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  1.     
    #1
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Dr. Gil's Clinic

    Gil Mobley, MD
    Dr. Gil's Clinic
    33530 First Way South
    Suite 102
    Federal Way, Washington 98003
    (206)330-2215

    Dr. Gil's Clinic — MMJ assessment

    This facsimile and any attachments are intended only for the use of the addressee and may contain information that is privileged and confidential. If you are not the intended recipient or an authorized representative of the intended recipient do not review, disseminate, and distribute the facsimile or attachments. You are hereby notified that any dissemination of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone at (206)330-2215 and destroy the facsimile and any attachments or return them to us at 33530 1st Way S. Suite 102, Federal Way, WA 98003. Thank you for your cooperation.

    Authorization for Use or Disclosure of Protected Health Information

    Patient Name: _____________________________________: Maiden or Other Name: _______________________
    Social Security: _______-______-_________ Date of Birth: __________________________
    Address: ____________________________________________ Home/Cell Phone: ________________________________

    I authorize _______________________________ to provide a copy, summary, or narrative of my medical records (as indicated by the check mark(s) below) or to otherwise release confidential information. At this time I am requesting the following:
    __________ Complete record (History & Physical Exam, Lab Report, X-Ray Report, Consultation Report)
    __________ Records of care from _____________________ to ________________ only
    __________ Records of care concerning the following condition(s)
    __________ Other; Specify: __________________________________________________ ____
    I understand that copies of the records indicated will be communicated to:
    Dr. Gilā??s Immediate Care
    33530 1st Way S. Suite 102, Federal Way, WA 98003
    Fax: (253)237-0701 Telephone: (206)330-2215
    PURPOSE OF DISCLOSURE: CONTINUING CARE
    I understand that you will provide this information within 15 business days from receipt of request.
    I understand that this authorization will expire in 12 months from the date thereof unless otherwise specified. A photo copy will be considered as valid as the original.
    I UNDERSTAND THAT MY TREATMENT MAY NOT BE CONDITIONED ON MY COMPLETION OF THIS AUTHORIZATION FORM EXCEPT WHEN THE PROVISON OF HEALTH CARE IS SOLEY FOR THE PURPOSE OF CREATING PROTECTED HEALTH INFORMATION FOR DISCLOSURE TO A THIRD PARTY.
    1. Purpose. As a patient,, I authorize Dr. Gilā??s Immediate Care to use and disclose my individual health information for the purpose of conducting the research for medical records.
    2. Individual Health Information to be Used or Disclosed. My individual health information that may be used or disclosed to conduct this research includes: Substance Abuse, Mental Health, Psychotherapy notes and HIV related information from hospitals, clinics, health care providers, and health plans that provide my health care during the treatment.
    3. Parties Who May Receive or Use My Individual Health Information. The individual health information disclosed by parties listed in item 3 and information disclosed by me during the course of the research may be received and used by Dr Gilā??s Immediate Care.
    4. Right to Refuse to Sign This Authorization. I do not have to sign this Authorization. If I decide not to sign the Authorization, I may not be allowed to participate in this treatment. However, my decision not to sign this Authorization will not affect any other treatment, payment, or relationship with the Dr. Gilā??s Immediate Care.
    5. Right to Revoke. I can change my mind and withdraw this Authorization at any time by sending a written notice to inform my decision. If I withdraw this Authorization, the researcher may only use and disclose the protected health information already collected for this treatment. No further health information about me will be collected by or disclosed to Dr. Gilā??s Immediate Care.
    Signed: ___________________________________ Date: ________________
    (Patient or person legally authorized to consent on patients behalf)
    jamessr Reviewed by jamessr on . Professional Medical Marijuana Assessment in Washington State Dr. Gil's Clinic Gil Mobley, MD Dr. Gil's Clinic 33530 First Way South Suite 102 Federal Way, Washington 98003 (206)330-2215 Dr. Gil's Clinic — MMJ assessment Rating: 5

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  3.     
    #2
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    How much $?

  4.     
    #3
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Quote Originally Posted by killerweed420
    How much $?
    (206)330-2215

    I "guess" 200...never called yet. I just know he ain't a doc-in-the-box just like havsey isn't.

    Dr. Gil is the dr. who commented at the doh add a condition hearing last yr. for mental health conditions. Seems the mental health conditions are not available since that specialty is not on the doh list....

