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Medical Marijuana Application.pdf

mmppatientapplication.pdf
Preview of Medical Marijuana Application
🔗 Source: dhss.delaware.gov
📊 Size: 174 KB
👤 Author: joseph.schlimer
⬇️ Downloads: 65

Summary

The Delaware Division of Public Health's Medical Marijuana Program application requires patients to provide personal and medical information, including contact details, medical history, and a certification from a healthcare practitioner. The application must be mailed, and fees are non-refundable. Patients must notify the program of any changes to their information within 10 days. The program also collects voluntary demographic information for outreach and research purposes. A healthcare practitioner must complete a certification section, which includes the patient's debilitating medical condition, such as cancer, HIV, or PTSD, as listed in Title 16 of the Delaware Code.

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Description

The Delaware Division of Public Health's Medical Marijuana Program application requires patients to provide personal and medical information, including contact...

Technical Information

  • File Format: PDF
  • File Size: 174 KB
  • Pages: 5
  • Language: EN
  • Author: joseph.schlimer
  • Total Downloads: 65
  • Last Updated: 4 weeks ago

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This PDF document about Medical Marijuana Application provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Medical Marijuana Application.

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