Medical Marijuana - Sample Doctors Letter

  • October 2019
  • PDF

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Your doctor may choose to write your medical cannabis recommendation on their regular prescription pad or office stationary. However, there are several form letters available for doctors to use. Contact ASA for a blank copy, or ask your doctor write a note similar to this sample:

Date_____ I am a physician licensed to practice medicine in California. This statement certifies that _______________________(name) is a patient under my medical care and supervision for the treatment of _____________________________(diagnosis). I have discussed the medical benefits and risks of cannabis use with the patient as a treatment for these medical conditions. I recommend cannabis use for my patient. If my patient chooses to use cannabis therapeutically, I will continue to monitor his or her condition and provide advice for his/her progress. This recommendation shall remain in effect until______.

Sincerely, (Physician’s name & official signature)

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