Doctor’s Note

To whom it may concern:

Please be advised that (Patient Name) Date

has been diagnosed with EALATIS (See ICD: EAL-2026)

An acute, highly contagious condition triggered by watching Alex Eala play tennis. Symptoms may include sleep deprivation, spontaneous cheering, and uncontrollable checking of match schedules.

I recommend the following:

Severity Level (check one)

Mild Exposure
Moderate
Severe
Terminal (We’re so back)

Prescribed Match-Watching Period

From

(or until further notice)

Please excuse the patient from:

Work School Other (please specify)

Additional Notes:

Prescribed Treatment:

Courtside Tickets

Refills:

Attending Physician

MD, Ealatis Specialist

License No. FAN-2026

Doctor’s Note

Severity Level (check one)

Prescribed Match-Watching Period

Prescribed Treatment:

Share your Doctor’s Note