Clinical Hardship Letter

June 17, 2011

Steven Richardson,

999, Deer Park,


June 09, 2011

Williams Jones,


Washington Health Clinic,

Dear Mr. Williams,

With reference to your bill towards my medical expenses with your clinic I would hereby like to request you for extension of the time for clearing such medical expenses. I have never extended time for the payment of medical expenses with your clinic.
This time I have been going through very hard time as I had to lose my job due such medical problems. After getting better I have been looking for new job and even I have given interview at various places. Most probably I shall get the job by next week.
I hope that you will grant me the extension till then. I hope that you will understand my need and will humbly comply with my request and will allow me to pay your bills by next month.

Thanking You,

Yours Truly,

Steven Richardson


Download Clinical Hardship Letter In Word Format

{ 1 comment… read it below or add one }

imamulla uthakkan March 17, 2012 at 7:01 AM


Could you please send me sample letter to my employer for include Family Insurance.

I. Uthakkan


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