Your Practice Name
123 Your Street
Yourtown, US 12345
January 1, 2011
Mr. John Doe
100 Deere St.
Yourtown, US 12345
Dear John,
Your account has a balance of $987. Your payment is now overdue. We are assuming that this is the result of an oversight.
However, if your payment is being held up because of a problem, please call so that we can work out a special arrangement together.
If there is not a problem, we would appreciate it if you could put the payment in the mail today. If, by chance, your payment has crossed this letter in the mail, please disregard this reminder.
Sincerely,
Dennis D. Davis, DDS