[mono]
Official MedTak Correspondence
 ┌──────────┐
 Sender:   [signature]
 Priority: [/mono][check][mono]Routine
           [/mono][check][mono]Urgent
           [/mono][check][mono]Immediate
 └──────────┘
 [form]
 ┌──────────┐
 Signed:   [signature]
 └──────────┘
[/mono]
