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.
Q: What is the DOH Form 623-123?
A: The DOH Form 623-123 is the Washington State Medical Marijuana Authorization form.
Q: What is the purpose of the DOH Form 623-123?
A: The purpose of the DOH Form 623-123 is to authorize a patient to use medical marijuana in the state of Washington.
Q: How do I fill out the DOH Form 623-123?
A: To fill out the DOH Form 623-123, you need to provide your personal information, including your name, address, and date of birth, as well as information about your healthcare provider and qualifying condition for medical marijuana use.
Q: What happens after I submit the DOH Form 623-123?
A: After you submit the DOH Form 623-123, it will be reviewed by the DOH, and if approved, you will receive a medical marijuana authorization card.
Q: How long is the DOH Form 623-123 valid for?
A: The DOH Form 623-123 is valid for one year from the date of issuance.
Q: Can I use the DOH Form 623-123 in other states?
A: No, the DOH Form 623-123 is only valid for medical marijuana use in the state of Washington.
Q: Are there any restrictions on medical marijuana use with the DOH Form 623-123?
A: Yes, there are certain restrictions on medical marijuana use with the DOH Form 623-123, including not using it in public places or operating a vehicle under its influence.
Q: Can my healthcare provider refuse to sign the DOH Form 623-123?
A: Yes, healthcare providers have the right to refuse to sign the DOH Form 623-123 if they do not believe it is appropriate for your medical condition or treatment.
Form Details:
Download a fillable version of DOH Form 623-123 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.