Free Simple Patient Non-Payment Termination Letter Template
Simple Patient Non-Payment Termination Letter
Date: January 8, 2070
To: Mr. Robert Adams
7890 Maple Street
Los Angeles, CA 90001
Dear Mr. Adams,
I hope this letter finds you well. We are writing to inform you that your account with Pinecrest Healthcare Services has an outstanding balance of $1,750, which has remained unpaid for the past three months. Despite previous reminders sent to your attention, the total due remains unresolved.
As per our agreement and the terms of service, we must inform you that we will no longer be able to provide any further medical services to you as of February 8, 2070. If you can settle this balance by the specified date, we will gladly continue to provide care.
Please contact us at [Your Company Email] or (323) 555-6789 to discuss payment arrangements or if you have any questions. If payment is not made by February 8, 2070, your account will be closed, and we will proceed with discontinuing all services.
We appreciate your prompt attention to this matter and hope to resolve this issue quickly. Thank you for understanding.
Sincerely,
Dr.[Your Name]
Billing Department Manager
Pinecrest Healthcare Services
4567 Healing Path Los Angeles, CA 90001