, 2009" 'Your Medicinal Use of Marijuana request was received on March 5, 2009. Upon review' by theDepartment of Corrections' Health Services physician, your request has been ~enied.You may appeal this decision by sending your written request within 15 business days, on or beforeApril 17,,2009. Please send your request to the addr~ss below: "Karen Daniels, AssistantSecretary, Community Corrections Division_ Department of CorrectionsP.O. Box 41126Olympia, WA 98504-1126Your request must provide additional infOlmation that was not included with Y9ut original request.Appeals that do ilot contain new information win be denied. You will re;ceive a response to yourappeal request within 30 days of receipt.'Karen Daniels, Assistant SecretaryCOnllnunity COlTections DivisionKD:md'cc: Kurtis Smith, Community C01l'ections SupervisorGregory T 't 1 ' C til U unity Corrections OfficerField FilePhysician's Office: 'Karen Hamilton11415 Juanita Dr. NEKirkland, WA 98034o recycled poperIt Working Together for SAFE Communities"000421

Distefano, Monica J. (DOC)From:Sent:To:Subject:. Distefano, Monicc;1 J. (DOC)Tuesday, March 31, 2009 2:51 PM. . . . . ); Burriss, Steven L. (DOC) .Attachments:Please see the attache denial of medical marijuana ..A hardcopy will follow.Thankyqu!Monica Distefano. Executive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW ..Tumwater, WA 98501 MS: 41126(360) 725-87~6mjdistefano~doc1.wa.gov. rOJ1000422

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSp,O, Box 411 00' Olympia, Washlrigton 98504·1100 .. J.March 26, 2009 ,YOJll' Medicinal Use of Mal'ijuana request waSl'ec~ived onMal'ch 11. 2009., Upon'review by theDepartment of CorrectionS' Health Services physician, your request has 'been denied. 'You may appeal this decision by sending your written request within 15 business days. on or beforeApril 17, 2009. Please, send your request to the address bel~w:. .Karen Daniel~. Assistant SecretaryConununitY Corrections DivisionDepartment of Con"ections, P.O. Box 41126OIYlflpia, WA 98504-1126Yom' request must provide additional information that was not included with your original request.Appeals that do not contain new information will be denied. You will receive a response to yourappeal request within 30 days of receipt.'Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:mdcc: Carole Rigney, Community Coi1:ectioris SupervisorSteven Burr~. 0. mmunity COlTections OfficerField File~' ,Physician's Office:THCF'1813130 ih Ave~ NE, Ste#210Beilevue, W A 98005" Worklng Together for SAFE Communities"4 .n:cyclcd paper000423

Distefano. Monica J. (DOC)From:·Sent:To:Subjec;:t:Distefano, Monica J. (DOC). Tuesday March 31,2009 2:53 PMIs ". " .S. ; Cecil, Lee Ann M. (DOC) ."Attachments:, .Please see the attached denial of medical marijuana for Chad Foote, DOC 866402 .. A ha~dcopy will follow .. Thankyou!Monica DistefanoExec.utive Assistant to .Karen Daniels, Assistant Secretary.Community Corrections Division7345 Linder.son Way SWTumw~ter, WA 98501 MS: 41126(360) 725-8796mjdistefano@doct.wa.gov1000424

STATE OF WASHINGTONDEPARTMENT OF .CORRECTIONSP.O. Box 41100' Olyinpla, Washington 98504·1100Match 26, 2009Your Medicinal Use of Marijuana l:equest was received on March 18, 2009. Upon review by the~epartmellt of Corrections' HealthServices physician, your request has been denied.You may appeai this decision by sending your written request within 15 business days, on or before'Apl'i117~ 2009. Please send your request to the address below:Karen Daniels, Assis~ant SecretaryConimunity Corrections Division. Department of CorrectionsP.O. Box 41 1'26Olympia, WA 98504-1126Your request must provide additional information that was not in~luded with yOU!". original' request.Appeals that do not contain new information will be denied. You will receive a res-ponse to YQ"Ur .appeal' request within. 30 days of receipt. .. Karen Daniels, Assistant Secretary. Community Corrections DivisionKD:mdcc: Michaellson, Community Corrections SupervisorLee CeciI,~orrections Officer ..'FieldFile ____.'. . . . .'o . recycled paperIt WorkIng Together for SAFE Communities"000425

Distefano. Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent:. ay, March 31, 2009 2:54 PMTo: . S. . ); Tucker, Todd R. (DOC)Subject: .pdfAttach!l1ents:Please see the attached denial of medical marijuana for John Platt·, DOC 898747.A hardcopy will follow. Thanks!Monica DistefanoExecutive Assistant to .Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov1 .000426

STATEC>FWASHIN!3TONDEPARTMENT'OF CORRECTIONSP.O. Box4110D ~ Olympla,Washh1gton 98504-1100March 26, 2009Your Medicinal Use of Marijuana l'equesfwas received on February 18, 2009. Upon review by theDepmtnient of Corrections' Health Services physician, your request has been dfimied.You may appeal this decision by sending your written request within 15 business days; on or beforeApril"17, 2009. Please send your request to the address below:',Karen Daniels, Assistant SecretaryCommunity Corrections Division, Department of CorrectionsP-9. Box 41126 , ,,'Olympia, W A 98504-1126Your request must provideadditio~al information that was not included wi~ your original request ... '4ppeals that do not contain new' illfol1uation will be denied. Y ouwill receive a response to yourappeal request withfu 30 days of receipt., .' ,Karen Daniels, Assistant SecretaryCommunity Corrections Division.KD:mdcc: JeffFrlce, CommUnity COll"ections'SupervisorTodd Tucker, Community Corrections OfficerField File __ . , ,Physician's Office:THCF Medical Clinics1813 130 th Ave. NE.#210Bellevue, WA 9?005-0'recycled paper, " Working Together for SAFE Communities"0004'27

Distefano. Monica J ..(DOC)From: Distefano, Monica J. (DOC) .Sent:Tuesday, rph 31, 2009 2:55 PMTo:.. ". W. DOC)Subject:Attachments:Please see the attached denial of medical marijuanaA hardcopy will follow.Thank yourMonica Distefano'Executive Assistant toKaren pariiels, Assistant SecretaryCommunity Corrections Division7345. Linderson Way SWTumwater, WA 98501 MS: 411'26(360) 725-8796mjdistefano@doc1.wa.gov00(1428

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Sox 411 00 ~ Olympia, Washington 98504-1100March 26, 2009·1Your Medicinal Use of Marijuana request was received on February· 6, 2009. Upon revieW' by theDepartment of Correc~ions' Health Services phys.iCian, your request has been demed;You may appeal this decision by sending your written request within·IS business days, on or beforeApril 17 ,2009. Please send your request to the address below: . . "Karen Daniels; Assistant Secretary .Community Corrections DivisionDepartment of CorrectionsP.O. Box 41126OlYlllPia, WA 98504-1126. . ;Your request must provide additionalinformation that was not included with your original request.Appeals that do not contanlnew information will be denied. You will receive a I'esponse to yourappeal request within 30 days of receipt. .Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:mdcc: Robert Bromps, Community Con'ections Officer. Field File __ .Physician's~Attn: Melissa,LeggeeCBR Medical, Inc. ,3115 E. Mission Ave.Spokane, W A 99202"Working Together for SAFE CommunIties"-0 recycled paper00042D

Distefano. Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent:.. . March 31 , 20092:56 PM "To: . " . . Fryer; Willia"m R. (DOC)Subject:Attachments:.Please see the attached denial of medical marijuanaA hardcopy will follow .. Thank you!Monica DistefanoExecutive Assistant to. .Karen Daniels, Assistant SecretaryCommunity Corrections Division. 7345 Linderson Way SW. Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov10004~3:~

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS.P.O. Box 41100· Olympia, Washington 98504-1100March 26, 2009Ypm; Medicinal Use of Marijuana request was received on Febmary 6, 2009. Upon revIew by theDeparlment of Gorrections' Health Services physician, yoUr request has been denied .. You may appeal this decision by sending yoUr ~ritt~il request within 15 business days, on or beforeApriI1?, 2009, Please send your request to the address below: . ..... .Karen Daniels, Assistant SecretaryCommunity COll'ections DivisionDepartment of Con-ectionsP.O, Box,41126 .Olympia, WA 98504-1126Y QUI' request must provide additional informatioIi that was not included with yom' originall'equest.Appeals that do not contain new infonnation will be denied. You will receive a response to yoUr, appeal request within 30 days of receipt. .' '.. . .'-Karen Daniels, Assistant SecretaryComl'uunity COlTections DivisionKD:mdcc: .o recycled pap.rEtta Molett, Community Con'ections Supervisor'.William Fryer, Community Conections OfficerField FilePhysician's Office:Attn: Melissa LeggeeCBR Medical, Inc.3115 E. Mission Ave.Spokane, W A 99202 ' ," Working Togetherfor SAFE Communities'"CO('4Jl

Oistefano~ Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent: . Tuesd March 31, 20092:57 PMTo:Subject:. Sheppard, Sandra K. (DOC)Attac;hments:Please see the attached d.enial of medical. marijuana•. ': hardcopy will follow ..Thank you!Monica Distefano .Executive Assistant toKaren Daniels,AssistantSecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, VV A 98501 MS: 41126(360) 725-8796·mjdis~efano@doc1.wa.gov. 1000432

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS.P.o. Box 41100· Olympia, Washington 98504·1100March 26, 2009Your Medicinal Use of Matijuana request was received on March 4, 2009. Upbn review by theDepartment ~f Corrections' Health ServIces physician,. your request has been denied. .You may appeal this decision by sending your written request within 15 busitless days, on or beforeAprjI 17, 2~09. Pleas~ send your request to the 'address below: .Karen Daniels, Assistant SecretaryCoIIimunity CorrectiOIis DivisionDepartment of Correctionsp.nBox41126Olympia, WA 98504~1126Your request must provide additional information that was not included with your original request.Appeals that do not contain new information will be denied. You will receive a.response to yourappeal request withiri 30 days of receipt.Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:md.cc: Jack BlUCick, Community Corrections SupervisorSandra Sheppard, Community Corrections OfficerField File·Physician's Office:Attn: Melissa LeggeeCBR Medical, Inc.·3115 E. Mission Ave. . .Spokan~ VVA 99202. "Working Together for SAFE Communities"C·on4"-?3. -. "".I"

Distefano. Monica J. (D~)C)From: .Sent:To:Subject:Attachments:Please see the attached denial of medical marijuana ..A hardcopy will follow.Thank you!.Monica DistefanoExecutive Assistant to .Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linde~son Way SWTumwater, WA 98501 MS: 41126(360.) 725-8796 . '.mjdistefano@doc1.wa.gov1oo n4')4 .,., ... )

, STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.o. Box 41100 -Olympia, Washington 98504·1100:' March 26, 2009Your Medicinal Use of Marijuana request ~as received on March 4, 2009. Upon review by theDepartment of Corrections' Health Services physician, your request has been denied.. '. '. . .You may appeal this decision by sending your written request within 15 business days, on or beforeApril 17, 2009. Please send your request to the address below:Karen Daniels, Assistant SecretaryCommunity Corrections DivisioriDepartment ofCorrectiorts ', P.O. Box 41126 .Olympia, W A 98504-1126Your request ll1ust provide additional information that ~as not included with your ~riginall'eqUest.Appeals that do not contain new infOlIDation will be denied. You will receive a response to your,appeal i'equest within30 days of receipt. . .. Karen Daniels, Assistant SecretaryCommunity Con'e,ctions Division .o recycled paperKD:md'·cc: Richard Kendo, Community Corrections SupervisorRichard Hooper, Community COll'ections OfficerField File 'Physician'S Office:Attn: Melissa LeggeeCBR.. Medical, hie.3115 E. :Mission Ave. .Spokane, WA 99202 ', II Working Together for SAFE Communities"0004.35

I~, 'Distefano, Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC) ,Tuesday, March ,31, 2009 2:59 PM, " , ' Burriss, Steven L. (DOC).Attachments:. Pleasesee the attached denial of medical marijuanaA hardcopy will follow.Thank you!Monica Distefano ..Executive A.ssistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW ,Tumwater;WA 98501 MS: 41126(360)725-8796mjdistefano@doc1.wa.gov1000436

.'STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Box 41100· Olympia, W?shlngton 98504-1100 .March 26, 2009Yo~ Medicinal Use ()fMarijuana request was received on March 4, 2009. Upon review by the·'. Department of Corrections' Health' ~ervices physician, your request has been denied .. You may appeal this decision by sending your written request withii115 business days, on or before'. April 17; 2009. Please send your request to the a~dress below:'" .Karen Daniels, Assistant SecretaryCommunity Con-ections DivisionDepartment of Corrections·P.O. Box 41126Olympia, WA 98504-1126 .Your request must provide additional information that was not included with your original request.Appeals that do not contain new infolluation will be denied. You willl'eceive a response to yourappeal request within 30days of receipt: .'Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:mdcc:. . Carole .Rigney, CommunityCOlTections Supervisol". Steven Burriss, Community COlTections Officer .Field File .Physician's Office:Attn: Melissa LeggeeCBR Medical, Inc.3115 E. Mission Ave ..Spokane, WA 99202 ". .tr Working Together for SAFE Communities"() .. cycled paper :000437

