Patient Renewal Forms
Marijuana Recommendations
Send Renewal Confirmation
Appointment Schedule
New Patients
Transfer Patients
On Deck
Recently Renewed
Wave Concierge Doctor Hub (NEW)
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 |
|---|---|---|---|---|---|---|---|---|---|
 | Stephen Kramer | 3/9/1961 | kramersj@aol.com | +12628222057 | Pain relief reduces anxiety | No | Leave the same, no further action needed | April 14, 2025 | |
 | Jannisse Torres | 2/3/1983 | jtorres25@live.com | +14072425564 | Alleviates multiple pains migraines and reduces my anxiety | No | Leave the same, no further action needed | October 28, 2024 | |
 | Holly Griffin | 12/14/1964 | hkhalan@gmail.com | +15615584264 | Leave the same, no further action needed | November 22, 2023 | |||
 | Lawrence Frydman | 10/19/1968 | larry@thirdfloorloft.com | +19177977978 | Helps with pain | No | Leave the same, no further action needed | September 4, 2024 | |
 | Erica Lipman | 7/6/1979 | ericalipman@gmail.com | +15615047600 | Leave the same, no further action needed | March 13, 2024 | |||
 | Michael Petrizzo | 8/4/1996 | paisano8466@aol.com | +12013417239 | Relaxes me Calms me down | No | Leave the same, no further action needed | October 2, 2024 | |
 | Rachael Herbert | 3/20/1983 | rachaelmcivir@gmail.com | +17343532569 | Yes | No | Leave the same, no further action needed | September 8, 2024 | |
 | Jesse Koegler | 10/2/1978 | jessekoegler@gmail.com | +14349066448 | Back pain and sleep have improved. | No | Leave the same, no further action needed | August 12, 2024 | |
 | Jesse Koegler | 10/2/1978 | jessekoegler@gmail.com | +14349066448 | Helps the pain and allows me to sleep | No | Leave the same, no further action needed | March 21, 2025 | |
 | Joseph Stowers | 7/2/1949 | ws60@live.com | +15612123650 | Leave the same, no further action needed | January 4, 2024 | |||
 | Christine Pistone | 2/2/1953 | westies1cs@gmail.com | +15164971210 | Helps either multiple pains and reduces anxiety | No | Leave the same, no further action needed | September 23, 2024 | |
 | Lorenzo Carmona | 5/10/2002 | lorenzocarmona561@icloud.com | +15617196652 | Pain and sleep and ADHD | No | Leave the same, no further action needed | January 6, 2025 | |
 | Eric Katz | 12/2/1991 | ekatz@elioenergygroup.com | +19547320522 | Helps with pain and relaxes me | No | Leave the same, no further action needed | September 10, 2024 | |
 | Howard Sheldon | 10/28/1959 | howardshldn@aol.com | +15614452167 | Relaxes me and helps with pain | No | Leave the same, no further action needed | September 13, 2024 | |
 | Donna Rocket | 8/14/1960 | lvphc@aol.com | +17026042224 | Leave the same, no further action needed | January 30, 2024 | |||
 | Jordan Herbert | 5/8/1986 | jordantherbert@gmail.com | +18106020912 | Relaxes and uplifts me | No | Leave the same, no further action needed | September 9, 2024 | |
 | Erica Sabo | 2/11/1971 | erica.sabo@hotmail.com | +14072579769 | Relaxes Me Pain Relieves pressure in eye | No | Leave the same, no further action needed | September 13, 2024 | |
 | Justin Montelbano | 7/2/1998 | justinjets7298@gmail.com | +15617023118 | Yes I’ve been more relaxed sleeping better | No | Leave the same, no further action needed | September 6, 2024 | |
 | Arif Beach | 7/16/1993 | arifbeach@gmail.com | +15616701400 | Uplifts me from Depression | No | Leave the same, no further action needed | September 5, 2024 | |
 | Zachary Glick | 7/24/1994 | glick914@gmail.com | +19143201442 | Pain and anxiety uplifts my mood | No | Leave the same, no further action needed | November 25, 2024 | |
 | Manuel Quevedo | 2/27/1952 | manny.quevedo52@aol.com | +15613466408 | Lowers anxiety Helps with pain | No | Leave the same, no further action needed | September 3, 2024 | |
 | Michelle Pederson | 8/5/1964 | boutarisister@yahoo.com | +15613517666 | Relaxes me helps with pain | No | Leave the same, no further action needed | August 28, 2024 | |
 | Carl Geisler | 9/14/1942 | carlgeisler@gmail.com | +17326727065 | Leave the same, no further action needed | December 6, 2023 | |||
 | Michael Van Beckum | 7/12/2024 | mvb183@gmail.com | +12629143758 | Helps with anxiety and sleep and pain | No | Leave the same, no further action needed | February 20, 2025 | |
 | Stephen Persaud | 7/24/1976 | steve9376@gmail.com | +15165510005 | Reduces my back pain | No | Leave the same, no further action needed | August 11, 2024 |
Marijuana Recommendations
Send Renewal Confirmation
Appointment Schedule
New Patients
Transfer Patients
On Deck
Recently Renewed
Wave Concierge Doctor Hub (NEW)
Patient Renewal Forms
Send Renewal Confirmation
Appointment Schedule
New Patients
Transfer Patients
Send Daily Patient Seen List
Recently Renewed
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 |
Send Renewal Confirmation
Appointment Schedule
New Patients
Transfer Patients
Send Daily Patient Seen List
Recently Renewed
