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ID Card | Patient Name | Date of Birth | Email | Phone | How has medical marijuana helped alleviate your symptoms? | Any negative side effects or adverse reactions | Leave prescription as is or need to contact? | Patient Records | Entry Date |
|---|---|---|---|---|---|---|---|---|---|
 | Joshua Jackson | 4/3/1998 | irocjackson@yahoo.com | +15408759581 | Request Doctor to contact me to make changes | November 13, 2023 | |||
 | Kamrik Lamont | 6/28/1983 | kamriklamont@gmail.com | +15615776967 | Helps with cancer symptoms | No | Leave the same, no further action needed | September 29, 2025 | |
 | Tobie Fields | 3/28/1954 | mahjongmaven28@aol.com | +15166988298 | Relieves migraines and anxiety | No | Leave the same, no further action needed | October 6, 2025 | |
 | Robert Cooney | 12/30/1954 | rockfordexpress@gmail.com | +19548062264 | Relaxes me Helps me in the bedroom Uplifts my mood | No | Leave the same, no further action needed | January 7, 2025 | |
 | Megan Pastore | 10/8/1982 | meganpastore@gmail.com | +15612325566 | Helps me sleep and reduces panic attacks from ptsd | No | Leave the same, no further action needed | March 28, 2026 | |
 | Steven Brown | 3/27/1970 | sbrown2k@yahoo.com | +18187609946 | Leave the same, no further action needed | April 30, 2024 | |||
 | Joel Cooper | 10/27/1944 | skdcoop@gmail.com | +15613078016 | Yes | No | Leave the same, no further action needed | January 6, 2025 | |
 | Nicholas Fortin | 3/19/1980 | nexxenyt@gmail.com | +15617181770 | Assists with pain and reducing anxiety | No | Leave the same, no further action needed | November 13, 2025 | |
 | Joseph Lemme | 7/21/1948 | lemmejoseph@yahoo.com | +15619692810 | It has helped me go about my day successfully. | none | Request Doctor to contact me to make changes | July 17, 2024 | |
 | Joanne Davlin | 1/24/1961 | jojodav@mac.com | +17575727717 | Relaxes me | Done | Leave the same, no further action needed | September 6, 2024 | |
 | Lance Davlin | 5/5/1960 | lbdavlin@mac.com | +17574394331 | Helps with pain and anxiety | No | Leave the same, no further action needed | April 8, 2025 | |
 | Lisa Rappaport | 3/16/1967 | lisarappaport@yahoo.com | +19544618080 | Reduces anxiety | No | Leave the same, no further action needed | October 22, 2024 | |
 | Jack Emanuele | 7/17/1959 | jetfanjack717@gmail.com | +15616477203 | Relaxes me helps with anxiety | No | Leave the same, no further action needed | August 19, 2024 | |
 | Robert Pena | 1/14/1967 | robpen954@gmail.com | +15615639553 | helps a great deal | never | Leave the same, no further action needed | July 25, 2025 | |
 | Mark Gerbush | 3/13/1956 | markg200fifth@gmail.com | +19173786461 | Helps with pain | No | Leave the same, no further action needed | November 13, 2024 | |
 | Courtney Aylward | 8/24/1972 | courtma0824@gmail.com | +18438173630 | Leave the same, no further action needed | February 15, 2024 | |||
 | Richard Golden | 7/25/1948 | rhg725@gmail.com | +15612515171 | Request Doctor to contact me to make changes | November 29, 2023 | |||
 | William Berry II | 2/10/1983 | vulcanwill@gmail.com | +15315175359 | Reduces eye pressure Alleviates anxiety | No | Leave the same, no further action needed | September 12, 2024 | |
 | Sybil Whitfield | 3/13/1966 | sybilwhit@gmail.com | +13054393939 | Leave the same, no further action needed | October 31, 2023 | |||
 | Monique Whitfield | 12/23/2001 | moniwhit23@yahoo.com | +15618085388 | Leave the same, no further action needed | June 17, 2024 | |||
 | Samantha Seider | 11/20/1981 | samduitz@gmail.com | +18458260673 | Yes. My anxiety quiets and I can sleep. | No | Leave the same, no further action needed | December 7, 2024 | |
 | Wayne Whitfield | 5/4/1967 | waynewhit03@yahoo.com | +13057938855 | Remains calmer to handle family matters with my children and promotes sleep | No | Leave the same, no further action needed | January 15, 2025 | |
 | Shari Marcus-Harris | 7/8/1960 | sharthebeach@gmail.com | +19047181702 | Helps with relieve tinnitus helps with neck | No | Leave the same, no further action needed | January 22, 2025 | |
 | Trevor Nuckols | 4/4/2001 | trevor.nuckols1@gmail.com | +18044772710 | Calms me uplifts my mood | No | Leave the same, no further action needed | January 30, 2025 | |
 | Vyki Sabo | 10/18/1946 | erica.sabo@gmail.com | +17724180104 | Yes reduces anxiety | No | Leave the same, no further action needed | July 16, 2025 |
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ID Card | Patient Name | Date of Birth | Email | Phone | How has medical marijuana helped alleviate your symptoms? | Any negative side effects or adverse reactions | Leave prescription as is or need to contact? | Patient Records | Entry Date |
