[Your Name]
[Street Address]
[City, State ZIP Code]
[phone number – optional]
[email address – optional]
October 5, 2010
[Name of Recipient]
[Title]
[Company Name]
[Street Address]
[City, State ZIP Code]
Dear [Name of Recipient]:
I am writing in regards to the treatment I received during my recent visit to [Name of Facility].
On [Date of Visit], I went to [Name of Facility] for [Reason for Visit]. While there, [Explain What Happened To Prompt The Complaint]. This type of treatment is unacceptable. Dealing with medical concerns is stressful enough, and it is appalling that your medical staff would make a difficult situation worse with their behavior.
I ask that you immediately take action to resolve this matter. It is my hope that no other patient will have to endure the treatment I received. Please contact me so we can discuss this matter further.
In the meantime, I thank you, in advance, for your prompt attention this concern.
Sincerely,
[Your Name]