PRACTON MEDICAL GROUP, INC.

45 BROAD AVENUE WOODLAND HILLS, XY 12345-4700

Fran Practon, M.D.
Gerald Practon, M.D.
OFFICE: (555) 486-9002 FAX: (555) 488-7815

MEMO
DATE: October 21, 2014
TO: Cathy Crowe, RPT
FROM: Fran Practon, MD
SUBJECT: Evaluation Form for Eric Willard

Dr. Practon would like a copy of the muscle strength evaluation form for patient Eric Willard.
She would like to receive a copy before October 24, 2014 in order to prepare for her visit with
him. Please be sure to either fax, email or bring in a copy of his muscle strength evaluation form
before the stated date. Thank you for your cooperation.

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