Table 5.

Reported Use of Required and Recommended Practices Among Washington State Health Care Professionals with a History of Providing a Medical Cannabis Authorization

	Percentage of respondents			Total respondents (N)
	Always or very often (%)	Often or sometimes (%)	Rarely or never (%)
Required practices
Advised a patient about the risks and benefits of medical use of cannabis	89.5	7.0	3.5	57
Complete an in-person physical examination	89.5	7.0	3.5	57
Document measures other than cannabis used to treat the terminal or debilitating medical condition	89.5	7.0	3.5	57
Complete an in-person physical examination at least annually to renew an adult's authorization	87.7	7.0	5.3	57
Document the terminal or debilitating medical condition in patient's medical record	87.7	5.3	7.0	57
Documented relationship as principal care provider for the patient's terminal or debilitating medical condition	86.0	8.8	5.3	57
Inform patient of other options for treatment	86.0	10.5	3.5	57
Complete an authorization on form	84.2	1.8	14.0	57
Discussed how to use cannabis	49.1	21.1	29.8	57
Complete an in-person physical examination at least every 6 months to renew a minor's authorization	44.4	4.4	51.1	45
Recommended practices
Performed mental health screen for problems such as depression and anxiety screening	53.6	32.1	14.3	56
Performed screening for substance misuse	50.0	16.7	33.3	54
Advised patient to seek advice on specific cannabis products from the retail store	49.1	40.0	10.9	55
Discussed types of products the qualifying patient should seek from a retail outlet.	45.5	27.3	27.3	55
Provided counseling to breastfeeding women about potential effects to a child	45.2	9.5	45.2	42
Provided counseling about long term effects of cannabis on the developing brain	45.2	14.3	40.5	42
Obtained urine or blood screening for substance misuse	22.9	18.8	58.3	48
Performed a pregnancy test for a female	22.2	14.8	63.0	54
Required a medical cannabis agreement similar to a controlled substance agreement	20.0	5.5	74.5	55