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75A - PH - MEDICAL MARIJUANA - PROHIBIT
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10/01/2007
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75A - PH - MEDICAL MARIJUANA - PROHIBIT
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Last modified
1/3/2012 4:37:35 PM
Creation date
9/26/2007 2:00:08 PM
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City Clerk
Doc Type
Agenda Packet
Item #
75A
Date
10/1/2007
Destruction Year
2012
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We are happy to refer you to a tow cost medical clinic so that you may receive a check <br />up. Please call and ask our office staff for the number to one of these locations. <br />2) Any medications or prescriptions (you may bring the bottles with their prescription <br />labels), any supplements or over-the-counter herbs, vitamins, etc. We are interested in <br />knowing what you regularly use to alleviate your condition. <br />3} Cali;orn:a Driver's License or Calif®rnia I,D• Card: You must be able to prove <br />California residency. This is a California law. We must see a photo l.D. proving <br />residency here in the state of California. <br />4 Please brin the a ro riate fees to a for ~ow• visit. At this tune our office is not <br />acc~tink checks or credit cards If,~ayment is an issue please speak with our office staff. <br />http :!/www, howardstreethealthapti ons. corn/ <br />This is Dr. Milan Hopkins in Upper Lake; <br />Are you concerned about your health and looking for an old-fashioned. doctor who will. <br />take the time to listen? One who is up-to-the-minute on new medical developments and <br />understands your needs? You'll. find a caring non judgmlentai doctor accepting IVIedi-Cal, <br />Ivledi-Care, Tribal Healthcare & other types of insurance. Also included on site is Leah, <br />a certified massage and bodywork therapist. Please call to get affordable fees {Fees <br />based on a sliding scale). <br />Cannabis Fees and Requirements <br />Due to the legalities surrounding a medical recommendation for cannabis; patients are <br />required to provide Dr. Hopkins with the following documentation: <br />Primary Physician Information: If you have a primary care physician, we request that <br />you discuss with him/her your desire for a cannabis recommendation. We require the <br />name, telephone number, and mailing address of your physician. If possible please bring <br />any medical records you. may have that would support your medical conditions. <br />The California State Medical Board. has decreed that the physician issuing a <br />recommendation for medical cannabis must either assume responsibility for all aspects of <br />the patient's care, or must consult with the patient's primary physician prior to issuing the <br />recommendation. <br />Identification: Please bring with you some form of pictured identification. <br />Fee• The initial consultation and recommendation fee for medical cannabis is $175.00 to <br />be maid at the time of service (We do not except checks or bank card pavments) <br />Six Month Check-Up: The doctor requests that his patients return ever 6 months, the fee <br />for this visit is $60.00 to be paid at time of service. It is require by the California State <br />Medical Board that cannabis patients be under the continual care of the prescribing <br />doctor. <br />Annual Renewal: Your recommendation will need to be renewed every year for $125.00 <br />with a 6 month. check-up. If you missed your 6 month check-up it will be $175.00. <br />http~l/www. dochop.com/ <br />38 <br />75A-47 <br />
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