Distefano, Monica J. (DOC)From: . Dfstefano, Monica J. (DOC) .Sent:Tuespay, March .31, 2009 2:59 PMTo:.... Alfaro, Russell J. (DOC)·Subject:Attachments: .Please see the attached denial of medical marijuanaA hardcopy will follow.Thank you!Monica DistefanoExecutive Assistant toKar.en Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW. Tumwater, WA 98501 MS: 41126. (360) 725-8796mjdistefano@doc1 ~wa;gov1000438

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Box 41100 • Olympia,. Washington 98504-1100March 26, 2009.f"Your Medicinal Use o:fMal'ijuana request was received on March 5, 2009. Upon review by the,.·Department of Con'ections' He.a1th Services physician, your request has been denied. .~ ." .You may appeal this decision by sendi.ng your writt~n request within 15busines·s days, on or before·April .17, 2009. Please send your request to the addrc:l~s below: .~aren Daniels, Assistant SecretaryCommunity Corrections Division .Department of CorrectionsP.O. Box 41126Olympia, WA 98504-1126Your request ml,lst provide additional information that was 110t included with your original. request.Appeals that do not contain new infonnation will be denied. YouwilI receive a response to yourappeal request within·30 days of receipt. . .Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:mdcc: Robert Pearson, Community Corrections SupervisorRussell Alfaro, Cotnmllnity Corrections OfficerField File .Physician's Office:.THCF Medical Clinics1813 130 th :Ave. NE #210Bellevue, W A 98005" Workfng Together for SAFE Communities"G recycled paper00043D

Distefano, Monica J. (DOC)From:Sent:To:Subject:,Attachments:Go~,d mornfng! H~re is the denial' of the medical. marijuana appeal forA copy is being maile'd to Mr.'_and his phy:>ician as ~ell.Thank you.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity CorreCtions Division7345 Underson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796'mjdistefano@doc1.wa.gov," 'r1

STATE OF WASlilNGTONDEPARTMENT OF CORRECTIONSP.o.. Box 411 00 ~ Olympia. W~shington 98504-1100March 26, 2009. I received your request from your physi(}ian on February 16,2009, to appeal the denial of'your initial Medicinal Use of Marijuana Verification..~ ,In the interest'bfpubli~ safety and protection of the community at large, I find yourrequest for Medicinal Use' of Marijuana, while under the supervision ofthe Departmentof Corrections, is denied.I would encourage you .to continue to program in a positive manner, following the '.direction of your assigned ceo .and your conditions of supervision. .'. Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:indcc: Dayid.Phillips, Community Corrections SupervisorLinda Tolliver, C~ .. Corrections OfficerField File - DOC ___Physician's Office: . ..... .Attn: Meliss'a LeggeeCBR Medical.3115 E. Mission Ave.Spokane, VVA 99202" Working Together for SAFE Communities"~ recycled papa0004 i ll'

. "Distefano, Monica J. (DOC)From:Distefano, Monica J. (DOC)Sent: w: 01, 2009 8:39 AMTo:); Liulamaga, Misi Nimese I. (DOC)Subject: .pdf .Attachments:G~od morning! I've attached a copy of the letter t~regarding his appeal of the medical marij~ana, which.has been deni.ed. . ,.0., '.' .A hardcopy is being sent to h(im as well as his physician.Please let me know if you .have any questions!. Thank you.Monica Distefano'Executive Assistant to . .Karen Daniels, Assistant SecretaryCommunity Corrections Division.7345 LindersonWay SW .Tumwater, WA 98501 MS: 41126 '(360) 725-8796 .mjdistefano@doc1.wa.gov/1

. SlATE OF WASHINGTONDEPARTMEN:r OF CORRECTIONSP:O. Box 411 od· Olympia, Washington 98504-1100March 26) 2009. . ~ . . . . . .I received your requ~st from your physician on February 16, "2009, to appeal the depial ofyour initial Medicinal Use of Marijuana Verification.. . .. .. . .. In the interest of public safety and ·protection of the ·community at large, I find yourrequest for Medicinal Use of Marijuana: while under the supervision of the DePartnient· .of Corrections, is· denied. ...I would ~courage you to continue to program in a positive manner, fonowing thedirection of yOU! assigned ·CCO and your conditions ofsupervision.Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:md·cc:· Misi Nimese Liulamaga, Community Corrections Supervisor. Erin O'Donnell, Comm,unity Corrections OfficerField.~ile-DO~PhysicIan's Office: . .. • .Attn: Melissa Leggee .CBRMedical3115 E.Mission Ave.Spokane, VVA 99202" Working Together for SAFE Communities".ftt.~ ,ecycled 1"'Per00044~i

Distefano. Monica J. (DOC)I=rom:Distefano, Monica J. (DOC)Sent: Wednesday,. 01,20098:41 AM "To:Subject:Douglas N. (DOC)Attachments:Good morning! I've attached a copy of the letterhas been denied .his appeal of the medical marijuana, which. A hardcopy is being sent to him as well as his physician." Please let me know if you have any questions! .Thank you.Monica DistefanoExecutive Assista"nt toKaren Daniels, Assistant Secretary·Community Corrections Division7345 Liriderson Way SW·Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.gov1000444

STATE OF WASHINGTONDEPARTMENTOF CORRECTIONSP.o. Box 41100' Olympia, Washington 98504-1100March 26, 2009.,. .I received your request from your physician on February 16, 2009, to appeal the denial ofyour initial Medicin:a~ 'Use of Marijuana Verification... . ..'\4I the interest of public safety and protection of th~ community at large, I fmd your .request forMedicinal Use of Marijuana, while under the supervision of the Departmentof Corrections, is denied. . ".,'. .I would encourage you to continue to program in a positive manner, following the.direction of your :assigned ceo and your conditions of supervision. .. Sincerely,Karen Daniels, Assis ant Seci'etary .Community Corrections DivisionKD:mdcc: Jack Brucick; Community Corrections' SupervisorDouglas Holland, Community Corrections Offic~rField~ile-DO~ .... ' .Physician~s Office: . " ..Attn: Melissa LeggeeCBRMedical3115 E. Mission Ave,. Spokan~, W A 99202rr Working Together for SAFE Communltie£i;"~ recycled fl'Il"lr000445

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J. (DOC). W,ednesq , ril 01, 20Q98:41 AMAriderson, Michael W. (DOC). Attachments:Good morning! I've attached a copy of th(3 letterwhich has been denied. .. . .A hardcopy is being sent to him as well as his physician.his appeal of the medical marijl,lana,Please let me know if you have any questions!Thank you.Monica DistefanoExecutive Assistant to·Karen Daniels, Assistant SecretaryCommunity Corre.ctions Division .7345 Underson Way SWTumwater, W A 98501 MS: 41126(360) 725-8796 .mjdlstefano@doc1.wa.govTracking:RecipientKathan, Jim R. (DOC)Anderson, Michael W. (DOC)Recall.Succeeded: 4/1/2009 8:49 AM1000448

STATE OF WASHINGTON·DEPARTMENT OFCORRECTIONSP.O. Box 41100 • Olympia, Washington 98504~ 1100March 26, 2009I received yoUr request from CBR Medical, Inc., to appeal the denial ofyaur initialMedicinal Use ofMariju~na Verification .. Yo:u have been approved to use marijuana meaicina11YJ in' accordance with the law, while'. under the supervision .of the Department of Corrections. .Your Cominunity Correctio~s Officer, Scott Wright, will be asked to impose a DOCcondition that you not operate a motor vehicle while under the influence.'!'.1 would encourage you to continue to program in Ii positive manner, following thedirection of your assigned ceo and your conditions 9fsupervision.. . .Karen Daniels, Assistant SecretaryCommunity Corrections DivisionKD:md .' . . . .cc: Jim Kathan, Community Corrections SupervisorMichael . '. Corrections Officer.Field File - DOCPhysician's '-'.LL.LVW'Attn: Melissa LeggeeCBRMedical3115 E. Mission Ave.. Spokane, WA 99202iff>:. •li.' ",cycled pupe,.000447" Working Together for SAFE Communities"

Distefano, Monica J. (DOC)From:Sent:,To:Subject: ''Distefano, Monica J. (DOC)Wednesd,ay, April 01, 20098:46 AM , ,'" c B:-- Checo, Ana V. (DOC), 'Attachments:I've attached a copy of the lette'r, his appeal of the medical marijuana, which has- -A hardcopy is being sent to him as well as his physician.Please let me know if you have any questions!Thank you.Monica DistefanoExecutive Assistant toKaren D~niels, As~istant SecretaryCommunity Correction's Division7345 Uhderson Way SW ,- ,Tumwater, WA 98501 MS: 41126(360) 725-8.796mjdistefano@doc1.wa.gov-100044,8

Match 26, 2009STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.o. Box 41100' Olympia, Washington 98504-1100 •I received your request from your physician. on February 2, 2009, to appeal the denial ofyour initial Medicinal Use of Marijuana Veri:ac~tion., 'In the interestofpublksafety and protection of the community at larg~; I find your"'request for Medicinal Use of Marijuana, while under the supervision of the Departmentof Coqections, is denied.I would encourage you to continue to program In a positive manner, following thedirection of your assigned ceo and your conditions of supei-vision:.Karen Daniels, Assistant SecretaryCommunity ,Corrections DivisionKD:mdcb; Mac Pevey, Community Corrections SuperVisor'Ana Checo, com~,uni,t C, 0, rr~Gtions OfficerFieldFile-DOC_ 'Physician's Office:' '" , "ScottL Havsy, DO, DAAPM·3716 Pacific Av~., Suite E.Tacoma, W A 98418" Working Together for SAFE Communities"000449

Distefano. Monica J. ,(DOC)From:Sent:To:·Subject:Distefano, Monica J. (DOC)Wednesday,Aprii 01, 2009 8:47 AMN.Thank you! I appreciate it.Monica DistefanoExecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SWTumwater, W. A 98501 MS: 41126(360) 725-8796 .. mjdistefano@doc1 ;wa.gov'... From: .. - Holland, DouglasN. (DOC)Sent:Wednesday, April 01, 2009 8:44 AMTo: .. .SubjeCt: .. Dist~.t.. ano ... M.o.nica.J ..'. DO .. CRE: _pdfThanks Monica, h~rece~tly~~~t~rfl1inated from supervision and 5990 reports have been filed, I will see to it that thisattachment letter is routed to his archived. field file. Thanks, again. .From:Sent:To:Subject:Distefano, Monica J. (DOC)Wednesday, April 01, 2009 8:41 AMM. Douglas N. (DOC):«Good morning! I've attached a C()py of the letter to. has been denied.II-on,rrlllnn his appeal of the medical marijuana, whichA hardcopy is being sent to him as well as his physician;Please let me knc:>w if yduhave any questions!Thank you.Monica DistefanoExecutive Assistant to. Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501MS: 41126(360) 725-8796 . .. mjdistefano@doc1.wa.gov1.000450

Distefano. Monica J. (DOC)From:Sent:To:· .Subject:Distefano, Monica J. (DOC)Wednesday, April 01, 2009 8:48 AM.. , . . R , Michael W. (DOC)Attachments:Michael & Jini:I was sending these out in large batches:so mis~communicated in my previous email..Mr._has actually been appi"OV~d to use, which the letter st,ates.. .' .Please let me know if you have any questions.Thank Yol:J!Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary'Community Corrections Division .7345 LindersonWay SWTumwater, WA 98501 MS: 41126.. (360) 725-8796 .mjdistefano@doc1 ,;rva.govFrom:Sent:To:Subject:Distefano, Monica-J. (DOC) .Wednesday, April 01,"2009 8:41 AM·AnrfprC:l"ln . Michael W. (~OC). .Good morning! I've attached a copy of the letter to his'appeal of the medical marijuana, .which has been denied.A hardcopy.is being sent to him as well as his physician.Please let me know if you have any questions!Thank Y9u.Monica DistefanoExecutive Assistant to .Karen Dariiels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way SW ..Tumwater, WA 98501 MS: 41126(360) 725.:8796mjdistefEmo@doc1.wa.gov1000451

Distefano. Monica J. (DOC)From:Sent:To:Subject:Distefano, Monica J; (DOC) .Wednesday, April 01, 2009 10:4QAMSchelTlnitter, Michael.RE:Thank you! .Monica DistefanoExecutive Assistant toKaren Daniels, Assistant Secretary'Community Corrections Division7345 Linderson Way SW .Tumwater, WA 98501 MS: 41126(360) 725-8796mjdistefano@doc1.wa.govFrom:Schenmitzer, MichaelS; (DOC)Sent:Wedriesday, April 01, 2009 ~0:33 AM.. To: Distefano, Monica J. (DOC); Johnson, Todd D. (DOC); Gage, Tracy L. (DOC)HarperRE: ...Cc:.Subj~ct:'No qu~stioris. WiH add it to the offend~r's fil~.From:Sent:To:Cc: '.Subject: .Distefano, Monica J. (DOC)Wednesday, April 01, 2009 8:43 AMSchemnitzer, Michael S. (DOC); Johnson, Todd D. (DOC); Gage, Tracy L. (DOC)«File:Good m.orning! I've attached a copy of the letter. marijuana, whicn has been approved.ing her appeal of the medicalA hardcopy is being sent to her as w.elLPlease let me know if you have any questions!.Thank you.f;v1onica Distefano"Executive Assistant toKaren Daniels, Assistant SecretaryCommunity CorreCtions Division7345 Linderson Way SW .Tumwater, WA98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa.gov1000452

