@rickzimm
Are you using Miscellaneous->Document Templates or download via Patient Documents?
I can download but template tags aren’t substituting (that I can figure out) however, not recreating your issue.
Sure would be nice to get a look at your php error log after the template download failure!
On windows and xampp, log can be retrieved via xampp control panel under Logs->PHP or file path
\xampp\php\logs most likely…
Oh, check out coming to 5.0.3 and may patch to 5.0.2: