NOTICE OF SURGERY CONFIRMATION
___________________ Hospital
Name:________________________________Date____________________
Address:_____________________________________________________
City or Town:_____________________________State:__________
Please be advised that your Opticerectomy operation is scheduled for:
Date:___________________________________Time:________________
The purpose of this operation is to sever the cord that connects your eyes to your rectum and, hopefully, get rid of your shitty outlook on life. It has been noted that you have been in less-than-perfect humor lately.
Dr. I. C. Clearly
Medical Coordinator
(Degree obtained in Poland)
