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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 |
|---|---|---|---|---|---|---|---|---|---|
 | Holly Griffin | 12/14/1964 | hkhallman@gmail.com | +15615584264 | Leave the same, no further action needed | June 11, 2024 | |||
 | Timothy Garland | 2/3/1987 | dvk387@yahoo.com | +12019934940 | Leave the same, no further action needed | June 12, 2024 | |||
 | April Click | 4/16/1986 | april.click16@gmail.com | +19547783047 | Leave the same, no further action needed | June 13, 2024 | |||
 | Jonathon Kus | 7/14/1982 | kusjona1@gmail.com | +15619069997 | Leave the same, no further action needed | June 13, 2024 | |||
 | Teresa Sotoodeh Tehrani | 6/15/1958 | territ88@yahoo.com | +15618093070 | Leave the same, no further action needed | June 13, 2024 | |||
 | John Clark | 10/16/1963 | radhead@sbcglobal.net | +15618668806 | Leave the same, no further action needed | June 13, 2024 | |||
 | Robert Muir | 4/7/1981 | robertclarkmuir@yahoo.com | +15612980420 | Leave the same, no further action needed | June 13, 2024 | |||
 | Sybil Whitfield | 3/13/1966 | sybilwhit@yahoo.com | +13054393939 | Leave the same, no further action needed | June 15, 2024 | |||
 | April Sherman Rozales | 5/17/1973 | april84567@gmail.com | +15616741371 | Leave the same, no further action needed | June 17, 2024 | |||
 | Monique Whitfield | 12/23/2001 | moniwhit23@yahoo.com | +15618085388 | Leave the same, no further action needed | June 17, 2024 | |||
 | Sharon Cruz | 9/7/1978 | sharonjones-cruz@hotmail.com | +19542324618 | Leave the same, no further action needed | June 18, 2024 | |||
 | Mikeie Marks | 10/27/1980 | mikey_marks@yahoo.com | +15615632212 | Leave the same, no further action needed | June 18, 2024 | |||
 | Ian Hartman | 4/21/1959 | ianshartman@gmail.com | +19548163132 | Leave the same, no further action needed | June 18, 2024 | |||
 | Eric Katz | 12/2/1991 | erickatz91@yahoo.com | +19547320522 | Leave the same, no further action needed | June 20, 2024 | |||
 | Meloyde Martin | 6/17/1951 | meloyde.martin@gmail.com | +15617067528 | Leave the same, no further action needed | June 21, 2024 | |||
 | Frances Cohn | 8/16/1949 | cohns9943@comcast.net | +15613567739 | Leave the same, no further action needed | June 21, 2024 | |||
 | Adrian Carchi | 9/15/2002 | acarchi2002@yahoo.com | +15618109034 | Leave the same, no further action needed,Request Doctor to contact me to make changes | June 24, 2024 | |||
 | Marcie Falb | 3/2/1952 | marciefalb@gmail.com | +19545920688 | Leave the same, no further action needed | June 26, 2024 | |||
 | Paul Ceresa | 1/15/1955 | cid1560@aol.com | +15617042648 | Leave the same, no further action needed | July 10, 2024 | |||
 | Jeffrey Martin | 2/15/1958 | jmartinpersonal@yahoo.com | +15615263512 | Eliminates pain | No | Leave the same, no further action needed | July 12, 2024 | |
 | Jackson Chisenhall | 1/12/1996 | jackworks757@gmail.com | +17572884252 | I feel better! | No! | Leave the same, no further action needed | July 15, 2024 | |
 | Olivia Leisure | 9/28/1998 | olivelei17@gmail.com | +15613138653 | Allieviates pain Improves my outlook in life Happier | No | Leave the same, no further action needed | July 16, 2024 | |
 | Joseph Lemme | 7/21/1948 | lemmejoseph@yahoo.com | +19549692810 | It has helped me to maintain my ability to conduct my life at an even level. | none | Leave the same, no further action needed | July 17, 2024 | |
 | Vijay Anant | 8/8/1984 | vanant84@gmail.com | +13476750634 | It has helped me sleep and be in less pain | None | Leave the same, no further action needed | July 18, 2024 | |
 | Robert Getsoff | 6/4/1952 | getsoffb@gmail.com | +19176899426 | Relaxation and helps with pain and anxiety | No | Request Doctor to contact me to make changes | July 19, 2024 |
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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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