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Andrew Keyser MD
Physician Statement 649 Mission st 5th floor
San Fransisco CA, 94105

PATIENT ID: 1202 2555 8425

This document certifies that ______________________________


Cameron Segovia was evaluated
at my telemedicine, virtual, or physical office for treatment of a medical
condition that, in my professional opinion, may benefit from the use of medical
marijuana. In my assessment, this patient qualifies for the use of marijuana for
medical purposes under California Health and Safety Code Section 11362.5. I
have discussed the potential risks and potential benefits of medical marijuana
use with this patient and they assume any and all risks associated with their use
of marijuana for medical purposes.

This patient hereby authorizes this office to discuss the nature of their
condition(s) and the information contained in this document only for purposes
of verification. This document is non-transferable. It is the property of the
physician indicated and may be revoked at any time without notice. This
document is void after the expiration date listed below, or if it is misused or
altered. Please direct all questions to the office that issued this
recommendation.

This medical document identifies the person listed above as a patient who is
permitted to possess and/or cultivate medical cannabis pursuant to California
Health and Safety Code Section 11362.5.
SIGNED

LICENSE: A149936 Andrew Keyser MD

STATEMENT ISSUE DATE: May 13, 2022

RECOMMENDATION LENGTH: 1 Year PATIENT SIGNATURE


EXPIRATION DATE: May 13, 2023

PATIENT STATE ID: Y5101419

24/7 VERIFICATION AVAILABLE FOR THIS RECOMMENDATION ONLINE AT

https://nuggmd.com/verify/120225558425

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