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Qualifying patients must carry their "valid documentation" with them whenever they possess or use medical marijuana. Valid documentation consists of two items: (1) their physician’s authorization, and (2) proof of their identity, such as a Washington state driver's license or identicard.
Beginning June 10, 2010, a recommendation must be written on tamper-resistant paper. It must also include an original signature by the health care provider, a date, and a statement that says in the health care provider's professional opinion the patient may benefit from the medical use of marijuana. The 2010 law change also prohibits the use of a copy of the patient's medical records in lieu of a recommendation.
Beginning July 25,2015, a valid recommendation must be written on the Washington State Department of Health Medical Marijuana Program appoved doccument. Which can be downladed here for your doctor to copy onto tamper resistant paper.