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Get PHYSICIAN REFERRAL LETTER FORM-no Doctor.docx

PHYSICIANSREFERRALLETTERFORMEDICINALMARIJUANACONSULTATION DATE: REFERRINGPHYSICIANNAME: ADDRESS: CITY: PROV. POSTALCODE PHONE: FAX: To:MarijuanaAccessCanada(MEDICALMARIJUANAEDUCATIONCENTRE)Suite#7011120Finch.

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  3. Make sure everything is filled in correctly, with no typos or lacking blocks.
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