Sample Reminder Letter printable pdf download

Sample Reminder Letter

AMPLE

EMINDER

ETTER

Date:

John Doe

Address

City, State, Zip Code

Dear Mr. Doe,

This letter is to remind you of your outstanding balance in the amount of $

____________. Please remit this balance within ten (10) days or contact our

office at ________________ to advise us when we can expect to receive your

payment or if you would like to make other financial arrangements with us.

As a courtesy to our patients, we do accept MASTER CARD AND VISA. If you

choose to pay your balance with this option, simply complete the form at the

bottom, sign and return this letter to our office.

If you have already mailed your payment, please accept our thanks and

apologies for any inconvenience this may have caused.

Sincerely,

Patient Account Coordinator



MASTER CARD



VISA

Card #

Expiration Date

Cardholder’s Signature

Date

Cardholder’s Name

Amount $

Sample Reminder Letter