DOH Form 623-123 Washington State Medical Marijuana Authorization - Washington

DOH Form 623-123 Washington State Medical Marijuana Authorization - Washington

What Is DOH Form 623-123?

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 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.

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Form Details:

  • Released on November 1, 2019;
  • 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 623-123 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 623-123 Washington State Medical Marijuana Authorization - Washington

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  • DOH Form 623-123 Washington State Medical Marijuana Authorization - Washington, Page 1
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