Medical Hardship Letter

[Recipients Name]

[Address line]

[State, ZIP Code]

[Subject: Medical Hardship Letter] 

Dear [Recipients Name],

I am writing this letter to ask you to [Write what you are asking for] since I have been experiencing immense medical hardship in the last few months because of my [Type of injury]. 

This has caused me to [Lose my job/ increase my medical expenses/etc.] for which reason it is challenging for me to pay my debt towards you. 

I would appreciate it if you could contact me so we could discuss my offer in more detail. I hope this did not cause any inconvenience for you. 

Sincerely, 

[Senders Name]