No Show Letter #1 (10282) Template
@FDATE@
@NAME@
@ADD@
Dear @FNAME@,
We missed seeing you for a scheduled appointment at @DEPTNME@ with *** on ***. Our goal
is to offer the best possible care to our patients, so we are concerned when you are unable to
keep a scheduled appointment. Please call us at @DEPTPHN@ so that we can reschedule the
appointment for a date and time that will work for you.
We understand circumstances may arise which make it impossible for you to keep a scheduled
appointment. Should this happen in the future, please call us as soon as you know the
appointment will be missed. The earlier you let us know, the more likely we can offer your
scheduled appointment time to another patient.
If you find it difficult to keep your appointments (for example: not having transportation), please
call {Choose appropriate contact information:20426}. They may be able to provide the help you
need.
We hope to hear from you soon.
Sincerely,
@ENCPROVNMTITLE@
No Show Letter #2 (10283) Template
@FDATE@
@NAME@
@ADD@
Dear @M@ @LNAME@,
You recently missed a scheduled clinic appointment to see me on *** at ***. This is the
*** scheduled clinic appointment that you have missed in {NUMBERS 1-12:10}
months.
In the future, we insist that you call us at least 24 hours in advance at @PHDEPT@
when you know you will be unable to keep the appointment. This will allow us to use
the time for others who need to be seen. Thank you.
Sincerely,
@ENCPROVNMTITLE@
No Show Letter #3 (10284) Template
@FDATE@
@NAME@
@ADD@
Dear @M@ @LNAME@,
I am writing because you have missed multiple clinic appointments over the last
several months. When you do not show or cancel at the last minute, it prevents others
from being seen and receiving timely care.
If you do not keep your appointment at any time in the near future, I may have no
alternative than to direct you to another physician and/or clinic for medical care.
If you have any questions, please contact our office at @PHDEPT@.
Sincerely,
@ENCPROVNMTITLE@
Authorized by:
DFM Vice Chair of Clinical Care
2/16/2012