A medical hardship letter is typically used to request financial assistance or leniency from an organization or individual. The letter should explain the medical situation and state why the person cannot meet their obligations. Sometimes, a medical hardship letter can also be used to request an extension of time.
This post will provide you with a medical hardship letter template you can use to write your letter. We will also offer tips on writing an effective hardship letter.
Medical Hardship Letter
Medical Hardship Letter
[Your Name]
[Your Address]
[City, State, Zip Code]
[Date]
[Recipient’s Name]
[Recipient’s Address]
[City, State, Zip Code]
Dear [Name of Recipient,]
I am writing to request a settlement for the medical fees I owe your institution. As you know, I was involved in an automobile accident in which I fractured both legs. Due to my injuries, I have been unable to return to work, and my monthly income has been significantly reduced.
Consequently, I cannot pay the outstanding amount in full now. However, I would like to set up a payment plan of [amount] per month until I can return to work and receive my regular wage. I trust that this arrangement will be satisfactory.
Thank you for your time and consideration.
Sincerely,
[Signature]
[Your Name]
[List of Enclosures]