{Date}

The Honorable John Doe
United States House of Representatives
Washington, D.C. 20515

Dear Representative Doe:

As {your title} of {name of facility}, I am writing to alert you to a serious problem in {bill title and bill number}. I respectfully request that you {briefly describe the action you'd like the legislator to take}.

{Name of your facility} provides health care to more than {how many} patients annually. All of these individuals live in or around your district. We employ over {how many} people, most of whom live in your district.

I am also a member of the Healthcare Financial Management Association, a professional membership organization that provides education and technical support to healthcare financial managers in all healthcare settings. There are {insert quantity} of HFMA members in the {HFMA chapter name}, many of whom live in your district.

{In two or three sentences, summarize the reason why you're asking the legislator to take action.}

Please {restate the specific action you'd like the legislator to take, including the bill number.}

Thank you for your time and attention to this very important issue. I would be happy to provide you with any additional information you might need. I can be reached at {phone number -- even if it's on the letterhead, put it here anyway}.

Sincerely,

{Your name}
{Your title}

For additional information, see Tips on How to Write Your Legislator.

Publication Date: Monday, January 01, 2007