Distefano. Monica J. (DOC)From:Sent.:To:Subject:Distefano, Monica J.. (DOC)' .Wednesday, April 01, 200910:59 AMpdf'I saw Tracynoted in OMNI as the I,nterstate person - so I included her ..MonicaDistefano ,Executive Assistant to, ,Karen Daniels, Assistant SecretaryCommunity Corrections Division7345 Linderson Way $W , ..Tumwater, WA 98501 MS: 41126 ., (360) 725-8796 ., mjdistefano@doc1,wa.govFrom:Sent:To:Subject:Owens, Marjorie (~OC)Wednesday, April 01, 2009 10:57 ,AMWhy was this sent toor me or hot to both of us? Were you specifically working with Tracy on this case?From:Sent: .'To:S!Jl;lject:Gage, Tracy L. (~OC)Wednesday, April 01, 2009 8:45 AMOwe~FW:_pdf,,Just i~ case you wanted·~~'I~Ok~t~hi's'.".'1 d~~·'tsee'your,name listed.Tracy (Veness) Gage, Community Corrections OfficerWashington Interstate CompactWashington Department of CorrectionsPO Box 41126 Olym pia, W A 98504 'Ph: 360-725-8756 ,Fax 360-586-2192From:Sent: ,'to:Cc: 'Subject:, Distefano, Monica J. (~OC)Wednesday April 01, 2009 8:43 AM ,''''lTllnlC7F"r Michael S. (DOC); Johnson, :rodd O. (~OC); Gage, Tracy L. (~OC)« File: »Good morning! I've attached a copy of the letterwhich has been approved'. 'Irol"l",rriing her appeal of the medical marijuana;. ~ .A hardcopy is being sent to her as we".Please let me know if you have any questions!1000453

Thank you.Moni.ca Distefano·E.xecutive Assistant toKaren Daniels, Assistant SecretaryCommunity Corrections Divisiori7345 Linderson Way SWTumwater, WA 98501 MS: 41126(360) 725-8796 .mjdistefano@doc1.wa.govI2000454

Distefano. Monica J. (DOC) ..From:Sent:· To: .Subject:Distefano, Monica J. (DOC)Tuesday, April 07, 2009 3:02 PM'Melissa leggee'FW: CCD Medical MarijuanaProcess Cbange~ Memo· Attachments: Medical Marijuana Process Change 031309.pdf; 14-053 Medicinal Marijuana Form·031609.docHere is the D1emo we recently sent out to CCD Staff.Please let me know if you have any questions.Monica DistefanoExecutive Assistant toKa·ren Daniels, Assistant SecretaryCommunity Corrections Division ..7345· Underson Way SW· Tumwater,WA 98501 MS: 41126(360)725-8796mjdistefano@doc1.wa.govFrom: .Sent:To:Subject:Daniels, Karen R. (DOC)Thursday, March 19, 2009.11:01 AMDOC DL ALL CCD STAFF . .CCD Medical MarijiJana .Process Changes Memo ..r.. • ..Good inorning! Please see the attached memo which identifies chang~s in the current medicinal marijuanaprocess. rve also attached Form 14-053 which was updated on 3/16/09 to reflect the change in process.In addition, I've broken down the process to give you a little guidance on timeline expectations ..Pleasefeel free to contact me or my assistant, Monica Di$tefano, if you have any questions.Thankypu!Medical Marijuana 14-053 MedicinalProcess Chan... Marijuana For ...Karen DanielsAssistant SecretaryCommunity Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.gov1.000455 .

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Box 41126· Olympia, Washington 98504-1126' (360) 725-8796. FAX (360) 586-0252March 19, 2009. TO: Community Corrections Division.. FROM: Karen Daniels, Assistant SecretarySUBJECT:.Medical :ty!arijuana Process ChangeEffective immediately, DOC Fonn 14-053, Medicinal Use of Marijuana Verification, has been updated.Offender; will no longer be required to fill out thi~ fonn when they have a legitimate prescription for .Marinol from a licensed physiciaI!. In addition, offenders that have this prescription will not be in .violation if they test positive for THe. . . '. .The Department created a verification process for offenders to obtain approyal for the use 'of "medicalmarijuana". If an offender tells his or her CCO that they plan on using medical marijuana, Fonn 14-053should be provided to the offender and the process explained. As a reminder, here is the breakdown of .the approval process: .. 1. Upon' receipt ofFonn 14-053, the offender and his or her medical provider have 2 weeks tocomplete and submit it to the DOC Headquarters Physician for.review. Once the Physicianreceives the forin, he will review it andmake his detennination withii110 days, upon which time'my office will coinmunicate that decision in writing to the offender with a copy to the eco,the ees, and the medical provider.2; The offender and the medical provider will then have 15 BUSINESS days (3 weeks) to submit awritten appeal directly to me. Once I receive the appeal, a decision will be made within 30business days. That decision will again be cOlnmunicated in writing to the ceo, the CCS, andthe medi~al provider.'. .PI~ase remember that the offender sh~uld not receive any violations related to the use of medicinalmarijuana during this process period. Please do not hesitate to c~l1 me if you have any other questions.Thank you. .KD:mdcc:Eldon Vail, SecretaryCheryl Strange, Deputy SecretaryScott Blcinien, Assistant Secretary;Steven Hammond, Medical Services DirectorOOiJ456

OFFENDER J.D. DATA:STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS. Medicinal Use of MarijuariaVerificationTo he filled out b ceo:Patient's NameDate of BirthDOC NumberTo be filled out by Prescriber:. Dear Prescriber,By state statute the Washington State Department of Corrections is charged with the responsibility to sup~rvise someoffenders after they have been convicted of a felony. The above named patient is currently under supervision by the ,Department. 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 Departmentof Corrections will impose a condition of superVision that the offender not use, or possess illicit drugs, "includingrnarijuana. This offender has claimed that they have a condition for which the m.edicinal 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 contact the, Comm.unity Corrections Assistant Secretary at (360) 725-8787 .•1. Is this patient und,er your.care?. .2. Are you recommending medical marijuana for this patient due to a diagnosis of AcquiredImmunodeficiency Syndrome (AIDS)?a.lf the answer to qu~stion 2 is "Yes", does he/she have anorexia?. b. . If the answer to question 2a is "Yes", does he/she have weight loss?DYesDYesDYesDYesDNo. DNaDNoDNo3. Are you recommending medical marijuana for this patiemtdue to nausea and vomitingassociated with cancer chemotherapy? .DYes DNoa. If the answer to question 3 is "Yes", has the patient failed to respond to conventional DYes D Noantiemetic treatments?b.If the answer to question 3a is "Yes", please de!)cribewhat those treatments were (medication, dose,duration): '. ' 'c. . What is the planned schedule of chemotherapy?0.,4.\If you answered "No" to items.2 & 3 above, what is the reason you are recommending medicinaJ use ofmarijuana? ..a.Please provide evidence published in a peer-reviewed scientific publication to support the medicinal use ofmarijuana for this purpose.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 notifythe Department's Medical DirectoF of any changes in your answers above?DYesDNoDOC 14-053 (Rev. 3/16/09)DOC 380.200'000457

Prescriber's Name (Print)License#:Prescriber's AddressPrescriber's Signatur.eLicense type:Phone NumberDatePrescriber: please return this form and the patient's Release of Information to:Medical DirectorHealth Services DivisionWashington State Department of Corrections ..PO Box.41123Olym pia, WA 98504-2113To be filled out by DOC Physician:I have revieweq this verifi.cation form and find that use of medical marijuana by this patient. (check one) I Dis Dis not .. .consistent with DpC Policy. ...Physician's Name (Print)Physician's SignatureDateInstructions to DOC Physician:When form is complete:· .1. . Email your finding above to the Assistant Secretary for Community Correctioris.2. File thi~ form and the accompanying Rele.ase of Information in Liberty as a Community Corrections Health Record.State law (RCW 70.02; RCW 70.24.105; RCW 71.05.390) andfor feqeral regulations (42 CFR Part 2; 45 CI:R Part 164) prohibitdisclosure of this information without the ·specific written consent of the person to whom it pertains, or as otherwise.permitted by law. .. .DOC 14-053 (Rev. 3/16/09) DOC 380.200000458

Daniels. Karen R. (DOC)From:Sent:To:Cc:Sul?ject:Attachments:Distefano, Monica J. (DOC)ihU.Sda.wovember 06, 200B 12:24 PM... @yahoo.com' .D'aniels, . Kareri R. (DOC)·Initial MM Request Den.ial and new form.MX-5500N_200B1106_121121.pdf; 14-053. MM Form rev 731 OB.docG009 afternoon,_·Per your request, I am sending you y;ur initial mm request with the denial a·long with the new form for you to fill out and··submit along with your appe~1. Ple·ase send your appeal to this ·address: . '.ATTN: Assistant Secretary Karen DanielsDepartment of CorrectionsP.O. Box 41126.Olympia, WA98504-·1126Please let me know if you have any further questions.Monica Di$tefanbExecutive Secretary ~ol'\aren Danie!s; Assistant SecretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 98501 MS:A1126.(360) 125-8796r:njdistefano@doc1.wa.govMX-5500N_200811 14-053 MM Form·OEU21121.pdf C; .. rev 7310B.doc C ...1000459

• 0 0 0 0 0 0Daniels, Karen R. (DOC)From:Sent:To:Cc:Subject:,Attachments:Lordier, Amber D. (DOC)Thursday, November 06, 2008 1 :47 PM ,Blonien, John 'Scott'; MorgaOn, Richard L. 'Prison Director' (DOC); Daniels, Karen R. (DOC);Leftridge Byrd, Mary V. (DOC); Stern, Marc F. 'Dir Hlth Svc' (DOC); Doty, Denise H. (DOC)Aylward, Anmarie (DOC); Harrhy, Joenne O. (DOC) . 0Admin Bulletin - DOC 380.200 Community Supervision of Offenders380200ab.docPlease review and get input to me by 11 113/0B. Thank you.380200ab.doc (42 '-. KB) 010004609

Page 1 oflDaniels, Karen R.(DOCr. From:Sent:To:Cc:Sul;>ject:com cast. net]" . ,,", De6e 03, 2008 2:10PM .Zacbaiy Sp'oon; Pat Connal Olsen; Sue W~tson; Trent Blackburn; Suz~ Shure; SunilAgg~rWal; steve@cannacare.6rg; Spring Thomas;· sherry brown-ryther; sylvat aziz; S.Ros~'mary Schmalz; rio@qtwire.com; Rexy Tortuga; 'Roger E. Goodnian'; 'Rachel E. Kurtz';Jeremy. Miller; nio'u.yuh-line@leg.wa.gov; Adary, Assenberg; SeIli6k~Lane, Lynn; Daniels,Karen, R(DOc;); kohl-welles.jeanne@leg.wa.gov; kathleen merry; Jim Tharpe; Jim Powers;jdohedy@inrsc.org; Dave Cole; Jack Cline; G'oodhew, Ian; Alison Holcomb; .' .heaheyc@kcn1society.org; Jim Bags; fkjbds@yah6o~com; Jack-Cline; eli:tkatz@comcast.net;dougl~s@douglashiatt.com; dominic.hdlden@gmail.co;"; JESSE. POWELL;costrom@seattletimes.com; Nicky; T Blackburn; Brandyn Miller; AriKohn.. Three3Star@aol~com; Mi~hael A. Ros~s; demetrius wright. . ,StiU Lobbying WADOC .... ~ ..Attachments: Vail Letter 1.docAll of you receivihg this letter are already aware of my strJggle to rein in an arrogant WA Department ofCorrections CCO (ComlTlUnity Corrections Officer) whoniessed with me this spring (or I think you may take someinterest in the matter). This is my next step, an update.'Please feel free to iot~I!Yc ignqre this if it isn't of interest. It's a letter'directly to the head of the DOC, something Ihaven't trie:d before .. __ '. _. . . " ..5/13/2009 000461

