Complaint Letter against The Doctor

Complaint Letter against The Doctor :

This Complaint Letter against The Doctor should be written in The Letter-Pad of the Company.

From :

The Sender's Name,
Door Number and Street's Name,
Area Name,
Postal Code : XXXXXXX
Phone Number : 0000 - 123456789
E-mail ID :

Date :

Reference :

TO :

Addressee's Name,
The Company's Name,
Full Address with Phone Number.

Subject :

Dear ____,

I hereby make a formal complaint against Mary Smith, RN,Registration # 99999.

Employment History :

Mary Smith's employment history is as follows.

May 15 - 1999 - Hired as a casual staff nurse

July 03 - 1999- FT employment on medical unit - 3 west - staffnurse

January 1 - 2000 to June 1 - 2000- Maternity leave

June 1 - 2000 to August 5 - 2001- Returned to FT employment -medical unit - 3 west - staff nurse

August 5 - 2001- Terminated

Reason for complaint :

Incident #1 - On January 6, 2001, at approximately 10:00 p.m.,Mary Smith left a confused, physically disabled patient, Mr. C.,hospital # 0496832, unattended in the bathroom for 45minutes. Despite repeated calls for help, which were brought tothe attention of Mary Smith by two other patients, Mr. S. and Ms.M., Mary Smith refused to leave the desk where, according to Mr.S., she was writing on charts. Mr. C. finally attempted to leavethe bathroom without assistance. This attempt led to a fall whichresulted in a fractured right hip. Appendix A and B are anecdotalnotes from my discussion with Mary Smith on July 7, 2001.

Incident #2 􀂱 On July 23, 2001, between 9:00 and 10:00 p.m. inRoom 2463 west, Mary Smith was seen slapping a patient, Ms.A., Hospital # 038471, on the right leg when Ms. A. refused towalk from her chair to her bed. Jane Doe, LPN, was caring for apatient in the next bed to Ms. A. Appendix C is a handwrittennote from Jane Doe describing the incident.

Following a July 7, 2001 and a July 24, 2001 letter of warning(Appendix D), Mary Smith's employment with AA Hospital wasterminated on August 5, 2001. (Appendix E)

Yours Sincerely,

(The Sender's Signature)

The Sender's Name

Enc :


This is a typical Complaint Letter against The Doctor. You have to add your company's name with full address. And the receiver's name and full address also should be added in the place allotted for that purpose. Without those primary details no letter carries any significance. So, you are requested to provide all those important details. Failing which the letter will make a wrong impression about your company and you among the receivers of your letters. This is the most unwanted attitude on your side in dealing with the clients who are the most valued assets of any business organisation. If necessary, leave those spaces blank.

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    Complaint Letter against The Doctor
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