DOCUMENT OVERVIEW: This document may used to negotiate patient balances prior to forwarding to collections or legal counsel.
[date]
[inside address]
Dear [name]:
Our attempts to collect your debt of [$—] have brought no response. Your account is scheduled to be turned over to our legal councel in [—] days.
We are willing to settle the disputed account [$—]. By paying [$—] within [—] days of receipt of this letter, you will avoid legal action and the possiblity of credit rating impairment. A preaddressed stamped envelope is enclosed.
Yours truly,
[name]
Enclosure