December 3,2008Secretary Eldon VailW ~shington State Department of Corrections7345 Liriderson Way, SWTuqlwater,WA 98501-:6504Dear Secretary Vail:"Would that I had written you directly this .past spring; rather than filled out one of yourdepartrriental complaint fonns online. This latter resulted in some modest help for aformer tenant of mine, w40 was also a party injured by your department; but none for me ..So I am going t6 try again.This past May a rec~nt tenant ~nd friendly acqua~ntaD.c~ who, like me~ is authorized in .Washington to use marijuana me_.Vi.a. s. Yis.·ite.d.·h .. el"~ by your Community· .'Corrections Officers. The friend,_is 011. inten~tate compact .probation from Arizona, which she tliouglifwasafsoa'tnedical marijuana state, but isn't.i.· She was roughly and uJ,1fairly removed from my home to the county jai1.downtown whereshe spent a truly miser!:i.ple week with no contact from you whatsoever. The paperWork"was filled with inaccuracies, and further moves by her ceo, Jeremy Praven in West .Seattle,seem also to be filled with fabrications and are utterly unworthy of any decentgovernment.Some small progress is bei~g made toward redressing these wrongs. If they aren'tresolved, a suit will do it. They are not why I am writing yoil now. You are the only onewho can fix this. ( . . .I'm writing because I want the other eeo - the tall, gorgeous one who came with Pravenan~ did the arrest - to'be censured for tellIng me, and I quote, '''1 was just coming to talkto her, but since you said 'Please' I'm taking her in." There were a few witnesses. That isexactly what he said; and of course I, a 63 year old middle class woman with a lovely· home and every expectation of civility on the part of officers of the law, started to groveland beg. But all 1 had done was say out loud, as an addition,- after he very rudely· commanded my tenant, from the door of my home, t6 descend the stairs, in a tone iwould have thought normal on a seventeenth century slave plantation, out in the fields":'"" ..... please! " as 'one would to a child who had quite forgotten his manners.000462

Now, I have no idea whether he was intending to take_n anyway or not. I justwant him told that Ms.~as not way out of line to request civility, that,she deservedbetter, and thatiL'i\'ouldn't kill him to apologize. The whole incident sent me off on a"week on iritense lobbying imd now months of trying to clean up the whole mess (from myperspective)~ "J "That's what I want. I want you to find out who that was and tell him it's not departmentalpolicy to disrespect and emotionally torture people - whether they are medical marijuana"patients or people who rent rooms to marijuana patients or whatever I was to him thatmade him feel free to roughly handle and cuff a fiftyish woman right in front of me at myown doorstep and tell me it was MY fault. Then I want to know some~ow thai it has beendone. An apology from him would be nice, but sounds impossible to me. The arroganceof your ceo's I've dealt with here in West Seattle is palpable and truly ~orse than "anything I ever saw working with policemen for the City of Seattle.By the way, all my lobbyingforlllllllllhas helped a little, but,I have brought up thesituation I am asking you to deal with'tO'my legislative Representative, to the Governor'soffice, to your complaint people; to the Seattle Times, and everything else I Can think of,repeatedly. As far as I know, this officer still doesn't even know I was upset, beyond myhaving told him, at the time, "Your cruelty does not become you." "" " -Would you, please? I just want officers to understand theyare public servants, notaGestapo. If they feel free to treat."a handsome, elderly EUropeanAmerican ofobvious comfort and mean~ this way, how will they treat a terrified immigrant ora.smart mouthed kid who there but fortbe grace of God they themselves would be?Th~~ """With very best wishes and hopes that all our prisons become universities ASAP,'. . .Retired, City of Seattle Legislative and Neighborhoods Departments, King County BarAssociation, COlltext Institute, Campaign To End Hunger, will be writing you anotherletter soon, as I want to interview you about activism in pnson reform., if you will. A callfrom you "on this subject would be thrillin"g. I have the time and energy and you knowdarned well, I am certain, that the corrections system needs to be closer to thecommunity.2000463

. Page 1 of 1Oani.els, Karen R. (~OC). ,From: Daniels, Karen R. (DOC). . ' .Sent: Wednesday, March 04, 2009 3:58 PM .To:Blonien, John 'Scott'. Subject: FW:- Medical MarijuanaAttachments: Admin Bu"etin AB-08-009 051608.pdf; Marijuana for Medicinal Use Memo 062508.pdf; DOC. 380200.pdf; DOC 380200 Medicinal Marijuana Form.doc; DOC 380200 13-035 .Authorization.doc; DOC 380200 Admin Bu"etin 1108.pdf .A~ache.t:lare the documents provided to officers relative to medical marijuana. We. have lumped both leaf lTiiJrijuana .and marinol together in all ~h~ discllssions Iriic;,lldlle to not beingahleto differentiate one from the othe'rin ·al)A. Dr.Hal17riuJnd has received requests ioi6oth and has denied the marinol based on theI;lck of medical necessity. I have not problem with the direction you laid out butwould suggest we discuss this issue further tomorrow when we meet on the recentappeals • . thx. kd· . .Karen DanielsAssistant SecretaryCommunity Correci:ions Division.Department of Corrections7345 Linderson Way SWTumwater, WA 98504 .Office: 360-725-8787Cell: 360-791~7768Fax: 360-58?-0252email: krdanieis@docl.wa.gov.5/13/2009

Page 1 of2Daniels, Karen R. (DOC)-From:S'ent:To:Danie]s, Karen R. (DOC)Thursday, March 05, 2009 12:43 PM. ." .Distefa!1o, Monica J. '(DOC),, Subject: RE: More mediCinal m~rijuana, You are al!soluti!!ly correct-.. no, we don't need to' ~allScott and if you want me toan-€wi#r her justlorM(ard hf!r email •• or you ~i1n tellh(!Jr you talked to me, and therewi/lbe soii7'ethil7g coining out soon on clarifyiilg some FAQ~ ••• that might be the,way to go vi,a the memo discussion. k " ,Karen, DanielsAssistant Secretary,Community Corrections,DiVision, Department of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360-791-7768 "Fax: 360-586-0252email: !

Page 2 of2From: O'Donnell, Erin M. (DOC)sent: Tuesday, Mar~h 03, 2009 5:02 PMTo: Distefano; Monica J. (DOC)Subject: More medicinal marijuana. .A question that came upaftermy presentation at the unit meeting today-When conducti.ng home visits on someone who is approved for medical marijuana or has paperwork.submitted and pending ... Are we required to verify the amountof pl~nts they have etc. and monitor .. compliance with the RCW? If it is found. that they have more plants or whatever than the RCW allows, is .that a DOC violation only or something we 'should call police in on as well? How should we address that·scenario? .' .' .Thank you guru. ©Erin O'DonnellCommunity Corrections Officer /ISE Seattle Unit .. 206-516-7812 office206-423':' 7126 'nextelWashington State Department of Corrections.Seattle Community Justice Center15504th Ave·SSeattle, WA 981345/13/2009·000466

, STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP.O. Box 41126 • Olympia, Washington 98504-1126 • (360) 725-8796FAX (360) 586-0252March 13, 2009'TO:Community Corrections,DivisionFROM:SUBJECT:Karen Daniels, Assistant SecretaryMedical Marijuana Process Change, Effective immediately,DOC Form 14-053, Medicinal Use of Marijuana Verification, has been updated.Offenders will no longer be required to fill out this fonn when they have a legitimate prescription for,Marinol from a licensed physician. In addition, offenders that have this prescription will not be in'violation if they test positive for THe.'TheDepartment created a verification process foi- offenders to obtain approval for the use of "medicalmarijuana". If an offender tells his or her ceo that they plan on using medical marijuana, Form 14'-053should be provided to the offender and th~ process explained., As a reminder, hereis the breakdown ofthe approval process: ' ,1. Once provided with Form 14-053, the offender and his o~ her medical provide~ have 2 weeks to. complete and submit it to the DOe Headquarters PhysiCian for review. Once the Physicianreceives the fonn, there is no set timeline for him to review and make his determination; Oncethat decision is made, my office will communicate that decision in writing to the offender with a .copy to the CCO, the CCS, and t.he medical provider. ' , . '2. The offender cind the medl~ai provider will then have 15 BUSINESS days (3 weeks) to submit awritten appeal directly to me. Once I receive the appeal, a decision will he made withiii 30'business days. That decision will again be communicated inwritlng to the same folks listedabove.Please remember that the offender should not receive any violations related to the use of mediCinalmarijuana during this time. Please do not hesitate to call me if you have any other questions. Thank you.KD:mdcc:Eldon Vail, SecretaryCheryl Strange, Deputy Secretary ,Scott Blonien., Assistant SecretarySteven Hammond, Medical Services Director, .000467

I~rtotS'Fe..#, .R'[J£\." STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSfMedicinal Use of Marijuana VerificationOFFENDER J.D. DATA: .To be filled outb ceo:Patient's Name Date of Birth . DOC NumberTo be filled out by Prescriber: .Dear Prescriber, . .By state statute th.e 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 the' .Department. Supervision is designed to help the offender avoid those. environments or'situations that lead to their criminalbehavior. Often iIltcit 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 mqrijuana hasbeen recommended. The below verification is to determine the legitimacy of their claim. Thank you in advance for yourassistance~ If you have questions, please contact the Community Corrections Assistant Secretary at (360) 725-8787 ..1. Is this patient under your care?2. : Are you recommending medical marijuana for this 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 weight loss?DYes·DYesDYesDYes·DNoDNoDNo,DNo'.3.Are you recommending medical marijuana for this patient due to nausea and vomitingassociated with cancer chemotherapy?DYesa. If the answer to question 3 is "Yes", has the patient failed to respond to .conventional .DYesantiemetic treatments?b. If the answer to question 3a is "Yes", please describe what.those treatments were (medication, dose,duration): . ,DNoDNoc. What is the planned schedule of chemother~py?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 ih a peer-reviewed scientific publication to support the medicinal use ofmarijuana for this purpose. '.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 notifythe Department's Medical Director of any changes in your answers above?DYes·DNoDOC 14-053(Rev. 7/31/08)DOC 380.200000468

. Prescriber's Name (Print) . Prescriber's SignatureDateLicense #:.Prescriber's AddressLicense type:Phone Number:Prescriber: pl~ase return this form and the patient's Release of Information to:Medical DirectorHealth Services DiviSion. Washington State D~partment of CorrectionsPO Box 41123Olympia, WA 98504-2113·To be filled out by DOC Physician:I have reviewed this verification form and find that use of medical. marijuana by this patient'. (check one) 10 is 0 is not _ ." . I .consistent with DOC Policy. .Physician's Name (Print)Physician's SignatureDateh1structions to DOC Physician:. When form is complete:1. Email your finding above to the Assistant Sepretary for Community Corre

RE: Marino!Page 1 of3Daniels, Karen R. (~OC)From: Daniels, Karen R. (DOC)Sent: Friday, March 13, 2009 1 :06 PMTo: Blanlen, John 'Scott'Subject: FW: MarinolMore email exchange on med mj, kdKaren Dan!elsAssistantSecretaryCommunity Corrections DivisionDepartment of Corrections7345 L1nderson Way SW. Tumwater, WA 98504 .Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.govFrom: Hammond, G. steven (~OC)Sent: Friday, March 13,200.9 12:17 PMTo: Duran, Christopher L. (~OC)Cc: Daniels, Karen R. (~OC)Subject: RE: MarinolJOKFrom: Duran, Christopher L. (~OC)Sent: Thursday, March 12,20096:15 PMTo: Hammond, G. Steven (~OC). Subject: RE: MarinolStevenThanks so m~ch for your input today regarding this matter and for forwarding this issue to Karen Daniels. Per heremail weare going to honor the offender's legal prescription andnot pursue any violations.Christopher Duran.....____ M._.__.M ...-._._M_M_M__.._...___.N._'_...._,.........."....,._••__.,......."_.._ ....,......-._.....,.___.........-.-._.._-.,..-.,,.....':~.,..__...____..............._~__..,..._._...___ I'"""~._.~_From: Hammond, 'G. Steven COOC)sent: Thu 3/12/2009 4:47 PMTo: Duran, Christopher L. (~OC)Subject: RE: Marinol5/13/2009

RE: Marinol . Page 2 of3 .. Terminal cancer would not be considered an appropriate reason for being on Marinol (unless the patient isundergoing cancer chemotherapy and having intractable nausea and vomiting), at leastaccording to the FDAlabeling of the drug. I know that Medicaid would nClt approve its use for that reason. But I am fine with Karen'sdecision not to question the community doctor's prescription.·If I receive the completed form I'll review it as. usual, but it sounds like Karen would OK· use of Marinol regardlessof my review (which .is fine with me). .SteveFrom: Duran, Christopher L. (DOC). Sent: Thursday, March 12, 2009 12:06 PMTo: Hammond, G. Steven (DOC)Cc: Daniels, Karen R. (DOC)Subject: RE: Marinol.T,his offender has been diagnosed with terminal cancer but I will forward a request to use Marinol to you through14-053 as you requested.· .Christopher DuranComll111nity Corrections. Officer 3Kent Field Unit606 W. Gowe StreetKent, WA 98032. (253) 372-6450 office'(206) 423~.7858 nextel(253) 372-6184 faxFrom: Hammond, G. Steven (DOC)Sent: Thursday, March 12, 2009 11:07 AM .To: Duran, Christopher L. (DOC)Cc: . Daniels, Karen R. (DOC)·Subject: RE: MarinolMedical marijuana is covered in Policy 380.200 but it 90esn't really touch on use of marinol, which willshow up as marijuana in UAs. WeVe had at least one case' come through on the 14-053 for marino!. I thinkthat's helpful because if we had a case that truly met medical necessity criteria for marinol, that might be areasonable excuse for the positive UAs. However, the medically necessary reasons for using marinol are.few and far between, basically intractable nausea/vomiting during·cancer chemotherapy or severe weightloss in someone with AIDS. Chances are the offender you are looking at won't meet those criteria ... . .So there might be some value to having the offender· submit the 14-053 (plus the 13-035, per Policy) forthe marinol use for my review. .. .. ... .But·1 think we might want to amend the Policy to in,clude screening for marinol use. What do you think,Karen?Steve5113/2009 OOQ471

