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Department of Health Center for Professional Licensing Room 105A - 3 Capitol Hill Providence RI 02908-5097 PRACTITIONER FORM Instructions Please complete patient information and have your practitioner complete all other sections of this form in order to comply with the registration requirements of the Rhode Island Medical Marijuana Act. Please attach this form to the Patient Application Form and mail the completed forms to the address listed above. NOTE This does NOT constitute a prescription...
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Practitioner form - compassionate is a form used to request special consideration for a compassionate situation.
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The purpose of practitioner form - compassionate is to request special consideration for a compassionate situation that may affect the healthcare professional's ability to perform their duties.
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