This certifies that is a patient under my medical care and supervision for the treatment of
I have discussed the medical benefits and risks of cannabis use with the patient as a treatment for these and/or other medical conditions. I recommend cannabis use for my patient.
If my patient chooses to use cannabis therapeutically, I will continue to monitor his/her medical condition and to provide advice on his/her progress.
I understand that I may be contacted to verify the information in this letter. My patient authorizes me to discuss their medical condition and the contents of this letter, for verification purposes only. I am a physician licensed to practice medicine in the state of California.
Physician’s Name (print): Physician’s Address (Street, City, Zip Code): Physician’s phone number: Physician’s CA License No.: Date: January 24, 2021
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Document Name: Physician Recommendation
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