Patient letters

Pick the letter that fits, fill in the blanks, then copy or download it. Everything stays on your device — nothing you type is sent or saved. These are templates, not legal advice.

Not sure which letter you need? See the Patient Letter Hub. Appealing an insurance denial? Use the appeal letter builder. Asking for charity care? Use the financial assistance letter.

Stop contacting me (cease communication)

Law:: Fair Debt Collection Practices Act, 15 U.S.C. §1692c(c)
Timing:: No deadline. This does not erase the debt; the collector may still notify you of specific actions.
Send to:: The collection agency (certified mail, return receipt).

Your letter

[Your name]
[Your address]

[Date]

[Recipient name and address]

Re: Request to cease communication
Account/Reference: [Account number]

Under 15 U.S.C. §1692c(c), I request that you stop communicating with me about this account, except to confirm you will stop or to tell me about a specific action you intend to take.

Please do not call me at home, at work, or on my mobile phone. Any further communication must be in writing to the address above.
Sincerely,

[Your name]

Keep a copy and send by certified mail with return receipt when you can. Replace anything in [brackets] before sending.