  5.     
    #4
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Spoke with Gil today, and he said:

    $ 200 bucks and he doesn't do over 15/24 because of the mower/reed case in mason co. showed him patients who go over 15/24 must have some serious medical issues with serious documentation....

    In otherwords, he felt it could jeopardize the patients and his med. lic. to go over the baseline...

    Someone forgot to tell him it is now a prescription in wa....my bad.

    He is not fond of the dibs either.

  6.     
    #5
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Karen was dieing and that isn't enough to prove the need. SO I kind of agree with him. It gets risky with over the guideline amount. One of the biggest problems is having a narc officer getting on the stand and saying an indoor plant produces 1 pound of finished product. So I guess everyone grows 15 pounds per cycle.lol

  7.     
    #6
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Unfortunately, i must disagree. That was a hiatt case...hiatt fumbled huge in my opinion..and to this very day still does.

    Back when OUR grays harbor house got raided, steinborn and hiatt attempted to get us to use "carter" as our new found M.D. for our open-ended orvald recommendations...this was 4 yrs ago...i smelt it then, and still do...BULLSHIT!!

    Funny this was, that law office represented the renter, not us...was sure a ploy in our book...this would have dissolved the relationship with orvald via coercion, not willfully. ...and the renter would have been charged for growing our meds... just some tricks i have learned from dealing with the wa. supreme ct. dba the state of wa.!!

  8.     
    #7
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Quote Originally Posted by DankDragon
    Dr Gil is a straight up guy. When I was working at Club 420, he was one of the drs. that never gave any trouble verifying. Unlike Havsy, who refused to verify.

    Dr Stoddard in the North end of Seattle is cool, also.
    You don't work there anymore? that sucks

    Gil is very talkative. Some in the field have patient ethics in mind..HIPPA. Havsey has already had medical bd. issues...am sure he wants to avoid another hippa issue.

    Was trying to get gil to open a clinic in s.w. wa....in time he said..in time.

  9.     
    #8
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Quote Originally Posted by killerweed420
    Karen was dieing and that isn't enough to prove the need. SO I kind of agree with him. It gets risky with over the guideline amount. One of the biggest problems is having a narc officer getting on the stand and saying an indoor plant produces 1 pound of finished product. So I guess everyone grows 15 pounds per cycle.lol
    Oh, it is much better than you think my friend. That narc verified that each plant has a nominal value of $4,800. He also validated that if any officer seizes a plant, it then become worth 3 times that amount under the timber trespass statutes in wa. st.....that's a swooping $14,400 per plant x 15...what's in your wallet fellow officers is what this fool actually did...

    I personally thank fools like this..cause they really help out the cause, the "lack" of probable cause to seize..look at .050...the second they take more than a sample...it has been seized &forfeited to the court as a result.

  10.     
    #9
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Quote Originally Posted by jamessr
    Oh, it is much better than you think my friend. That narc verified that each plant has a nominal value of $4,800. He also validated that if any officer seizes a plant, it then become worth 3 times that amount under the timber trespass statutes in wa. st.....that's a swooping $14,400 per plant x 15...what's in your wallet fellow officers is what this fool actually did...

    I personally thank fools like this..cause they really help out the cause, the "lack" of probable cause to seize..look at .050...the second they take more than a sample...it has been seized &forfeited to the court as a result.
    But the downside of this means that even if you just grow 2 plants you could end up over the limit of 24 ounces according to these idiots.

  11.     
    #10
    Senior Member

    Professional Medical Marijuana Assessment in Washington State

    Quote Originally Posted by jamessr
    Unfortunately, i must disagree. That was a hiatt case...hiatt fumbled huge in my opinion..and to this very day still does.

    Back when OUR grays harbor house got raided, steinborn and hiatt attempted to get us to use "carter" as our new found M.D. for our open-ended orvald recommendations...this was 4 yrs ago...i smelt it then, and still do...BULLSHIT!!

    Funny this was, that law office represented the renter, not us...was sure a ploy in our book...this would have dissolved the relationship with orvald via coercion, not willfully. ...and the renter would have been charged for growing our meds... just some tricks i have learned from dealing with the wa. supreme ct. dba the state of wa.!!
    So how did he fumble in Karen and John's case?
    How could you fumble in bringing one of the foremost experts in cannabis dosing to the stand?

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