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FOR AN APPOINTMENT:

In California:
Call: 626-695-0475
or
e-mail: eelting@eveeltingmd.com 


What to bring to your appointment?

1.Medical Records documenting your medical condition see (Link: what medical records and how to get them) 

2.Completed Intake form (see link) - this can be completed either now or at the time of your appointment 

3.California ID – either a driver’s license, or picture ID with proof of residency (utility bill in your name etc) 

In New Mexico:
Phone: 575-740-4574
Fax: 575-894-9396 (for medical records and intake forms (M-F 9-6)
e-mail: eelting@eveeltingmd.com 


What to bring to your appointment?

1. Medical Records documenting your medical condition see (Link: what medical records and how to get them) 

2.Completed Intake form (see link) - this can be completed either now or at the time of your appointment 

3.New Mexico ID – either a driver’s license, or picture ID with proof of residency (utility bill in your name etc). You will need an actual license or ID card to send your application to the state.
4. Completed forms from the New Mexico Department of Public Health found at this website:

http://nmhealth.org/idb/mcp_patient_info.shtml

DOWNLOAD FORM HERE


How to Obtain your Medical Records

Dr. Elting requires that you bring medical records from your primary health care professional (doctor, chiropractor, etc) documenting the condition for which you want to use or are using medical marijuana. If the problem is chronic then you must provide proof that the you are still followed at least yearly for this condition. Please note, Medical Bills, Pharmacy receipts, Prescription bottles, legal documents and disability documents may be helpful supporting information, but they are not medical records. Ideally what is needed are Progress notes (the notes the doctor writes when you are at your appointment), lab reports and x-ray reports.

When requesting information from your doctor’s office please be specific about which medical condition you are requesting records about and for what time period. It is important to include the most recent notes. You do not need to explain why you need the records: they are legally your property. While progress notes are ideal, an alternative, is for the treating health care provider to write a letter which includes your diagnosis, its duration and treatments you have tried or are still using, and finally that you are under his/her care.
Please Call your provider’s office and see what you need to do to request the records and to have them sent or faxed either to you – or directly to Doctor Elting.

 
 
Copyright 2012 Eve Elting MD,MPH
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