Greetings,
I have filed my state
application for medical marijuana,
which I did under duress, as the below papers will show.
I crossed out the part of the patients application where it
requires me to consent to give up my rights to privacy under
the law and constitution.
I also doctored up the waiver of my rights, by putting an arrow
in between hereby and give and added "do not" , so it read,
"hereby do not give" permission to the waiver, and added a
letter to give limited permission to check with the doctor to
see if he filled out my state application or not. No other info
is to be given out about my medical condition or records and
and does not authorize the DHHS to give any info to any other
person or agency about me other than my card is valid.
Cover letter and
Waiver below, and I will try to get the wording
as it is in the States Patient Application that I crossed out as well
as the Statement I put on both the App and Waiver that preserved
my rights. Both of the below need to be copy and pasted onto a
separate blank page and turned in with your state application.
LETTER INCLUDED IN APP.
To the DHHS Medical Marijuana Division,
I believe the consent to search language and waiver of privacy
regarding my medical condition violate my/the people’s civil rights
and that, while I am a qualifying patient, I refuse to waive those
rights as a condition of participation in the program. This is a clear
violation of the constitution to compel me, to give up those rights
and is not done in any other medical application or use, which is
also discrimination.
I have provided the states doctors form and he has provided you
information which is privileged and you are not authorized as my
fiduciary to give that information out to anyone or agency, except
to authorize and verify to appropriate authorities that the authorization
registry card is valid. No other info is needed or required. If this agency
has doubt about the doctors submitted paperwork you are permitted to
contact him to check and verify that he did in fact submit those required
applications in my behalf, but no other information that is privileged.
Sincerely,
Donald Christen
______________________________________________________________________________________
As part of an application for a registry identification card
to lawfully possess and/or
obtain marijuana for medical use, the condition for which a physician recommends
the
use of marijuana for medical purposes must meet certain requirements provided by
law.
"do not"
(initials here)
I hereby V give permission to a representative of the Maine
Medical Use of
Marijuana Program, Division of Licensing and Regulatory Services, Department
of Health and Human Services, to request information from the physician's) who
has made that recommendation for medical use of marijuana to determine that it
meets statutory requirements.
Date: _____________
_________________________________ __________________________
Patient’s Name Patient’s Signature
_________________________________ __________________________
Or Legal Guardian’s Name (if applicable) Guardian’s Signature
_________________________________
Name of Physician
By signing, I do not give up any constitutional rights or
privileges, nor any doctor
patient confidentiality. (initial here)
___________________________________________________________________________________
PATIENTS APPLICATION
Below is the language crossed out of the patients
application and initialed. It is in yellow high lite.
This is just before the caregiver and patient signature.
|
Declaration: I/we understand and acknowledge my/our duties as patients and primary caregivers. I/we understand that if the patient's identification card expires or is revoked, then the primary caregiver identification card is null. I/we agree to return the registration cards to the Department of Health and Human Services under those circumstances. If the patient chooses another caregiver, the caregiver card will be null and void and will be returned to the Department of Health and Human Services. I/we declare under penalty of perjury that the information provided on this form is true and correct. I/we certify that I/we will not sell, furnish or give marijuana to a person who is not allowed to possess marijuana for medical purposes. If I grow and cultivate marijuana for medical use, I agree to have my enclosed, locked facility be inspected by representatives of the Maine Department of Health and Human Services. I agree to provide soil and product samples to representatives of the Maine Department of Health and Human Services for testing pursuant to the rules governing Maine's Medical Marijuana Program. |
By signing, I do not give up any constitutional rights or
privileges, nor any doctor
patient confidentiality. (initial here)
IF ANYONE HAVE ANY QUESTIONS ABOUT THIS
CONTACT US. THIS APPLIES TO EVERYONE,
NOT JUST ME, SO YOU THE PUBLIC NEED TO ASSERT YOUR RIGHTS JUST AS I HAVE DONE.
We have a lawyer on board with us to take this issue to court, which quite
frankly the people who ran the initiative
drive should be doing but aren't, so we will initiate this action and continue
the fight as we have been for 20+ years...
We will soon be going Public with this and seeking the changes needed to protect our rights for all in the Rules.
The Law itself still badly needs to be fixed and we are
running a Petition Drive to do just that and need YOUR HELP!!!
CONTACT US