Medical Marijuana Request for Exception (RFE) Support
Every patient responds to medical marijuana differently. If Florida's standard medical marijuana recommendation limits no longer meet your treatment needs, Karen Monroe MD, can evaluate your condition and determine whether a Request for Exception (RFE) is medically appropriate. This service is available to established patients at no additional charge.

What Is a Request for Exception (RFE)?
A Request for Exception (RFE) allows your physician to request authorization from the Florida of Medical Marijuana Use (OMMU) for medical marijuana recommendations that exceed the state's standard limits when medically justified.
An RFE is not automatically approved. Karen Monroe MD, will carefully evaluate your symptoms, medical history, and treatment response to determine whether submitting a request is appropriate based on your individual healthcare needs.
Why Choose KFM MD?
Since 2017, KFM MD has provided compassionate, physician-led medical marijuana care throughout Pinellas County. Karen Monroe MD, is a board-certified Family Medicine physician with more than 10 years of cannabis medicine experience, providing personalized treatment recommendations focused on treatment efficacy.
When Might an RFE Be Appropriate?
As your medical condition and treatment needs change, your medical marijuana recommendation may need to be adjusted.
Need a higher medical marijuana recommendation to better manage your symptoms
Have not achieved adequate symptom relief within Florida's standard recommendation limits
May benefit from additional physician documentation supporting your recommendation
Require adjustments based on your response to treatment
Have experienced changes in your medical condition or treatment goals
Every Request for Exception is based on medical necessity and submitted only when clinically appropriate.
What to Expect During Your Evaluation
Karen Monroe MD, will take the time to understand your treatment experience and determine whether a Request for Exception may benefit your care.
- Review your current medical marijuana certification
- Discuss your symptoms and treatment progress
- Evaluate your current recommendations and treatment response
- Determine whether an RFE is medically justified
- Complete and submit the required physician documentation when appropriate
- Answer your questions and explain the next steps
If a Request for Exception is submitted, it will be reviewed by the Florida of Medical Marijuana Use (OMMU), which determines whether the request meets state requirements for approval.

Request an Exception
Choosing a medical marijuana physician is an important decision. We're committed to providing compassionate care, trusted guidance, and personalized support every step of the way.
Need additional support from your current treatment plan? Karen Monroe MD, can evaluate your symptoms and determine whether a Request for Exception (RFE) is medically appropriate. Call (727) 300-0933 today to discuss your treatment options and receive personalized physician guidance.

