_________________________, 20___
							(Date of Letter)



______________________________
(Hospital/Care Provider)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE:	Nursing Care Report

Attn:  Office Administrator

Dear Office Administrator:

	From the _______ day of _________________________, ______(year), until
the ______ day of ___________________________, _______(year), ______________
______________________________ (name of individual) received nursing care from
your facility, pursuant to a contract for specific care.  To date, I (we) have
not received reports relative to the care.  It was my (our) understanding that
routine reports would be provided relative to care at your facility.  In order
for me (us) to satisfy my (our) personal concern relative to the nursing care
and in regard to insurance coverage, as well as appropriate tax deductions, it
will be necessary for me (us) to receive timely reports from your office.
Accordingly, I (we) would appreciate a report from your facility indicating the
degree of nursing care received by the aforementioned individual during the period
of time noted above.  As you know, I am (we are) the responsible party (parties)
for the aforementioned individual and the party (parties) to whom your nursing care
report should be provided.  Should you have any questions relative to this matter,
or relative to my (our) need for the report, do not hesitate to contact the
undersigned.  Thank you for your kind efforts and cooperation in providing the
requested report.

							Very truly yours,



							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.