%% GNUmed free text LaTeX template
%% This document is an integral part of the GNUmed project, find us at <wiki.gnumed.de>
%------------------------------------------------------------------
% License: GPL v2 or later
%
%------------------------------------------------------------------

\documentclass[11pt,english]{article}
\usepackage[utf8x]{inputenc}
\usepackage[T1]{fontenc}
\usepackage{ucs}
\usepackage{array}
%\usepackage{lmodern}
%\usepackage{times}
%\usepackage{amsmath}
\usepackage{hyperref}
\usepackage{babel}
\usepackage{longtable}

\usepackage[a4paper]{geometry}
\geometry{verbose,lmargin=2.54cm}

\usepackage{fancyhdr}
\pagestyle{fancy}
\fancyhf{}
\lhead {$<title>$ $<lastname>$, $<firstname>$ ($<date_of_birth::%Y %B %d>$)}
\cfoot {\thepage}


\setlength{\parskip}{\medskipamount}
\setlength{\parindent}{0pt}


\begin{document}

\footnotetext {\href {http://www.gnumed.org}{GNUmed} $<client_version>$ -- \href {http://www.gnumed.org}{www.gnumed.org}}

\title {Medical statement for: \\ \emph {$<title>$ $<lastname>$, $<firstname>$}}
\author {From $<current_provider>$ on:}
\maketitle 

\noindent
\emph {To whom it may concern:}

%------------------------------------------------------------------
$<free_text::tex//medical statement::9999>$
%------------------------------------------------------------------

\begin{tabular}{c}
\rule{0pt}{10ex} \texttt {\textsl {\footnotesize <Practice Stamp / Signature>}}\\
\rule{0pt}{4ex} {\footnotesize $<current_provider>$}\\
\hline
\tiny The above physician cannot be held responsible for unconfirmed content or alterations to this letter. \\
\end{tabular}

\end{document}

%------------------------------------------------------------------
