PRACTICE LOGO
{FULLNAME}
{ADDRESS1} {ADDRESS2}
{CITY}, {STATE} {POSTALCODE}
{CLINICNAME}
{CLINICADDRESS1}
{CLINICCITY}, {CLINICSTATE} {CLINICPOSTALCODE}
Dear {FULLNAME}:
Our records show that {NAME}'s wellness plan account remains overdue in the amount of {AMOUNTOVERDUE} plus a $25.00 NSF as of {OVERDUEASOFDATE}. Failure to make the required monthly payments under your contract may cause your plan to be cancelled and the balance of the payments due in full.
Since our repeated efforts have failed to effectively produce payment or a suitable response from you, we must resort to a step we dislike: turning your account over to our attorney ten (10) days from the date of this letter.
We do not like to resort to collection methods for payments overdue if there is some reason why a bill has not yet been paid. If that is the case with your account, please contact us at {CLINICPHONE} and we will do everything we can to accommodate you.
Thank you for your prompt attention to this matter.
Sincerely,
{STAFFFULLNAME}
Practice Manager