{
    "section": "kct-officeform",
    "templateSet": "Form: Excuse",
    "templates": [
        {
            "text": "Recipient",
            "template": "Excuse Form{children},",
            "children": [
                {
                    "text": "to whom it may concern",
                    "template": "To whom it may concern"
                },
                {
                    "text": "name and title (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "(Patient's Name",
            "template": "I am contacting you regarding my patient {text}, who is currently under my medical\n                        care\n                    ",
            "type": "alpha"
        },
        {
            "text": "Start of Care",
            "template": "as of {text}.",
            "type": "date"
        },
        {
            "text": "(He\/She",
            "template": "{children}",
            "children": [
                {
                    "text": "He",
                    "template": "He"
                },
                {
                    "text": "She",
                    "template": "She"
                }
            ]
        },
        {
            "text": "Excused From",
            "template": "is excused from {children}",
            "children": [
                {
                    "text": "work",
                    "template": "work"
                },
                {
                    "text": "school",
                    "template": "school"
                },
                {
                    "text": "flying",
                    "template": "flying"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Date Excuse Starts",
            "template": "from {text}",
            "type": "date"
        },
        {
            "text": "Date Excuse Ends)",
            "template": "to {text}.",
            "type": "date"
        },
        {
            "text": "Condition\/Illness (optional)",
            "template": "My patient is excused for the following condition\/illness: {children}.",
            "children": [
                {
                    "text": "sceduled office visit",
                    "template": "a scheduled office visit"
                },
                {
                    "text": "pregnancy",
                    "template": "pregnancy and the estimated delivery date is {text}",
                    "type": "date"
                },
                {
                    "text": "other condition\/illness (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}