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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 |
|---|---|---|---|---|---|---|---|---|---|
 | Connie Weingrad | 4/26/1952 | connieweingrad@aol.com | +19549997431 | Helps either pain and anxiety | No | Leave the same, no further action needed | January 12, 2025 | |
 | Daniel Dodge | 8/25/1973 | diana4136@comcast.net | +15619168519 | Leave the same, no further action needed | December 26, 2023 | |||
 | Leah DeRosa | 4/1/1976 | ffawnmarie@gmail.com | +15615773755 | Request Doctor to contact me to make changes | December 7, 2023 | |||
 | Chris Tzikas | 1/22/1982 | cjtzikas@gmail.com | +15612450594 | Better sleep, better mood. Helps with joint and back pain. | No | Leave the same, no further action needed | December 6, 2024 | |
 | Evan Kaye | 12/5/1975 | evan@soundroyalties.com | +15612125800 | Leave the same, no further action needed | December 7, 2023 | |||
 | Frances Cohn | 8/16/1949 | cohns9943@comcast.net | +15613567739 | Leave the same, no further action needed | November 22, 2023 | |||
 | Adam Urban | 6/15/1959 | adam@kkccpa.com | +19147151371 | Leave the same, no further action needed | December 5, 2023 | |||
 | Vincenza Moschetto | 1/13/1945 | vinmoschetto2@gmail.com | +18456419575 | Helps with anxiety and pain | No | Leave the same, no further action needed | March 19, 2025 | |
 | Marilyn Shapera | 10/24/1941 | marilyn.shapera@gmail.com | +15612451583 | Helps with pain | None | Leave the same, no further action needed | February 2, 2026 | |
 | Nancy Einhorn | 8/20/1946 | elizabethrose64@aol.com | +15614451915 | Leave the same, no further action needed | June 11, 2024 | |||
 | Cathy Marx | 12/3/1956 | southsoflo@icloud.com | +12174333517 | Pain relief helps with bowel changes | No | Leave the same, no further action needed | January 16, 2025 | |
 | Elizabeth Fisher | 3/23/1966 | lfisher0323@gmail.com | +15615236893 | Leave the same, no further action needed | June 15, 2024 | |||
 | Lance Lewis | 11/23/1976 | lancethan@yahoo.com | +17543049451 | Stops panic attacks and heightened anxiety | No | Leave the same, no further action needed | December 18, 2024 | |
 | Christopher Breighner | 3/16/1977 | christopherbreighner@gmail.com | +19547097235 | Pain relief | No | Leave the same, no further action needed | January 16, 2025 | |
 | Laura Cragin | 10/29/1986 | ellceeb@gmail.com | +19544052757 | Helps with pain uplifts spirit | No | Leave the same, no further action needed | January 9, 2026 | |
 | Robert Iapaluccio | 3/27/1979 | robertiapacertifiedpharmtech@yahoo.com | +15619290677 | Stops seizures reduces pain and anxiety from Long Covid | No | Leave the same, no further action needed | December 20, 2024 | |
 | Michael Zurita | 12/23/1992 | mikez137@gmail.com | +15617274709 | Leave the same, no further action needed | February 20, 2024 | |||
 | Thomas Grimsdale | 9/24/1973 | rgrimsdale@outlook.com | +17727081490 | Keeps me calm and focused | No | Leave the same, no further action needed | June 24, 2025 | |
 | Janet Putrah | 5/24/1951 | richardputrah@hotmail.com | +15073408451 | Helps with pain and uplifts me | No | Request Doctor to contact me to make changes | November 4, 2024 | |
 | Nadia Cruz | 1/25/1989 | ncruz125@gmail.com | +19173597669 | Helps me get to sleep. Helps lower my anxiety levels | No | Leave the same, no further action needed | August 31, 2024 | |
 | Zaianery Mckean | 3/23/1984 | zaigrullon@gmail.com | +19547071121 | Helps with pain relax calms me | No | Leave the same, no further action needed | December 18, 2025 | |
 | Sylvia Winkles | 5/2/1953 | sdwinkles@gmail.com | +15619264550 | Helps a lot | No | Leave the same, no further action needed | October 3, 2024 | |
 | Cory Bonspille | 3/2/1981 | cbonspille@hotmail.com | +15613127928 | anxiety and pain relief | none | Leave the same, no further action needed | April 26, 2024 | |
 | David Greenberg | 2/22/1949 | rabbidgreenberg@templest.org | +19143930099 | Reduces anxiety | No | Leave the same, no further action needed | August 9, 2024 | |
 | Gary Steiner | 5/17/1956 | gsteiner517@gmail.com | +15163758447 | Assists with pain Relaxes me Uplifts my mood helps with my depression | No | Request Doctor to contact me to make changes | August 20, 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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