Medical Hardship Letter to Hospital


medical hardship letter to hospital template
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How to write a Medical Hardship Letter to a doctor or hospital? Download this Medical Hardship Letter to Hospital template that will perfectly suit your needs.


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How to write a Medical Hardship Letter to a doctor or hospital?

If you cannot keep up with medical bill payments, and need to renegotiate a payment plan, use this medical hardship letter that you can send to a hospital to open the discussion to ease your financial difficulties. 

Here is an example of a medical hardship letter that you can use:

Medical Hardship Letter to Hospital

To Whom It May Concern,
My name is {{Name}}, and I was a patient at {{hospital/clinic/doctor’s office}} on {{date}}, where I received {{a specific procedure, treatment, etc.}}. {{Indicate what your insurance covered of this procedure, or note that you did not have insurance at the time}}. I have been on a payment plan that has me paying {{amount in dollars}} per month. But I have unfortunately run into significant troubles in my life, which have made it impossible for me to continue to keep up with this payment plan. Due to {death in the family, loss of a job, other medical problems, etc.}, I am dealing with making constant decisions about which of my many bills is most important each month. I have attached {{relevant financial documents}} to this letter, so that you can see that my monthly income is only {{amount in dollars}}, all of which must go to {{mortgage, rent, other payments}}, leaving very little left for the amount I owe you. {{Indicate how much you can pay each month,  or indicate that you would like to have your debt forgiven due to this hardship}}. I hope that we can work out a plan that will work for both parties. 

This blank Medical Hardship Letter is intuitive, ready-to-use and structured in a smart way. Try it now and let this Medical Hardship Letter sample inspire you. We certainly encourage you to use this Medical Hardship Letter for your own benefit. Our collection of online health templates aims to make life easier for you. Our site is updated every day with new health and healthcare templates. By providing you this health Medical Hardship Letter template, we hope you can save precious time and efforts and it will help you to reach the next level of success in your life, studies or work!

Download this Doctor Hospital Medical Hardship Letter now!


Also interested in other health and healthcare templates? AllBusinessTemplates is the most elaborate platform for downloading health templates and is updated every day with new health and healthcare related templates! Just search via our search bar or browse through our thousands of free and premium health forms and templates, contract, documents, letters, which are used by professionals in the healthcare industry. For example health care directive, mental health treatment plan, health management report, allergy log, healthy weekly meal plans, sick leave letter, health evaluation form, and much more. Take the time to review and choose the variety of healthcare templates to suit your need.


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