Patient Complaint Letter [Sample] - RequestLetters

Patient Complaint Letter [Sample]

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Learn how to write a patient complaint letter. Use our sample patient complaint letter as a template for your complaint letter.

Patient Complaint Letter Sample

[Patient’s Name]
[Patient’s Address]
[City, State, Zip Code]
[Phone number]


[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]:

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On [DATE] this year, I entered your emergency room for treatment of a [painful leg]. 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 leg 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 poor patient care. 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 [].


[Patient’s signature]
[Patient’s name]
List of enclosures