Physician Statement
Rick Peyton Rieser, MD
+*
**** ******** ****, *** *** – 1164
Los Angeles, CA 90010
Patient ID 336570766
To verify this recommendation
https://medicalcard.io/ca/verify/336570766
To verify this recommendation please visit the website listed above. When prompted enter the 7 character Patient ID followed by the patient’s birthdate located on their California ID card. This certifies that Doreen Wagener was evaluated in my office for a medical condition, which in my professional opinion, may benefit from the use of medical marijuana. It is my assessment that the above-mentioned patient qualifies under California Health and Safety Code Section 11362.5 for the use of cannabis for medical purposes. If the patient chooses to use marijuana therapeutically, I will continue to monitor his/her medical conditions and to provide advice on his/her progress at least annually. I act only as a consultant, not as primary care provider. This patient assumes full responsibility for any and all risks associated with this treatment option. I have discussed the potential medical benefits and risks of marijuana use. This patient hereby authorizes this office to discuss the nature of their condition(s) and the information contained in this document only for verification purposes. This is a non-transferable document. It is property of the provider indicated and can be revoked at any time without notice. Void after expiration date, or if altered or misused. Please direct all questions to the office that issued this recommendation.
This medical document identifies this individual as a patient whose possession and/or cultivation of medical cannabis is permissible pursuant to California Health and Safety Code Section 11362.5, Compassionate Use Act of 1996 (i.e., Prop 215) and Senate Bill 420.
03/12/2023
Statement Issue Date
1 Year
Recommendation Length
03/12/2024
Expiration Date
Signed
License G55156 Rick Peyton Rieser, MD
Patient Signature