Marijuana Use Confirmation
Form 2012-001

In accordance with VA Directive 2011 - 004

I acknowledge as a physician that patient ________________________________ does smoke marijuana and his/her use does show up in his/her blood stream during standard VA blood test.

That being said, … I confirm patient is not a schizophrenic and therefore may/or may not benefit from the use of this drug.


________________________________ Date ______________



David Apperson, Health and Medical Records Administrator
Vets Helping Vets - 817.939.5366

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Comment by Vets Helping Vets on January 17, 2013 at 4:57pm

:: To be part of the VHV Marijuana Program and become a dues paying member please visit http://www.gov0026.org/login.php and complete the process. Annual dues are only $75.00/year

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