For Follow Up Patients Only
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Since your last visit has your condition changed
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If Yes, How?
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What is you pain level?
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What is the status of your pain level?
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Any adverse side effects from using cannabis?
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If yes, please describe
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How do you choose to use your medicine?
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How much medicine are you using?
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How often are you medicating?
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How much medicine are you using weekly?
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Do you use tobacco?
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Do you drink alcohol?
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If yes, how many per day?
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Do you use illegal street drugs?
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If yes, how many per week?
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If yes, what street drugs do you use?
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How long did you have to wait for your card?
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Did you get a Maine certificate?
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If yes, how often do you go to Maine?
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Which dispensary do you visit in Maine?
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