|---|---|---|---|---|---|---|---|---|---|
 | Laura Winston | 9/13/1962 | laurafromfl@yahoo.com | +15613864743 | Sleep and reduces anxiety I care for my elderly mother | No | Leave the same, no further action needed | November 11, 2024 | |
 | Georgiana Forker | 5/4/1950 | gforker12@gmail.com | +15165216130 | Takes pain away Helps with ulcerative colitis And IBS | No | Leave the same, no further action needed | July 29, 2024 | |
 | Frank Romeo | 11/24/1963 | frankmoble2@gmail.com | +15613507945 | Yes | No | Leave the same, no further action needed | December 28, 2024 | |
 | Kevin Forker | 1/9/1959 | kf3947@msn.com | +15165216129 | Allieviates pain calms anxiety relaxes eye | No | Leave the same, no further action needed | July 29, 2024 | |
 | David Beattie | 5/23/1982 | btconchltl@aol.com | +15612898040 | Helps me sleep a lot better, also less depressed. | no. | Leave the same, no further action needed | August 16, 2024 | |
 | Judith Jacobs | 12/7/1956 | dancejj111@aol.com | +15617194250 | Helps with Pain anxiety | No | Leave the same, no further action needed | January 12, 2025 | |
 | Ryan Thomas | 11/9/1970 | rthomas@thomaseg.com | +15616621410 | Relieves pain and anxiety | No | Leave the same, no further action needed | November 18, 2025 | |
 | Michael Berez | 1/30/1979 | michaelberez@gmail.com | +19172392916 | Yes I’ve been able to manage anxiety | No | Leave the same, no further action needed | October 30, 2024 | |
 | Nathan Lang | 7/13/2007 | nathancorbettlang@yahoo.com | +13392369204 | Relaxes me | No | Leave the same, no further action needed | June 8, 2026 | |
 | Ryan Almeida | 6/22/1992 | ryanalmeida2010@hotmail.com | +15085259717 | It helps with pain, allowing me to eat. Helps alleviate bouts of dread an hopelessness. | No | Leave the same, no further action needed | September 25, 2024 | |
 | Alistair Wilgress-Pipe | 9/6/1997 | alistairwp@aol.com | +17247993677 | Leave the same, no further action needed | November 29, 2023 | |||
 | Vincent Montalbano | 10/13/1990 | shady4lyfe1@yahoo.com | +19542536411 | Helped me manage day to day and be a better mood. | No negative | Leave the same, no further action needed | August 22, 2024 | |
 | Angela Thompson | 3/8/1981 | angelaallen123@yahoo.com | +15618172315 | Pain anxiety sleep nightmares | None | Leave the same, no further action needed | December 18, 2024 | |
 | Michael Kaplan | 4/1/1962 | kaplan.mike@gmail.com | +15187634000 | Calms me down reduces stress Alleviates Pain | No | Leave the same, no further action needed | October 26, 2024 | |
 | Olivia Katz | 11/23/2003 | oliviakatz03@gmail.com | +15618841334 | Calms me down helps sleeo | No | Leave the same, no further action needed,Request Doctor to contact me to make changes | October 28, 2025 | |
 | Mark Noell | 2/18/1955 | mnoell@1050caw.com | +15612398519 | Helps with pain | No | Leave the same, no further action needed | May 27, 2026 | |
 | Thai Tran | 9/28/1968 | ttrant3064@gmail.com | +17542616816 | Uplifts me | No | Leave the same, no further action needed | August 12, 2024 | |
 | Amanda Lawhorne | 5/14/1985 | a.ehrlich0@gmail.com | +15614002377 | Yes. Cannabis helps keep my UC in remission | No | Request Doctor to contact me to make changes | September 4, 2024 | |
 | Debbie Brown | 1/13/1976 | debbrown3506@me.com | +13059844404 | I prefer a natural method for dealing with my health issues and have been to school and earned a certification in cannabis medicine and healthcare | No | Leave the same, no further action needed | December 5, 2024 | |
 | Chaim Nissel | 12/12/1983 | cnissel100@gmail.com | +17189094124 | Pain and peas symptoms | No | Leave the same, no further action needed | November 27, 2024 | |
 | Deborah Korash | 3/4/1948 | deborahk33496@yahoo.com | +15612125266 | Helps me sleep Calms me Pain relief | No | Leave the same, no further action needed | November 6, 2024 | |
 | Victor Maia | 1/30/1982 | victor.maia@live.com | +15616132846 | Helped me sleep and improved my anxiety and depression tremendously. | None. | Leave the same, no further action needed | July 19, 2024 | |
 | Jarrod Levins | 9/27/1982 | jarrodlevins@gmail.com | +15613504764 | Calms me | No | Leave the same, no further action needed | September 10, 2024 | |
 | Christina Cavallo | 7/18/1983 | christina.canterburyshades@gmail.com | +15613972261 | Relaxes me uplifts me | No | Leave the same, no further action needed | October 10, 2024 | |
 | Harry Metrano | 7/27/1984 | 99metrano@gmail.com | +13109220974 | Calming | No | Leave the same, no further action needed | May 8, 2025 |
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