Fillable Printable Sample - Formal Letter

Sample - Formal Letter

SAMPLE FORMAL LETTER

To get %, divide the number of actual hours of treatment received by the number of hours

they should have received. Example of # of hours they should have received: 4 hours X

13 scheduled treatments = 52 hours/mo.

Patient Name

Some Street

Anywhere, XX 00000

Dear Patient:

We are writing to express our concern for your recent absences and

shortened treatments. In the month of May you missed two (2) treatments

and cut short other treatments by an additional 2 hours. This means you

received less than 81% of your prescribed treatment. We are concerned for

your welfare and want you to maintain the dialysis schedule which is right

for you medically. One week of dialysis is only equal to one half (1/2) day

of normal kidney function. Any amount of missed treatment shortens your

life. A study done in 1998 showed that just two missed treatments a month

can increase chances of death by 51%.

Please try not to miss or cut short any treatment time so that you can remain

as healthy as possible, to live and enjoy your life with few medical

complications. If there is anything we can do to help you obtain your full

treatment, please do not hesitate to let us know.

Sincerely,

Super Dude, MD Charming Chick, RN

Medical Director Clinical Director