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The intent of this medical marijuana recommendation is to clearly represent that the individual (i.e., patient) whose information is indicated in this recommendation is a patient who was seen by the physician whose name and license is also indicated in this recommendation, whereby said patient's possession and or cultivation of medical marijuana is permissible and in accordance with California Health and Safety Code Section 11362.5, Compassionate Use Act of 1996 (i.e., Proposition 215 and Senate Bill 420).

This recommendation confirms the fact that the patient Whose name and information indicated herein was evaluated by a physician who is licensed to practice medicine in the State of California and whose name and license number are indicated below, recommends that this patient whose name is indicated herein qualifies for the use of medical marijuana (i.e., cannabis) for medical purposes under California Health and Safety Code Section 11362.5, Compassionate Use Act of 1996 (i.e., Proposition 215 and Senate Bill 420).

The physician acts only as a consultant and not a primary care provider. The patient confirms the fact that the potential medical benefits and risks of the use of medical marijuana were discussed with the physician during the evaluation. The patient further confirms the fact that they have been clearly informed NOT to drive, NOT to operate heavy machinery and NOT to engage in any activity that requires alertness while using medical marijuana. The patient assumes full medical and legal responsibility for any and all legal and health risks associated with the use of medical marijuana as a treatment option.

The patient authorizes the physician (i.e., this office) to discuss the nature of their medical problems (i.e., conditions) and the information contained in this document only for verification purposes. The patient agrees to NOT transfer nor allow any other individual to use this recommendation neither on their behalf nor in any way whatsoever other than by the patient whose name is indicated herein.

The patient understand and agrees that this medical marijuana recommendation can be revoked by the physician (i.e., this office) if said terms and conditions are violated by the patient and or at any time without notice. The patient agrees to direct any and all questions related to this recommendation to the office (i.e., the physician) where said recommendation was issued.

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