Your doctor may choose to write your medical cannabis recommendation on their regular prescription pad or office stationary

. However, there are several form letters available for doctors to use. Contact ASA for a blank copy, or ask your doctor write a note similar to this sample:

Date_____ I am a physician licensed to practice medicine in California. This statement certifies that _______________________(name) is a patient under my medical care and supervision for the treatment of _____________________________(diagnosis). I have discussed the medical benefits and risks of cannabis use with the patient as a treatment for these medical conditions. I recommend cannabis use for my patient. If my patient chooses to use cannabis therapeutically, I will continue to monitor his or her condition and provide advice for his/her progress. This recommendation shall remain in effect until______.

Sincerely, (Physician’s name & official signature)