RE: Marino1 .Page 3 of3From: Duran/ Christopher L. (DOC)Sent: Thursday/ March 12/ 2009 8:23 AM.to: Hammond/ G. Steven (DOC)Subject: Marino/Steve,Thanks for calling me back yesterday and sorry I was unavailable. I just wanted to ask you what yourthoughts are on offenders receiving prescriptions for Marino!. I hl;lve a parole case that just released fromprison and he is terminally ill. His physician prescribed him Marinol (which I verified) when the offender wasatrap lincoln work release. During .urine testing Marinol returns a positive result for THe. I called andtalked with a lab specialist from Sterling Reference Lab's the other day and was tqld they could notdifferentiate between Marinol and actual Marijuana.so basically we can't tell if the offender is taking his .medication or smoking weed. From what I've researched so far it appears Marinol is a legal FDA approveddrug. What are your thoughts if any concerning this matter? .Christopher DuranCommunity Corrections Officer 3Kent Field Unit606 W. Gowe StreetKent,WA 98032(253) 372-6450 office(206) 423-7858 nextel. (253) 372-6184 fax·5/13/2009 0..00472

RE: Medical Marijuana Process Change Memo Cfc Updated Fonn 14.-053Page 1 of2.Daniels, Karen R. (DOC)From: Daniels, Karen R. (DOC)Sent: Sunday, March 15, 2009 12:12 PM.To: Distefano, Monica J.(OOC)Subject: Fw: Medical Marijuana Process Change Memo & Updated Form 14-053We'll wait for Scott but can addJnthe 10 day time for med review to the memo. Thx .From: 'Hammond, G. Steven (~OC)To: Daniels, Karen R .. (OPe); Blonien, John 'Scott'Cc: Johnson, Deborah A. (DOC)Sent: Sat Mar 14 10:15:242009. .Subject: RE: Medical Marijuana Process Charige Memo & Updated Form 14~053. ..:... l. . . . .The revision looks OK to me,· Karen. I think 10 business days should be more than enough to do the HQ review." . . I . .Debbie,.please help me observe the time limit, whatever it ends up being. We can line up a susbstitute when I am ..away .. SteveFrom:Daniels, KarE!n R. (DOC)Sent: Friday, March 13,'200912:50 PMTo: , Hammond, G. Steven (DOC); Blonien, John 'Scott'Subject: ,FW: Medical Marijuana Process Change Memo & Updated Form 14-053j.Would you two mind/ooking at the attached memo and make any changes deemnecessary so we can ,get this change of polic,yout-to' the field. Steve, we don't havea time line identified for you to coli1jJle,teyour review in, but r think It might be 'helpful to have oile. What doyou think?ifyoi./agree, please let me know what anadequate time frame might beand we'll amend the memo. ~ Thx~kd' , ,Karen DanielsAssistant SecretaryCommunity Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504. Office: 360-725-8787Cell: 360-791-7768Fax: 360-586-0252email: krdaniels@docl.wa.gov'5/13/2009000473'

RE: Medical Marijuana Process Change Memo & Updated Form 14:-053Page 2 of2From: Distefano, Monica J.(DOC)Sent: Friday, March 13, 2009 11:38 AMTo: Daniels, Karen. R. (DOC)Subject: Medical Marijuana Process Change Memo & Updated Form 14-053. . .« File: Medical Marijuana Process Change 031309.doc» «File: 14-053.doc »Rough draft for your review and forwarding to S~ott:Monica DistefanoExecutive Assistant toKaren Daniels; Assistant St?cretaryCommunity Corrections Division7345 Linderson Way SWTumwater, WA 9.8.501 MS: 41126(360) 725':'8796mjdistE3fano@doc1.wa.gov5/13/2009000474

P. UUlDOC JURISDICTION ONLYNOTICE OF VIOLATION!STATE OF WASHINGTON. ,DEPARTMENT OF CORRECTIO NS STIPULATED AGREEMENT .NUMBER(S)admrt that I willingly violated the requirements of the Court and / or Department of Correctionshg violations: .1. ·Consuming marijuana on or about 11/21/08.I understand that r have the right to a hearing before a qepartment of Correotions Hearing Officer regarding theabO\ie violations. I hereby waive the right t~ a hearing and agree to comply with the f01lowing sanctions:1. Provide verification of medical appointment ~eportedly soheduled for 1/9/09.2. Attend scheduled appointment." .3. Provide verification of any treatment recommended, especially any medication prescribed, to CCO by no latert~an 4 p.m. on 1/9/09. . .I further understand that If !fall t6 co"mply ~ith these· sanctions that I may be subject to additional s~nctions, up toand incluairig if!carceration that may be imposed by the Department of Corrections if lam found guilty at aDepartment of Corrections hearing. I furtherundersfand that I have had 2 prior Stipulated Agreements; during thiscourse of s· slon:· ... .'1;A.j/)6 CYDATE· (/( ft-~-/o(I, DATEPATEj ,Distribution:ORIGINAL - Central FileORIGINAL - Field File. COpy - Region l3ecords Unit, OffenderCOpy - Region Records Unit, OffenderDOC 09-226 (F&P O·1I2212002) OAA I POLDOC 320.155000478

Date of B.irt. Documentation of fJiedical Authorization toPossess fv1arijuana for .f..1edical Purposes in V\lashington StateOPAS - OLYMPIC PAIN & ADDICTION SERVICES1334 LAWRENCE STREET .PORT TOWNSEND, wA 98368RECEIVED.TEL: 3EiO-385-4843 FAX: 360-379-1441 DEPARTMEI\.!T OF CORF-lECTIOI'JS. dAN 0 Q Z008PORT W\DLOGI( COMMUNI1Y COHRECTlOi'~SI am .a physician licensed ·in the State of washingto·~. I amtreating ·the above named patient for.aterminal illness or a debilitating condition as defined in RCW 69.51A,010.I have advised the above named patient about the potential risks and benefits of the medical use of·marijuana. I have assessed the above named patient's medical history and.1Ti:!f!dical condition. It 'is mymedical opinion t~at th~ potential benefits of the medical use of fI,/"a~ijU [j / wd.Jld likely outweigh thehealth risks for this patient. . /. .// /J'/tliJ-f!) Ile)l)!;, / I~., f ~--:;,?/)' £. .1/ (1/(1 ~'. ~.,.. ;' f .r~;:'j';./1-j/'1:A/ .~""J/:J-- J. (' "F'",r !. '''''>_.Signature o(Physician: C/ MDPrinted name of Physician :_JAMES K. RaTCHFORD, MDLicens.e #:. MD000119338Risks and benefits of medical marijuana. .Under Washington state law, the use of medical marijuana is now permissible for some patients withterminal or debilitating illnesses. The law regulating this CRCW 69.51A) allows physicians to advisepatients about the risks and benefits of the medical use of marijuana. .The flledical andsdentific evidence supporting. the use of medical marijuana remains controversiql in themedical community. Not all health care providers believe that medical marijupna is safe or effective andsome pr~oviders feel that it is a dangerous drug.Accol-ding.to the Washington state law the benefits of medical marijuana may include treating nausea 'andvomiting from chemotherapy; AIDS wasting syndrome; severe muscle spasms from muitiple sclerosis orother spasticity disorders; glaucoma; and some types of'intractable pain.Some of the risks of medical marijuana may include possible long-term effects of the brain in the areas ofmemory; coordination and cognition; inipairillent of the ability to drive or operate I-ie~vy machinel-y;respiratory damage; possible lung cancer; and physical or psychological dependence. .. . .Consent of Patient: I the undersignee! have. read the paper I~ar-ijuana Controvel-sies authored byStephen F. Grinstead withcOlllrllents by Dr. Rotchford. I u·nderstand this paper .and have had any. questi·cins answered regarding the risk of possible benefit.s of the use of marijuana for my ITiedicalcondition explained to. my satisfaction. I undel-stand that the use of medical outline above andelsewh.ere.- ate signed.'---Dale: O{-· cY7·.:::/()(/j'

QPAS~334 Lawrence StreetPort Townsend, \'1'.0.. 98368" "" , .. "Mo Mon. 0 Tue~~ 0 Wed. 0 Thul's. )J'[ri. 0 Sat.~;A ft. ZM~ at 9.:(joc:~"(;>",,,~ , • J, .'with ,13.~ Rotdlford 0 Dr. McGrory 0 Dr. Tatham/ If unable to keep appointment, kindly ~hfe 24 hours nDtice.000480

____--'-_--:'_.CON'SUL T ATION. REQUEST. F0R11:DOB:' .Dear _________......:.....__. In order to facilitate refelTals for OPAS'.s speciahzed services ·\ve have.instituted a policy to have a formal coilsulta1i.on request on fiJi:; :5-om theattending cJinician. This requirement is necessary for bilJing thi.rdp~iJ1:ies forconsultations. -It also helps assure that patients have ongoing relaJionships.\vitb a/primary care 'provider and assu]~es fi'omthe get go a chaooeJ ofcOl11l11lmication betwee1.1us.Oclr capacity to immediately ca.re· for thesepatients has been challenged by the demand for our sen/ices. lNhllespecialized services are indicated for the vast majority ofpatients refeITed,thi'ougb an initial consulta,tion we have tbeoption of them retuming to the ..referring physiciaJl with consultative suggestions. If, indeed, the patient islikely'to benefit from our specialized services wewil1 be incontact\vith themand sc11edule a l:et'um visit A.SAP .. It follows t11at we most often do notiJrescribe medicationsat the time· of the Drst consultation. In the cases \;,Iherev/e do it is be~ause we can follow up witb the patient tbJough OPAS visits.Thank you ror your understanding and assista11ce ...Sincerely,James-K. ROichford: MD MPHMedical. DU'ector**************************************To be completed by referring clinician:R.e:a:.;on i"orConsulL21licm Eequesl:. ,-t·;·; /'..6'" I"""'~' C(i··-,;·j·/ jfwe cleC:;Jl'l them nyc'cs~,'Il·:\"· ..Si!:,nalllrC:': - '.... '-_/'/::""'.I--,.~ /i::.;,.:, ,c.// .-

ii. . . I ; July 29, 20,08Dear Primary Care Proviaer,.. . .j' I .. I . . .DLle to our office r~c:p.in~ its c~cnt capacity to see patien.ts, \ve have s.[aned a :lIaililiglist for OUT prospectIve n~w patients. Vie encourage your office Lo provldc us w1tb thenecessary consU]12.liorl·rcl/ue51 if you have no~ already done so" and comrmlJ1iCa1e to theDatienl thaI thougl:l .il rha~·be a wait to rece{ve our services, they should still conr.3C[ our~fli~~ to facilitate the ~ro¢ess of entt.Ting onto our w~jtil1g lis! on which we ~iIII:Jnly .place those patients WflO have rerumed their papeT\~iork pnd whose doctors hEiveprovided L1swi1h a su:lifici~nl referral (uSuaUy a consuJt?tion request)... .·1 l -. . .. ..Ollr offlce is working,On fncreasing our capacity tcireach (he demand in the COITtlmuni!y_We are hoping that\vitbin 2-Ll months from now, we will ODce again.be able to sd1eduleour neVi patients as w~ re~eiye them. At the moment, we are mostly limited inprovirung on-going cal-e, ]10wever,. if your patient (eir medical staif) is one thaL wlouldthen.return to your offiee for continuing· carebenefit from a one-tim'e c~:msuJtali{)nand~ve.n if only for the dutalion of time in.whicbwe c:aTlJlOt manage1beir needs, pJealse letus ·!mow as we' have al:lol~ lime in our schedule for this type of 2pp·ciin(menl. As well,because we have twb doc~ors On staff thai can pro\ijde buprenorpbine (suboxone) ... ·1 1 .. . .·treatment for opiate de;P,e-q.dcncr. we are more adept at being a b!e to manage.thes.e cases .. Thank you for your u de?l:andmg and please feel· free to pall wlth any questions qrconcerns. !Sincerely,Andie Mitchell 1New Patient Coordinator In. I ; 0'{I ~~ ..I, ~6vJV~1334 lawrence S :·ee~~ \dCfJ\C/Oi ,.I ~ \FI \( ·1j.Por.t Townsend, 'IV - 98368360.38.5.484.3 or 866., j5.4S-13 .F.ax: 360.379.]4· 1W"w,..,,·;2.cubrie(s.com 'OPAS..000482

Christine Durnell MN, ARNFAza~a Wcllness Center. 14-4- 1 F Street, Suite A\Fort Townscnd,WA 983G8(:?GO) 3850800 Fax: (3 Go) 385-04-55Referral fOl" Consultation to:. Patient:Phone: DOB: .Insura nee: ___----L/=-'~.,~·~.LLtf.,L,-....c...r[L....:..:...-_---'___--'-_____--:-_-~. 'I.,,··./.,e·(~J ,1'1'·/' -' -:·1 {{lIe- {, t;000483

