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Friday, excluding holidays. HIPAA Authorization.Forms. These forms can be downloaded, printed and completed, then brought to our office at your next appointment. If you have questions about your medical records release, call 919-938-7705. Wayne County Health Department. Form I: Parent Consent for Section 504 Evaluation. Form J: Section 504 Plan. Any new patients must fill out all of the forms below.
It's time to get your medical records. Patients who don't have a current Ohio State Medical Marijuana Card are subject to Ohio State law including the use of medical marijuana. All patients with questions about medical or recreational marijuana can call 1-855-MARY-WELCOME. This hotline is used by the Medical Marijuana Commission. How to Register your Medical Marijuana Use and Schedule A and Schedule 2 Medical Marijuana Patient Registration Form (English — Spanish) (PDF). Medicinal Marijuana Commission Request for Registration and Exemption Letter (PDF). Patient Information Form (English — Spanish), which can be completed or fax to the Medical Marijuana Commission at the following number:. Medicinal Marijuana Registry Access Card — Medical Marijuana Registry Access Card Medical Marijuana Commission Registration Form (English — Spanish). Medical Marijuana Commission Application for Registry Access Card (Fees apply).
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