Section 22-C801. FORM OF RECOMMENDATION

 

801.1A physician’s recommendation that a qualifying patient may use medical

marijuana shall be written on a form provided by the Department and include the following:

 

(a)The name, address, telephone number, and specialty or primary area of clinical practice of the physician;

 

(b)The physician's District of Columbia medical license number;

 

(c)The qualifying patient’s name, date of birth, and home address;

 

(d)The patient’s qualifying medical condition or qualifying medical treatment;

 

(e)A statement certifying that the patient has a qualifying medical condition or suffers from the side effects of a qualifying medical treatment, and that in the physician’s professional opinion the potential benefits of the medical use of marijuana would likely outweigh the health risks for this patient;

 

(f)The length of time that the qualifying patient has been under the care of the physician;

 

(g)A statement that the physician has explained the potential risks and benefits of the use of marijuana to the qualifying patient and the qualifying patient’s parent or legal guardian, if applicable;

 

(h)The physician’s signature and date; and
 

(i)The qualifying patient’s signed consent for the release of medical information related to the patient's qualifying medical condition or treatment.

authority

The Mayor, pursuant to section 14 of the Legalization of Marijuana for Medical Treatment Initiative of 1999 (Act), effective July 27, 2010 (D.C. Law 18-210; D.C. Official Code §§ 7-1671.01, et. seq. (2011 Supp.)).

source

Notice of Emergency and Third Proposed Rulemaking published at 58 DCR 3299 (April 15, 2011)[EXPIRED]; as amended by Notice of Emergency and Fourth Proposed Rulemaking published at 58 DCR 7207 (August 12, 2011)[EXPIRED]; as amended by Notice of Final Rulemaking published at 58 DCR 10128, 10149 (December 2, 2011).