. Dewing, Kimberli ~. (DOC)From:Sent:To: .Subject:Raymond, Brooks M: (DOC)Wednesday, November 26,20081 :00 PMDiguilio, Michael J. (DOC)FW:2007 advice re medical marijuana issueFrom: Muccilli, Bonnie R. (DOC)Sent: Wednesday, August 01,20074:38 PMTo: Wend, Charles W. (DOC); Aiken, David G~ (DOC); Bammer, Karen S. (DOC); Burnside, Rebecca L. (DOC); Chamberlin,Jill M. (DOC); Dewing, Kimberli G,(D9C); Francis, Janet G (DOC); Harper, Donta S. (DOC); Hastings,Dwight J. (DOC); .Heurion, Sandy J. (DOC); Johnson, Todd D (DOC); Marrs, Steve D. (DOC); McGinnis, James J. (DOC); Pevey, Mac B.(DOC); Raymond, Brooks M. (DOC); Rosendale, Gina E. (DOC); Swanson, Leslie (DOC); Thomas, Annette J. (DOC);Thorburn, James T. (DOC)Subject: FW: 2007 advice re medical marijuana issue" In c~se you were not aware.-----Original Message-----From:Raymond, BrooksM. (DOC)Sent: ,Wednesday, August 01, 20074:.35 PM.To: " Muccilli, Bonnie R. (DOC) .Subject: 2007 ad~ice re medical marijuana issueBonnie, Can you SElnd ~his out.to our section ......... not sure if itmade it. thanksFrom:, Ramsdell-Gilkey, Lori M (~OC)Sent: Thursday, July 12, 2007 5:06 PM' .',' .'To:paul ockerman; Zoe Waggoner; Altig, Jason S. (~OC); Barbara Whitehead; Brian Clement; Cly Evans; Dennis Marsh; Galando; .Andrea T. (DOC); Garcia, Stacie A. (DOC); Gordon Neufeld; Hann, William G. (DOC); Jackson, Sheryl L. (DOC); James Riker;Jeffrey Mayedi3; Karla Mortenson; Kasler; Jeffrey P. (DOC); Kathryn Cavanagh; Kelly Wichert; Kimberly Allen; Kimberly Besaw;Kitchens, Brent L. (DOC);. Linda Hooper; lisa grimsley; Nancy Travis; Neil Chang; Nickerson, Carol S. (DOC); Prideaux, JoannaL. (DOC); Ray, Sherry L. (DOC); Rebecca Anderson; Reco Rowe; Robert La Lanne; Robert Zarate; Torok, Ernest(DOC) ,Subject:FW: 2007 advice re medical marijuana issue .Importance: High. /. ". . . . . . .'The issue of offenders using IImedical ll mClrij~ana while on DOC supervision has become a hot topic, particulariy, in the pas.t few months, After much thought and discussion it has been determined'that the affirmative. .'defense allowed under the medical marijuana act, does . 've disc, You'l see, the . " be,i,ow,one evueus ormaddition, the use and/or possession of marijuana remains a violation o(Federallaw~'100048~

I-! Page 1 of 1From: Pevey, Mac B. (DOC)Sent: Monday, March 16,2009 12:54 PM 'To: Dewing, Kimberli G. (DOC); Poe, Susan G. (DOC); Robinson, Darnell B. (DOC); Smith, CristineR. (DOC); Sullivan, Patricia R. (DOC); Zito, Linda K. (DOC); Bennett, Stephanie R. (DOC); Checo~Ami V. 'CDOC};Childers, J:ustin W. (DOC); Collum, Denise, E.(DOC); Derouin, Wayne J (DOC);'Dotson, DelTick R. (DOC); Escobar, Magdalena (DO~); Kolk, Jessica S. (DOC); Morrow, Nathan R.CDOC); ()sbome,.D~na J. (DOC); Rivera, Rodger W. (DOC); S9hillinger, l\.1iikiM. (DOC); Brown,Michellei. (DOC); Colemari,Michael J. (DOC); Conaty, John P. (DOC); Davis, Angel L. (DOC);Diguilio, Michael J. (DOC); Duncan? Margareta R. 'Margie' (DOC); Duran; Christopher L. (DOC);Gonzalez, LiliaE. (DOC); Jones, CarolA.;(DOC); Lee-pdell, EricaM. (DbC);'Reagan, RobertA.(POC); Reed, Natasha R.(DOC); Woods, SandraM. (DOC) .Subject: Medicinal Use ofryIarijuana . .Attachments: Admin'Bulletin AB-08-009 051608.pdf; Medicinal Use 'of Marijuana Form 14'"053~doc;'MClrijuana for Medicinal Use Memo 062508.pdf.Just a reminder in case you are looking for the forms.~--~''''''-''---'--:-'----'-'':--'---'-From: Daniels, Karen R.(DOC). St;!nt: Wednesday, June 25, 2008 2:36 PMTo: DOC DL ALL CCD STAFF I.Cc: Stern, MarcF. 'Dir Hlth·Svc' (DOC); Vail, Eldon W. (DOC); Blonien,John "Scott" (DOC).. Subject: ALL CCD Memo: Medicinal Use of Marijuana . ..Karen DcimielsAssistant Secretary .Community Corrections DivisionDepartment of Corrections7345 Linderson Way SWTumwater, WA 98504Office: 360-725-8787Cell: 360~791-7768Fax: 360-586-0252email: krdaniels@doc1.wa.gov000485file:IIC:\Documents and Settings\kgdewing\My Documents\Medical Issues\Medicinal Use .... 4/20/2009

STATE OF 'WASHIHGTOI'I. DEPARTMENT OF CORRECTIONSOHIC.E OF lHE SECRETARYF'. O. Bo>:41101 • Olvrnpio, iNashington 9f.>504-1101oTel (360) 725-8200FA>( (3.:0) 664-4056 .ADMINISTRATIVE BULLETIN AB"'()8-033,DATE:TO:FROM:RE:., November 12, 2008Executive staffEldon VailSecretaryDOC 380.200 Community Supervision of OffendersChanges to this policy are effective immediately to clarify the appeal process regarding'Medicinal Use of Marijuana. '. 'Change IV.D.: The offender may appeal a denial to the As~istant Secretary for . ,Community Corrections who will approve or d~ny the appealJn conjunction vvith theAssistant Secretary for Health Services. The appeal will be submitted iti writing to the, Assistant Secretary for Community CorreCtions within 15 days written notice of thedenial. The Assistant Secretary will provide a response to the'offender'within 30 daysofreceipt. The offender can only appeal a denial if they include additional information.not previously utilized for the original denial.Direct any questions regarding this administrative bulletin to .Marc stern, AssistantSecretary for Health Services. 'EV:mscc:Autumn Witten, Policy Program Manager"Working Togeth~r for SAFE Communities"00048.6" '

Goddard, Phyllis J. (~OC)From:'Sent:To.:Subject: .Murphy, Jillian L. (DOC)Friday, February 20, 2009 4:06 PMPearson, Robert A. (DOC);Cppy of CorrespondenceAttachments:Robert and Danny,Please find attached a copy of the correspondence preparedin regards to the denial of hisMedicinal Use of Marijuana Verification form. If one of you co. ma ..' . . a copy gets included in his FieldFile as well, that would b~ great. Let me 'know if you .have any O'l J9stiorlS Thanks so much!" .~..... ~: ...-a,df~'.. Jillion Murphy" Executive SecretaryDepartment of Corrections .'. Com'munity Corrections Division, East RegionP.O~Box 41126 .Olympia, WA 98504Phone: (360) 725-8312Fax: (360) 5?6-0252"How far you .go in life depe~ds on your being tender with the young. compassion~te with the aged; sympathetic with the striving. andtolerant of the weak and strong. B~cause someday in life you will have' been all of these. II . .-George Washington Carver100048.7

_', STATE OFWASHINGTON "DFPARTMENt OF CORRECTIONS _P.O. Box 41100· Olympia, Washington 9B504-11 00Febl1;ary20~ 2009Your Medicinal Use ofMarijurina request was received on Febry81Y 2, 2009. Upon i'evi~w by the'Department of CorreCtions! Health Services physician, your request has been denied. '. . .., "You may appeal this decision by sending-your written request within 15 business days ~f this letter,w!?ichiS' on or before March 16, 2009. Please send your request' to the address below:Karen Daniels~ Assistant SecretaryCommunity .colTections DivisionDepartrilent of Con-ections,P.O. Box 41126Olympia, WA 9S504~1126Your request must provide additional information that was not included with YoUrodginal request.Appeals that do not contaip.new information will be denied. You will receive a response to yourappeal request within 30 days of receipt. ,'. " ' ,Sincerely,Katen D'aniels, Assistant SecretaryCommunity Corrections DivisionKD:md· .cc: Robelt Pearson, COll:J.lnunity COl1"ections SupervisorDanny Av C .... , 'Corrections " OfficerField FilePhysician'S Office:Scott Havsy,DO.3716 Pacific Ave" Ste, ETacoma, WA 984is ." Working Together for SAFE Communities"~ recycled paper000488

II.IiSTATE OF. WASHINGTON .DEPARTMENT OF 'CORRECTIONSP.O. 8ox.~1100· OlympIa, Washington 98504-1100March 26,2009Your Medicinal Use of Mati juan a request was received on March 5,2009. Upon review by theDepartment of Con'ections' Health Services physician, your request has been denied.You may appeal this decision by sending yoU!' written.request within 15 business days, on or beforeAPli117, 2009~ Please send your request to the address below:Karen Daniels, Assistant SecretaryCommunity Corrections DivisionDepartment of CorrectionsP.O. Box 41126Olympia, WA 98504-1126Your request must provide additional information that w~snot included with your original request. ".Appeals that do not contain new information will be denied. Y eU will receive a response to yourappeal request within 30 days o,treceipt. .Karen Daniels, Assistant SecretaryCommunity Corrections Division.I

· STATE OF WASHINGTONDEPARTMENT OF CORRECTIONS,p~o, Box 41100· Olympia, Washington 98504-1'00 'February 17,2009\ .Iteceived your request from CBRMedic!J1, Inc., on January 5~ 2009, to appeal the denialofyaur initial Medicinal. Use of Marijuana Verification. .In· the jnterest of public safety and protection qf the ~ommunity at iarge, I find your.request for Medicinal.Use of Marijuana, while under the'supervision of the Departmentof.Co:rrections, is den,ied. .I would ~ncourage you to continue to program ~ a positive manner, folloWing th~directiQu ofyom·assigiled CCO and your conditions of supervision. ., ,Sincerely, ., Kafen "Daniels, AssIstant Secret~ryCommunity Co?,ections DtvisionKD:mdcc: Wendy Needham, Community Corrections Officer 'Kelly Miller, Co~ecti6ns SupervisorField File-DOC--. " ,Physician's.Office:, Attn:· Melissa Leggee·CBR Medical .'3115 E; Mission Ave.Sp~kaJ;le, WA 99202II Working Together for SAFE Communities" .. ., 000490

THCF MEDICAL CLINICS1813 130 th Av~nue NE, Suite #210BelleVue, WA 98005Phone: (425) 869'':6186'FAX; (425) ?69-6378www.thc-foundation.orgDocumentation of Medical AuthoriZation to .PossessMarijuana for Medical Pu:rposes in Washington. StatePatient Name:Date of1. 'Dlomas Orvald,am a physician licensed in the State of Washington. I am treating the above namedpatient for a tenIrinal illness' or ~ debilimting cond~tion as. defined in RCW 69 :51A;O 1 O. I hav~' advised the.. above named patient about the' potential risks and benefits of the medical use of marijuana:. I have assessed. the above named patientts medical history and medical condition. It is my medical opinion that the potentialbenefits of the·m~dical use 6f mari,tuana would likely outweigh the h~a1.th risks for this patient. .SigDahlre ofPl\Ysiclan:~~4'AA4c),gv ~ o-iQ.Thomas O.Orvald, M.D-•. WA # l\1D 00016180Today's date:_' _,:;::.10.::...· '.:w:,Ju.;:::;l.y--:2::..:0:....:;O..;;;,8..,...·---.-___,Expiration date:,_----:;:1:;.:::O...3!J:...:u:::.ly~20=0=9~ __......,...-Risksand benefits of medical marijuana:Under Washington sta:te:taw;·~e use ofmedica1'mariju~na: is-now-permissible-fel" -some-patlents-with: . ".terminal or debilitating illnesses. The law regulating this (RCW 69.5 iA) allows physicians to advisepatients about the risks and benefits of the medical use of marijuana., ,The medical and scientific evidence supporting the use of medical marijuana remains controversial inthe medical community. Not all health care providers believe that medical.m.arijuana is safe or"effective and some providers feel that it is a dangerous drug. .. ,According to the Washlngton state law the benefits of medical marijuana may include treating nauseaand vomiting from chemotherapy; AIDS wasting syndrome; severe muscle spasms from multiplesclerosis or other spasticity disorders; glaucoma; and some types of intractable pam. '.Some of the risks of medical marijuan!i may include possible long-term effects of the brain:in theareas ofmeI'nory, coordination and cognition; impairment of the ability to driveot operate heavymachinery; respiratory damage,; possible lung cancer; and physical or psychological dependenc.e .. Text on this fo.rm provided by the Washington State Medical Ass 0 qiation.000491

http://hemp.netlgreencrossllllmj_fol111.h"t"1U1t.Docum'entation of Medica.! Authorization toPossess Mariju~na' for Medical Purposes in Washington State. PatientI am a physi . . .. .. State of Washington. I am treating the abovenamed patient fora ternlinal illness or a debilitating condition as defi'ned in RCW69.51A.010.· .'I have advised the above named patient about the pot.ential risks and benefits of'the medical. use of fn?irijuana. I have assessed the above named patient's. .medical liistory and rjiedical condition. It is my medical opiniom that the potentIal. benefits of the m'edical use of marijuana woufdHkely outw.-eigh the health risksfor this·patient.S ignatu re. 'of P hysi cian: ~'t-rlff-+-J-f+-'-Vi--"~-'-r'-'-c.L..I.. . . . . .' ~~. . -.~ 1: • ', ••According to the Washington state law the ben'efits of m~dical- marijuana mayinclude treating nausea ano vomiting from chemothl?rapY;'AJDS wastingsyndrome; severe mascle sR?sms from multiple sclerosJs .or other spasticity'qisorders; gJauc0:,na; 'and sO,me types of intractable pain.' . / . :'..Some of the risks of. medical marijuana may include possible Ibng-term effects of .the br§lin in thearea\$/of memoryl .coordir)ation and ~9gnition;impairment of th? .ability to drive'or, operate heavy machineryt respiratory: da[llage;possible lungcancer; andphy'sicat or psychologica[ depef.ld~t.lce.· ~. ..'". ~~ ...•.'. ~-....t.;' I '0' •. . Text on this.form provided ~Y the Was0ing.ton State Medi~af Association.'t ••r IIlI7/bl 1:37 pt) 0 0 4 9 2

