Your Practice Name

123 Your Street

Yourtown, US  12345

(123) 456-7890

Dear Shawna,

This is just to remind you that it's time for your next dental examination!  Please call us at your convenience to schedule an appointment.  Your last exam was August 8, 2010.  We look forward to hearing from you soon.

Shawna Nelson

1234 Your Street

Your Town, US  84057