Waiver Letter For Hospital

August 01, 2050

Dr. Sam Hotches

Wakefield Clinic

Wakefield, MA 01880

Dear Dr. Hotches,

I am writing to formally request a waiver for the hospital fees incurred during my recent visit. I understand that these charges are typically non-negotiable; however, I believe that my circumstances warrant an exception in this case.

As you may recall, I was admitted to the hospital on July 27, 2050, due to a severe illness. Unfortunately, I was without health insurance coverage at the time of my hospitalization, making it financially burdensome for me to pay for the necessary medical treatment and services received. My medical condition required immediate attention, and I had no choice but to undergo the required procedures.

Enclosed with this letter, please find supporting documentation, including relevant medical records, to substantiate the gravity and urgency of my medical condition. I hope that these documents will aid in your assessment of my waiver request.

I genuinely appreciate your consideration of my plea and hope that you can accommodate my request. Your generosity in granting this waiver would alleviate a significant financial burden and allow me to focus on my recovery and overall well-being.

Thank you for your attention to this matter. I eagerly await your favorable response.

Sincerely,

Emily Huber