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Special Restaurant
(Printable) Cards
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Dear Owner, Manager
___________________________________
Patient Name
The above named patient has had gastric surgery which
has reduced his/her stomach capacity to less than 3 ounces. We request him/her be allowed to purchase a child's portion.
___________________________________
___________________________________
Surgeon Name/Address
Thank you for your cooperation.
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Dear Owner, Manager
_______________________________
Patient Name
The above named patient has had gastric surgery which
has reduced his/her stomach capacity to less than 3 ounces. We request him/her be allowed to purchase a child's portion.
_______________________________
_______________________________
Surgeon Name/Address
Thank you for your cooperation.
|
|
Dear Owner, Manager
__________________________
Patient Name
The above named patient has had gastric surgery which
has reduced his/her stomach capacity to less than 3 ounces. We request him/her be allowed to purchase a child's portion.
__________________________
__________________________
Surgeon Name/Address
Thank you for your cooperation.
|
|
Dear Owner, Manager
___________________________________
Patient Name
The above named patient has had gastric surgery which
has reduced his/her stomach capacity to less than 4 ounces. We request him/her be allowed to purchase a child's portion.
___________________________________
___________________________________
Surgeon Name/Address
Thank you for your cooperation.
|
|
Dear Owner, Manager
_______________________________
Patient Name
The above named patient has had gastric surgery which
has reduced his/her stomach capacity to less than 4 ounces. We request him/her be allowed to purchase a child's portion.
_______________________________
_______________________________
Surgeon Name/Address
Thank you for your cooperation.
|
|
Dear Owner, Manager
__________________________
Patient Name
The above named patient has had gastric surgery which
has reduced his/her stomach capacity to less than 4 ounces. We request him/her be allowed to purchase a child's portion.
__________________________
__________________________
Surgeon Name/Address
Thank you for your cooperation.
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