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By answering the following questions you can Pre-Qualify for your Medical Cannabis Recommendation in less than 5 minutes! Simply answer the questions to the best of your ability; if it is not applicable, simply answer, “No” or “Yes” which ever makes more sense, it will not disqualify you from getting your Recommendation. It is required that you complete the information at the top and answer each question, however, your Name, Email, Date of Birth and Phone Number are optional.
Dr. Bob E. Blake, M.D. is a former Emergency Department Physician and Senior Partner with California Emergency Physicians Medical Group, who now serves as an Independent Medical Examiner and provides comprehensive forensic evaluations of patients to see if their medical condition qualifies them for coverage under California Health and Safety Code section 11362.5
Download and fill-out the forms before your office visit Whether you are a new patient, returning patient, or renewal patient you'll want to get this information ready before you come in for your visit.
Receiving a Referral For Medical Marijuana Can Be a Few, Easy Steps Away
Former Emergency Department Physician and Senior Partner with California Emergency Physicians Medical Group, who now limits his practice exclusively to medical marijuana evaluations. During his career in Emergency Medicine he served as Chairman of the Department of Emergency Medicine and Chief- of-Staff at Pomerado Hospital in Poway, California. Dr. Blake now serves as an Independent Medical Examiner and provides comprehensive forensic evaluations of patients to see if their medical condition qualifies them for coverage under California Health and Safety Code section 11362.5
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