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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 |
|---|---|---|---|---|---|---|---|---|---|
Gerrard Gracie | 9/8/1965 | gerry.gracie702@gmail.com | +15616729511 | Relaxes me | No | Leave the same, no further action needed | September 4, 2024 | ||
Eric Kleinberg | 5/29/1964 | eakm30@yahoo.com | +15615040331 | Helps with pain anxiety and sleep | No | Leave the same, no further action needed | September 11, 2024 | ||
Valerie Zummo | 2/25/1952 | vjzummo701@gmail.com | +18139976992 | Leave the same, no further action needed | May 8, 2024 | ||||
Ester Sherman | 1/27/1945 | esherman127@aol.com | +15615313102 | Calms me down Helps with pain Uplifts my depression | No | Leave the same, no further action needed | September 19, 2024 | ||
Karl Nelson | 8/23/1971 | kjn0709@yahoo.com | +17728280081 | Relieves pain and anxiety | No | Leave the same, no further action needed | September 17, 2025 | ||
Steven Berarducci | 9/19/1972 | steveberar@gmail.com | +14016401965 | Calmed me down Sleep improved | No | Leave the same, no further action needed | July 17, 2024 | ||
Melissa McCabe | 5/29/1974 | sparklefluff74@gmail.com | +19547093566 | Helps with anxiety | No | Leave the same, no further action needed | September 10, 2025 | ||
Gregory Kaplan | 12/31/1965 | kaplangreg1@gmail.com | +17863156986 | Pain and nausea | No | Leave the same, no further action needed | September 3, 2025 | ||
Charles Giardina | 7/30/1955 | cgiardina@ymail.com | +15163531322 | Helps with pain and anxiety | No | Leave the same, no further action needed | January 2, 2025 | ||
Bari Jacobs | 9/8/1971 | brjsmom@gmail.com | +15617144523 | relaxes me | no | Leave the same, no further action needed | August 27, 2025 | ||
Christopher Papa | 11/4/1968 | bigchrispapa@gmail.com | +15613735504 | yes | no | Leave the same, no further action needed | August 12, 2025 | ||
Jackson Chisenhall | 1/12/1996 | jackworks757@gmail.com | +17572884252 | Leave the same, no further action needed | December 4, 2023 | ||||
Patricia Young | 9/20/1952 | email22pat@gmail.com | +15618807556 | Calms me down | No | Leave the same, no further action needed | July 30, 2025 | ||
Robert Duffy | 9/7/1982 | rduffy7@gmail.com | +15616547667 | yes helps greatly. | not ever. | Leave the same, no further action needed | July 30, 2025 | ||
Sarah Williams | 3/21/1961 | swilliams6124@gmail.com | +17408159097 | Pain relief | No | Leave the same, no further action needed | December 23, 2024 | ||
Kailyn Muir | 8/15/1996 | kailynmarymuir@yahoo.com | +17728340788 | Relieves pain | No | Leave the same, no further action needed | July 29, 2025 | ||
Heath Gieson | 9/24/1972 | heath@giesonco.com | +15612543702 | Pain and stress | No | Leave the same, no further action needed | December 23, 2024 | ||
Michael Birch | 4/25/1959 | mikeb11311@gmail.com | +15618601848 | Relaxes me. Lowers my blood pressure and blood sugar Helps with my joint pain | No | Leave the same, no further action needed | August 10, 2024 | ||
Barry Franklin | 9/7/1952 | barryfranklinmedia@gmail.com | +16178350401 | Reduces pain | No | Leave the same, no further action needed | September 19, 2024 | ||
April Sherman rozales | 5/17/1973 | april84567@yahoo.com | +15616743195 | Leave the same, no further action needed | November 10, 2023 | ||||
Jordan Henry | 6/6/1990 | jumpmanray606@gmail.com | +15616189968 | Helps with pain and anxiety | No | Leave the same, no further action needed | January 24, 2025 | ||
Alexandra St Claire | 1/4/1996 | alexandra.mealean.st.claire@gmail.com | +19542283095 | Leave the same, no further action needed | June 10, 2024 | ||||
Denise Morales | 1/23/1993 | denisemorales4@gmail.com | +15612122367 | Calms me keeps my cortisol balanced | No | Leave the same, no further action needed | January 16, 2025 | ||
Yanelis Martinez | 7/5/1981 | yanelismartin@icloud.com | +17863878569 | yes | no | Leave the same, no further action needed | July 9, 2025 | ||
Thomas Rucker | 8/27/1953 | thomas10893@gmail.com | +19545339371 | yes | no | Leave the same, no further action needed | July 9, 2025 |
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Patient Renewal Forms
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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