Medical Collection Letter to Patient

Save, fill-In The Blanks, Print, Done!

Click on image to zoom / Click button below to see more images
Microsoft Word (.doc)

Or select the format you want and we convert it for you for free:

  • This Document Has Been Certified by a Professional
  • 100% customizable
  • This is a digital download (12 kB)
  • Language: English
  • We recommend downloading this file onto your computer.

ABT template rating: 7

Malware- and virusfree. Scanned by: Norton safe website

How to draft a Medical Collection Letter?

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 Collection Letter template, we hope you can save precious time or effort and it will help you to reach the next level of success in your life, studies, or work!

Medical Collection Letter Example Your Name Street Address City, Patient Name Street Address City, ST ZIP Code Dear Patient Name: 

Dear [Patient Name]:
It is our office policy to contact patients who received a billing statement from us in the past 30 days, but have not responded yet.You currently have a balance of $175.00. As of today, January 17, 2017, not received your payment.If you have a question regarding your medical bill or need help reading your insurance’s Explanation of Benefits (EOB), we would be be happy to help. We understand medical billing and insurance is not always simple to understand.We also understand that sometimes our patients experience financial difficulties. Please let us know if you need to set up payment arrangements. We are able help you pay for the care you were provided without causing undue hardship.
If you have already sent payment in, then please, disregard this letter. Otherwise, we look forward to receiving your payment within five days of this letter. Dr. will appreciate your prompt attention to this matter.
[Your Practice Name]

Download this Medical Collection Letter to a Patient template that will perfectly suit your needs.

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, contracts, 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.

Nothing on this site shall be considered legal advice and no attorney-client relationship is established.

Leave a Reply. If you have any questions or remarks, feel free to post them below.

default user img

There is no security on the earth, there is only opportunity. | General Douglas MacArthur