.0.! 'Documentation of Medical Authorizatiori to Possess M~rijuana 'for Medical Purposes in Washington StatePAT~ENT NAME: ' __ _DATE OF BIRTH~J, Antoine Johnson ,al11a,phy~ician licensed in the State of Washingtonand I ~m tre?tingthe abov~ patient for a terminaljllness or a debilitating, condition 'as defined byRCW 69.51A010. ''", 'I' have advised the above named patient out the potential risks and benefits of the medical useof marijuana. Ihave assessed the ab e named p tient's mecjical history and medical condition. 'It is my medical opinion that the pote tial benefits f the medical use cif marijuana niay outWeigh, the health risks forthis patient.' ,Physician Name: 'Dr. AntoL e :Johnson WA License Number:MD00039048Physician Signature:,, ___: +1_,_'· __-+-_+-1--__ Date: 10-/1-2-/2-0-0-8-" ---,-,This rec0f!1memdati~n eXPir+ on; -~-=:.r:-=r-----Risks and benefits of medical marijuana.IUn.derWashington law, the ,use ofm dieal ar,ijuana is now permissible for some pati~nts,with terminal or debilitating illnesses. he laregulating this (RCW 69.5iA) allows phYSiciansto advise patients about the risks an enefit 'of the medical use of marijuana.'The medical clnd scientific ev.ide. e sup rting ,the use of medical marijuana remainscontrQversial in the medical commu ity. N all health care providers believe that medical, marijuana is safe or effective'ands 1!Je pr viders feel that itis a dangerous drug.,According to the Washington S te.lalM the benefits of medical, marijuana may,includetreating nausea and.vomiting from ch(:!m therapy, AIDS wasting syndrome; severe musclespasms from multiple sclerosis or the spasticity disorders, glaucoma, and some types of, intractable pain." ' ,Som~of the risKs of medical marljuana may include Possible long-term effecisofthe 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 psychological 'dependence.Recommendation " ,As this patient's "60 day supplyR; 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 "~Oday supply".'_ .... ~~. _____ __ ••• _ •__•__._._ '0 •.•• -CBR' Medical,.lnc.Administrative Office3115,E. Mission AveSpokane"WA99202Spokane: 509-242-8624,',Seattle: 206~774-6493'Revised 7/07000493

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.. --000495

CUNICNOIH, . .....,.", .•.'. ~.1q~12io8.,~_·_1~87~ .··~140#Mr_res~nts today. for re-evaluation of a debilitating or ~erminarmedic~1 illness.. ",,: ~,,'" . '". . . .' . ....The patient has provided certain docume'nts for my review. 'Upon review Glf said documentsand evaluation of the patient I have assessed the. following debilitating or terminal medicaliIIness(es): 1) A spastiCity disorder (asthma) which is unrelieved by standard medicaltherapi~s., . .I have discussed the risks and benefits associated with the me,dical use of marijuana with thepatient. .I hav~ informed the patient that he may benefit from the medical use ,of marijuanI have informed the patient that 24ozs; of cured, dried, marijuana and 15 planas. a sixty (60) day supply..", "mUI1~a(i~__ jD@iJ\Iiflj1!J~ ili!l!IUUD~~~~1Hm:!~ iml~ ~ PIIQi!¥.tDM.il~ fa~~ ~1M1!I~ ~~~

ATTENTION LAW ENFORCEMENT'.. Patient FormI am a le,9al medical marfJuQna patient;as defined by the Washingtort Medical MarijuanQ~ct, RCW69;51A. A copy of that document. is attached to this letter. I have also attached a copy of my .Physicians RecommendaTion as required by RCW 69.51A. CBR.Medical, Inc. and its affiliated . .physieions contact numbers are: Seattle: 2.06·774~6493 or Spokane 509-2.4Z-8624.' I have' also .attached ci copy of my Washington State Driver License/ID, as well as a copy of this patient'sWashington state Driver License/ID. .' .' .... . .. ,.; I am In 'possesslon of less than my necessary "60 day SL\pp{yr~ as de.fined by RCW 6~~51A! 1: willli~tanswer any questions as related to my status as a quctlified patient. my rnedical condition, my do~cige. requirements or the number of .planTs that I need to meet my "60 day supply~· or any other. :quesi'iotisregarding my medical condition or medication. This info~inil'i'l.oiijs· confidential and is .strictly prqtected under the Fecieral HJ;PAA fawtho.t protet;ts the confidentfally of my tnedlcalInforma.tion. Requesting this informQtlon, without a subpoena, violates my right against $elf~incrimination.Furthermore, I 'will not speak with you unless I am Clccompanted by my attorney. Any further .attempt to speak to me without" the presence of my attorney will be consider~d coercion. I do nO}1and will not. agree to a search of my horne; person, property, or vehicle, under any circumstanceS,without Q search warrant.' .This Le.tter t the copy of my Physician's Lette.rof Autharization~ a copy of ""y. Wa~hhigto" StateDriver Ucense/ID~ artd a copy of RCW 69 .51A ~re being provided for YOllrrecor?S and incidentreport. I encourage review of this 'docu~entatlon be.fare taking action.I(Signature).0.00497

Ap r. 13. 20~9 11: 50AM CBR Medical In·c. No. 4975 P. 3·sr~TE or WASHINGTON. DEPARTMENT OF CORRECTI{)NSP.C. Elox 4'j!lO • Olympia. WQ$hlngton 913504-1100 .Mar~h26. 2009. YourMcdicmal Usc of Marijuana. request wasreccivcll on March 4,2099. Upon n:vicw by theDepartment ofCoITecliems· Health Services physicllln) your reqlles~ has been denied.\You mayappe;,u this dcci~i()n by sending your written request :within 15 bmlint:ss clays, Oil or beforeApri117, 2009. Please s~nd yOul' request to the address below: .Karen Dill1iel~, As!-.i.stant SecreturyCommunity CorreCtiol1s DivisionDepartment of COl'!'c~~tionsP.O. Box 41126OlYlllpia, W A 98504-1126Your request must provide additional information that was nothlCl-uded with your original reqlle:-;LAppeals that do not CODlaln new ltlf01'1!latioll wi] [ be denie

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSP,O, Box 41100· Olympia, Washington 98504-1100 'March 26, 2009, ''Your ¥.edicinal Use ofMal'ij'uanal'equest wasl'eceived on Mai'ch 11. 2009. Upon"review by theDepartment of COlTectiops' Health Services physician, yo~ request has been. denied: 'You may appeal this decision by sen4ing your written request within 15 business days~ on or beforeApril'l7,,2009. Please send your request to the ~ddress below:'Karen DanieI~, Assistant Secl'etaryCommut}ity Corrections DivisionDepartment of CorrectionsP.O. Box 41126Olympia, WA 98504-1126Your request must provide additional information that was not included with. your originall;~quest,Appeals that do not contain new information will be denied." You will receive a re'sJ?onse to yourappeal request with~ 30 days ofrl:?ceipt.'Karen Daniels~ Assistant SecretaryCommunity Corrections DivisionKD:md "cc: Carole Rigney, Community Con'ections SupervisorSteven Burriss, Community Corrections OfficerFieldFile_ ' ' ,Physician'~ , " ,THCF1813 130 lh Ave, NE,Ste#210Bellevue, W A 98005,'IC Working Together for SAFE Communities"000499

1813 130,i, A~enue NE, Suite.#210Bellevue, W A 98005Phone: (425) 869-6186FAX: (425) 869-6378ww·w. the-foundation.orgDocumentation. of Medical Authorization to Possess.' . . '. '.. '.' . , . " '. " .:. -: . ~Patient Nalue:Date of-_. ---. "' -. :','" ,',.~ ...'. ". .' li.s~nsed in the State

STATE OFWASHINGTONDEPARTMENTOFCOR~ECnONSP.O. Box 41100· Olympia, Washington 98504.1100January 21, 2009Mrvi . Penitentia.ry . ,1313 North 13 th Avenue·Walla Walla, WA 99362DearI am in receipt of your recent letter postmarked January 14,2009. You requested informatiqnregarding medicinal use of marijuaJiawhile on supervision in the community.. , .Once you are released you will need to address this issue ~th your assigned C~mmunityCorrections Officer (CCO). The CCO will e-x;plain the policy and supply you with forms that. will need to be.filled out by your primary care physician and forwarded to the Department ofCorrections for approval. 0.. .. .Further information can be found in Department of Corrections Policy 380.200, Community. Supervision of Offenders. .Sincerely,I °Anne L. Fiala, Regional AdministratorNorthwest Region Community CorrectionsoOALF/smg~'-I recycled p.per" Working TOflether for SAFE Communities"000501

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Ohman, Holly L. (DOC)-From:Sent:To: -Subject:Distefano, Monica J. (DOC)Tuesday, D~cemb~r 09, 2008 9:31 AMOhm~y, Frank C. (DOC)FW:-_MM Authorization Request. '- .. "... '-, " ' .. "-:'.~:,,:;. >,: :< ..FYI-This offender's request wasdened.Monica Distefano!;:xecutive Secretary .toKaren Daniels, Assistant SecretaryCommunity Corrections Division7345 Underson Way SW -Tumwater, WA 98501 MS: 41126(360) 725 T 8796mjdistefano@doc1.wa.gov _From:Hammond, G. Steven (DOC)Sent: -Monday,December 08,20084:39 PMTo: ~)-Subject: _ ~MM Authorization RequestNot consi~tent wi~~ ;'6{~~~i~;"G. Steven Hammond PhD; MD, MHADirector of Medical Services -Health Services Division -Department of CorrectionsPOB41123 -Tumwater, WA 98504'-1123360-725-870010005'03

STATE OF WASHINGTONDEPARTMENT OF CORRECTIONSREQUEST TO APPEAL IMPOSED CONDITIONOffender NameDOC Number:Cause Number:IYJR , ltD1, . ~ ~ j Offender Name. am requesting an appeal ~f the Department of Corrections"lmposedep(t1/ J & 17(y~abttmen-t, !Served to me on:DateSyCCOJustification for Request:ilial) Received Copyo DeniedComments: ., In accordance with DOC 390.600 the imposed'conditionappealis approved and the condition is not to be imposed but canbe sent back for reconsideration within 6.0 days from the date of this decision if the following does riot occur: Offender Lee,D. DOC #263590 does not remain violation free to include new criminal law acts and Offender Lee, D. DOC #263'590 does,not provided the assigned CCO with medical verification prior to the expiration, as well as he and his doctor completing theappropriate paperwork in accordance with DOC 380.200 Medicinal Use of Marijuana Request. If appropriate paper work is'requested prior to the expiration ofthis decision it remains in effect until a final decision is made by the director of medicalserVices.' FA-' ., ' ' "Af.t+S.gnee SignatureThe contents of this document may be ~ligible.for public disclosure. Social Security Numbers are considered,confidentialinformation and will be redacted in the event of such a request. This form is governed by J;:xecutive Order 00-03, RCW 42.56, andRCW40.14 ..Distribution:~ORIGINAL- Field Administrator/Superintendent/Designee COpy- Field File, Offender000504DOC 09-252 (Rev. 9/19/08)DOC390.600

