Sample Reminder Letter Page 2

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S
C
L
AMPLE
OLLECTION
ETTER
Date:
John Doe
Street Address
City, State, Zip Code
Dear Mr. Doe,
On (date reminder letter sent), I informed you of your outstanding balance. To
date, I have not received payment for this balance nor have you contacted me
to discuss your account.
Please contact our office as soon as possible so we do not have to continue
further collection efforts. I hope you will act promptly by forwarding to us your
payment in full immediately or by contacting me to discuss other financial
arrangements.
My phone number is _________________________.
I look forward to resolving this matter soon.
Sincerely,
Patient Account Coordinator

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