10/24/2000
Patient name
address
city, state, zip
Dear Jane,
I noticed that you missed your 1 ½-hour appointment today. I also see that you have missed three other scheduled appointments with us in the past. I’m sorry our schedule has not worked well with your schedule. We cannot, however, continue to reserve time for you and have it disregarded.
I will be available to you for 30 days for emergency treatment only; after 30 days we will no longer schedule appointments for you. This will give you adequate time to find another dental office.
We will gladly forward x-rays/records to your next dentist. Give us a call with the name and address, or have their office call us.
Respectfully,
Randy Otterholt, D.D.S.