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Complaint Letter to a Hospital (Free Sample)

Use this sample complaint letter to a hospital as a template for your formal complaint letter.
Last updated on September 19th, 2021


​Sample Complaint Letter to a Hospital
Patient’s Name
Patient’s Address
City, State, Zip Code
Phone number

Date

Name of Contact Person
Name of Hospital
Hospital Address
City, State, Zip Code

Re: Service provided in emergency room

Dear Mr/Ms Name of Person,

On March 25th this year, I entered your emergency room for treatment of a painful arm. I waited for two hours while in excruciating pain before being admitted into the examining room where I was seen by Doctor Name and Nurse Name. An X-ray was taken, and I was told there was no serious problem and was given some pain killers.

​Since the pain did not subside after two days, I went to Name of other Hospital, where an X-ray was taken that showed my arm was fractured.

Since I suffered unnecessarily, I would like to know that the doctor and nurse who attended to me in your hospital have been reprimanded for this negligence. Enclosed are copies of the documents from the second hospital.

I know the emergency room was very crowded, but when I finally saw a doctor, I expected an accurate diagnosis.

Kindly let me know what, if any, action will be taken in this case. I am home every day and can be reached at 555 123 4567 or [email protected] 

Sincerely,

Patient’s signature
Patient’s name
List of enclosures

​By Andre Bradley
​
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