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Antioch California online Form 8633: What You Should Know

Medications and Lab Tests. (Please refer here for medication reminders.) CVC Chapter 816.5(e) of the California Code allows California health providers to provide medical services in California to an individual with a physical or mental impairment and the patient is certified as having a chronic or debilitating medical condition by a licensed health care provider designated by the California Department of Public Health, including the following: Physician's Certification of Patient as having a chronic or debilitating medical condition by a licensed health care provider designated by the California Department of Public Health. Medical conditions include, but are not limited to, asthma, depression, attention deficit disorder, autism spectrum disorder, bipolar disorder, celiac spree, diabetes, dementia, dermatological disease including, but not limited to psoriasis, HIV, Huntington's, diabetes, hepatitis C, HIV AIDS, HIV/AIDS, epilepsy, herpes, H. pylori infection, hemophilia, hypertension, neurological disorders including, but not limited to Alzheimer's and Parkinson's disease, multiple sclerosis, seizure disorders, trauma or neurological disorders, trauma-induced brain injury, and tinnitus. Provide a written statement to the patient's physician that the medical use of marijuana is an option for use as well as a description and explanation of the benefits of the use of medical marijuana for treating the patient's chronic or debilitating condition. (Example-  Example — ) CVC Article 18.6. CVC Articles 9.4 and 21.2. This form can be completed through our mobile website or our computer based computer application. Please click on image below to start the form. In the event you have a disability that requires the use of an alternative means of communication and/or means of transportation, and we are unable to accommodate you by telephoning you, such communication will be made by using the automated system. Please note that you cannot request a different preferred method of communication for that particular request; a request cannot be denied because of the mode of communication of a person who does not have a disability. If you choose to go to any of these locations, your medical records will be taken by appointment. This form can be completed through our portable website or our computer based computer application.

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