Request letter for late payments(Medical Bill)

Dear [Name],

We would like to remind you that you have unsettled charges amounting up to [amount] that was due last

[date]

. We have attached a duplicate of the bill with this letter for your reference.

We’ll understand if you are experiencing financial difficulties right now. We know that medical fees are a big burden. We can make an agreement for a flexible payment plan or even a promissory note as long as you agree to pay us back in time.

Please reach out to us as soon as you can to discuss this matter. If you fail to do so in two weeks, we’ll be force to assume the worst and resort to taking legal actions.

Thank you,

[Clinic/Hospital Name]

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