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DOH Form 630-123 Medical Marijuana Authorization Form - Washington
What Is DOH Form 630-123?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 630-123?
A: DOH Form 630-123 is the Medical Marijuana Authorization Form used in Washington.
Q: What is the purpose of DOH Form 630-123?
A: The purpose of DOH Form 630-123 is to authorize the use of medical marijuana for qualifying patients in Washington.
Q: Who needs to fill out DOH Form 630-123?
A: The form needs to be filled out by a healthcare practitioner who is willing to authorize the use of medical marijuana for a patient.
Q: What information is required on DOH Form 630-123?
A: The form requires information such as patient's name, date of birth, qualifying medical condition, and healthcare practitioner's information.
Q: Can I use the Medical Marijuana Authorization Form in other states?
A: No, the Medical Marijuana Authorization Form is specific to the state of Washington and cannot be used in other states.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of DOH Form 630-123 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