Melton, Kelly R. (~OC)From:Serit:To:Subject:Melton, Kelly R. (DOC)Friday, February 13; 2009 11 :48 AMHarper, Donta S, (DOC)FW: Resporise languagewith DOC 390,600 the imposed condition appeal is approved and the condition is not to be imposed bl:lt canfnr',rl'iiry',lnl':lderation wi~hin. 60 ?ays from t,he date of this, d~,cision if the follc;>wing doe, S, not occur: Q~, , " )1:, not remam Violation free to Include new crlmmallaw acts and Offende __ DOC~esnot , "assigned ceo with medicaLverification prior to the expiration as well as he arid his ,doctor' completing theapixopri paperwork in accordance with' DOC 380',200 Medicinal Use of Marijuana. Request. If appropriate 'paper work isrequested prior to the 'expiration of this decision it remai~s in effect until a final decision is made by the director of medicalservice$,'1000505

Harper, Donta S. (DOC)From:.. Sent:To:Subject:Importance:Harper, Donta S. (DOC)Thursday, March 12,2009 2:30 PM~\~?,-- ORP Investigation Pending - Rou;ed To Field Admini$trator -DeriY\~d To FAFor Authorization (Ali Denials) .' .HighKerry,I am confused .. , In the ORP the CCO ,indicates the ORP is not approved due to not beingsuitable. Residential:sponsor has insufficient room in the home. This does not appear avalid reason for not approving if· the sponsor is yvilling to. make arrangements. Having aroof. over head and place to.track this offender is better then being homeless. Your.response said propo1?ed residential sponsor is opposed to the .. placement; . and 'also, medical.marijuana and alcohol in' the home. Further, based on the irives'tiga;tiOni the offender maybe 'having contact with the victim.rWhat has the sponsor actually said? In respects to the usage Of medical marijuana is thesponsor willing to secure this and the alcohol. This p.oes not to as much a concern withthis offender as he is on supervision for assault and stalking. Can. we not mitigate withthe sponsor the me.dical ma~~juaria and alcohol?-~---OriginalMessage----~From: .. kakilkenny@doc1. wa. gov [mailto: kakilkeriny@doc1. wa. gov]Sent: Thuriday, M~rch12, 2009 1:30 PM '.To:' Harp'eri Donta S; (DOC)Cc : RES Coordinator; 'Klahn; Bonnie S. (DOC); CaicedO, Kara N. (DOC); Records·WSP MSC IMU;'Laing, J S ..ly A .. (DOC); Harper,. Donta S. (DOC)Subject:- ORP Inv~stig~tion Pending~ RdutedTo FieldAdminis-i:ra lan - Fo:!:'ward To E:'A For Authorization (All Denials)Importance: HighComments:Click on this lirik to access the ORPhttp://doclwbtum101/0RP/DataEntry/ClassificationCounselor.aspx?CurrentORP 10=29594This is an auto-generated email. You. are receiving a 'link to the. Offender Release Plan.Only the·receiving CC/FCCO, Ass.igriment Officer, CCO, Supervisor or Field Administr.ator isauthorized to update their sections in the referrai. Please process theInvestigation/Notification as required.All other staff receiving this email. may only view the referral.1O.Of)506·

Page 1 of4Harper, Donta S. (~OC)From:Sent:To:Harper, Donta S. (DOC)Monday, Janljary 26, 2009 3:40 PMHeurion, Sandy J. (DOC)·Cc: E. )Subject: RE:posed Condition'sIt appea'rs the case is a felony case and if it is then this is approved .., , .-~-~~--, --, -, -, --~,,--,.------:.'--""";"--,From: Heurion, Sandy ~. (DOC) , ,Se~t:Monday, January 26,20093:28 PMTo: 'Harper, Dont?! S. (DOC) ,~~~~~f~e~~~~Imposed Conditions'. ..... . . . . . .,_Charles gave this offender the authorization of med,icinal marijuana form oyer a month ago. The offender has not 'yet given it to any physician. One of hisphysician's'is under investigation by the DEA and FBI and that clin'ic is 'now closed due to the investigation for the dr. being too lenient with giving out prescriptions. We are asking thatyou reconsider the imposing of the, no drug (use and possession) condition. The below email has hi~ conviction ",and information on why the request was made. Ple~se let us know if you have any other questions for us. 'This offender just reported in. today and .had an odor of marijuana on him.Thanks!' ,.'From: Mitchell, CharlesE. (DOC)Sent: Monday, January 26,20093:17 PMTo: Heurion, ~, ~ubjeft:FW_Ili1posed ConditionsCharles Mitchell- Reriton Field UnitWA Department of CorrectionsCommunity Corrections Officer 21107 SW Grady Way Suite 101Renton WA 98033Phone# 425-:203-4805Mobile# 206-786-3272Fax#A25-277-7192CONFIDENTIALITY NOTICE: This email cOllU!i~nication and any attachment may contain confidential'and privileged infOlmatioll for the use of thedesignated recipients named above: The designated recipients are prohibited from re-disclosing this infol1nation to any other party without authorization and'are required to destroy the info1TI1ation after its stated lleed has been fulfilled. If you are not the ll1tended recipiep.t, you are hereby notified th(lt you havereceived tIns communication in eITor and that any review, disclosure, dissemination, distrib\ltion or copying of its contents is prohibited by federal and statelaw. If you have received this communication in en'01', please,notify me immediately by telephone at 425-203-4805 and destroy all copies of thiscommunication and any-attachments, .iFrom: Harper, Donta S. (DOC)Sent: Monday, December 22,2008 11:51' AMTo: Mitchell, Charles E. (DOC)Cc: Heurion, Sandy J.Subject: RE:Imposed Conditions4114/2009

Page 2 of4W~_ will not be imposing this condition until the medical marijuana process 'has occurred first. ·Charles as indicatedbelow. Please give him some expectation as to when he should have the paperwork forward to his medicalprovider, and to DOC. Upon a decision from the Department's medical staff and the AssistantSecretary willdetermine how we should proceed. ., 'Fi"o~:Mitchelli Charle.s E. (DOC)S'E!nt: Monday, DecerTlber 22, 2008 11:27 AMTo: 'Harper, Donta S. (DOC) ,Cc: Heurion, Sandy J. (DOC), 'Subject: RE: ,This is what" I wrote in my original email.posed Conditions**'The reason I feel these two conditions are appropriate'is that drugs. had a direct correlation to P's' current cause.P isdn supervision for Violation of the Uniform Controlled Substances Act: Possess Marijuana in Amount Over 40 -Grams. ' ' ,. . . .P was arrested in his home by the narcotics task force. P sold an undercover officer marijuana three times fromhis house. When the police went into P's house they found 261.2 grams of marijuana, one plant, a hand guh, 70,'marijuana seeds, 3,065 in cash, a scale. Plus in a shed they found a marijuana grow operation consisting of.11 .'plants, lights and water system to all6wthe marijuana to ,grow. 'P 'has a conviction in 5-23-07 for a controlled substance possession. OnP's OSP, the top two area of needs areAggression and Drugs/Alcohol. HavingP not allowed to use controlled substances without a prescription Will helpto address,that area of need and also' address causes of his current crime." ,On OMNI it appears that P has a condition to not use controlled substances that was imposed 'by the court.However, acheckof his J&S and' the king county records clerk shows that was nev.er' a condition by the judge. Palso does not have a CD treatment condition at this time: ' " ,..P has told me he has a prescriptiori for medical marijuana. However, all I have seen is an expired prescription. Ihave given P the DOC required documents that are needed for P to be able to use medical marijuana. Whe'n Iwent to his house for the'first time last week, I was overwhelmed by thesinell of pot and p told me he uses often .• • • • • • • • ••• • •• •• • • • • • •••• •.• •• • • • • • • • • •••• • w· •••••••••••••••••••••.••••••••••••••••••••)I did go overthe DOC medical marijuana policy withP, gave him all the forms, and informed him to see his Doctorto have him fill them out. P said he would on his next medical appointment next week, I will be,seeingP this week,(depending on snow) and will re-inform him of the importance of the DOC process on this. This has been 'documented on OMNI. . ''.Attached is a copy of P's J&S along with the probable cause document that details his offence. 'As you can see in the J&S P does not have a no drug condition. But his crime had to do with drugs and he has atargeted needs area of. Drugs/Alcohol.'Let me know if you need anymore information. I will be on A/L until Friday and will be away from email until then.Charles Mitchell - Renton Field UnitWA Department of GorrectionsCommunity Corrections Officer 211,07 SW Grady Way Suite 101Renton WA 98033 .Phone# 425-203-4805Mobile# 206-786-3272FaX# 425-277-7192From: Harper, Dorita S. (DOC)4114/2009000508

Page 3 of4Sent: Monday, December 22, 2008 10:57 AMTo: Mitchell, ChariesE. . Heurion, Sa'ndy J. (DOC)Subject: RE.ConditionsWhClt are the specific ~onditionsthat are listed on hi~ J&S? . .Secondly.as indic:atedthere is a P9licy that covers legal utilization of medical marijuana and if he has aprescrip.tion ·01' had Clne lie nee.ds to follow'our DOC protocol for this. This is not a call for you or me. He needs tobe given some' expeCtation as to when he should have the paperwork forward to' his medical provider and to .DOC. .Froin: MitcheU, Charles E. (DOC)Sent: Mbnday; December 22,2008 10:22 AMTo: Harpe\; .... rioh, Sandy J~ (DOC) .Subject: RE .Imposed ConditionsThe court didnot have thatis wfongon OMNIcondition ..a condition to not use controlled substances. While it has that on OMNI the 'J&S does'at all and there is no attachments to the J&S that says to not used controlled substances. Ith~ has this as a court ordered condition. That is why I asked for it as a DOC imposed ..' . . . .Charles Mitchell - Renton Field UnitWA Department of Corrections .Community CorreQtions Officer 21107 SW Grady Way Suite 101Renton WA 98033 .'Phone#425-203-4805rviobHe# 206-786-3272. Fax# 425,-~77 -7192From: Harper, Dbnta S. (DOC) .Sent: Monday, December 22,200810:11 AMTo: Heurion, Sa.. J. (DOC);Cc: Mitchell,Subject: RE:Imposed ConditionsSandy and Charles,At this point I am not approving that we impose any more'then what the court has already orde~ed. The courtalready ordered that he has notcontrolled substance use or possession. These conditionsalone should be'enough to m'onitor him for like behaviors. .'From: Heurion, Sandy 1 (DOC)Sent: Friday, December 19, 2008 4: 10 PMTo: Harper, Donta S. DOC).·Cc: Mitchell,Subject: FW:Imposed ConditionsDonta, .this is a mod~rate offender. I support the conditions th~t Charles is requesting.From: Mitchell, Charles E. (DOC)Sent: Friday, December 19, 2008 3:52 PMTo: Heu J; .Subject:Imposed Conditions411412009

Page 4 of4I would like to propose imposing the following conditions on P:Do not consume or possess any controlled substances without a legal prescription, Submit to UA's as directedThe reason I feel th-ese two conditions are appropriate is that drugs had a direct correlation to P's current caus'e,P is on supervision 'for Violation of the Uniform Controlled Substances Act: Possess Marijuana in Amount Over 40Grams.pwas arrested in his home by the narcotics task force. P sold' an undercover officer marijuana three times fromhis hOl,.lse. When the police went into P's house they found 261.2 grams of marijuana, one pla,nt, a hand gun, 70marijuana seeds; 3,065 in cash, a scare. Plus in a shed they found a marijuana grow operation consistir}g of 11plants, lights and water system to allow the marijuana to grow. ', P has',a conviction in 5-23~07 for a controlled substance PC?ssession. On P's OSP, the top two area of needs areAggression cindDrugs/Alcohol. Having P not allowed toU~::~,fontrolled.substances witho~t a prescription will help;to address that area of need and also address causes of hls'

.. ".' /'!"'Sa",~.. , ~.. = DEPARTMENT OF CORRECTIONS. 1,' . 1. STATE OF WASHINGTON. Medicinal Use of Marijuana VerificationOFFENDI;R 1.0. DATA:, '.BirthDear Prescriber, . . . .'By state statute the Washingtan State Department af Carrectians is charged with the respansibility to' supervise sameaffender'safter they have been canvicted afa felany. The abave.named·pa~ient is currently undE:lr supervisic;>n by the'Departmerit. Supervisio'nis designed to' help the affender avaid thase environments ar. situatians thaUead to' their criminalbehaviar. Often illicit drug use is a cantributing factar in an indiviaual'scriminality'. . Accardingly it's usual that the court arthe Departmentof Carrectians will impase a canditi

RECEIVEDOctober 1,2008\,OCT 7 REC'D_UEPARTMENT .Q,tO"R~CTliJNS. COMM~RECTIONSMannY MartinezCoDimunity Corrections Officer 2Department of CorrectionS. Com:iI1unity Corrections Division755 Tacoma Ave SouthMS:WT-19 'Tacoma, WA. 98402Dear Manny,..' .Thank you for Stopping by this morning, I apologize for the state. in which you.caught me. I had a bad night lastnight and was unable to' sleep. No coffee!!! I am. surprised I was able to communicate. I enjoyed our conversation, and hope your visit .was fruitful for your purposes. . ,Lam enclosing the forms from my Dr. that you gave me on my last visit to your,office. I hope this satisfies the requirements. .Cc: fileEncl: DOC 14-053 (05/16/08) 2 pages, ,Photocopy prescription dated 9/29/08Photocopy Documentation of Physician Authorization 7/2007