It's a certificate that you have to obtain through a licensed doctor that is able to practice medicine in the state to only give it to people who they feel need it is what I got out of it. I'm not sure if California is the same way, but I went a doctor who gave me a certificate for anxiety and AHDH. I don't smoke that much, but it sure is nice to have that option to unwind just like having a drink every now and then.
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