California Cannabis Physician Questionnaire

Posted April 4th, 2011 by Guest

California-licensed physicians (MDs and DOs) are free to recommend marijuana for their patients, so long as they don't actually assist them in obtaining it. Over 1500 California physicians have recommended medical marijuana under Prop. 215. See Cal NORML's Guidelines for Physicians Who Recommend Medical Marijuana

LISTING INFORMATION (to be posted on our website):

Group and/or Physician Name: *

Street:

City: *

State: *

Zip Code: 5 digits only

Telephone: (805) 555-1234

Email:

Website:

Admin Contact Info

Please let us know the administrative contact for this listing. This information will not be released to the public.

Telephone: (805) 555-1234

Group Name (if applicable): *

Doctor’s Name: *

Doctor’s California License Number: *

Address: *

City: *

State: *

Zip Code: * 5 digits only

Other (specialties, languages, etc.):

Contact person: *

Contact email: *

Contact Telephone: (805) 555-1234

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California Cannabis Physician Questionnaire