Medical Collection Removal Letter

Use this letter for paid medical collections. This letter is specifically designed to leverage HIPAA laws. I recommend you check out the statue of limitation on medical bills as well. If it’s past the statue of limitation you can simply dispute the entry.

Sample Medical Collection Removal Letter


  1. Fill in all fields highlighted in yellow with your information.
  2. Remove yellow highlighting
  3. Copy-paste everything below the dotted line into a new document
  4. Print and sign

[Today’s Date]

[Name of credit reporting agency
Credit reporting agency address
Credit reporting agency City, State, ZIP]

Dear [name of credit reporting agency]

I am writing with regard to account number [account number] from [name of original creditor] on my personal credit report.

Please advise me as to the name and address of the medical provider, the date and type of service, and to whom the service was provided. I am further requesting the name of the person providing this data, and the manner in which it was provided, in order that I may pursue additional remedies.

Very truly yours,

[Your Name
Your Address
Your City, STATE ZIP]

If you’re the type of person who would rather have a professional handle it and just be done with the whole thing, I suggest you check out Lexington Law Credit Repair. They’ll take care of you.

Disclaimer: These letters are provided for your information only and are not intended to be legal advice. You are responsible for all content and all consequences if you adapt these template letters for your personal use. As with all legal matters, if you have concerns about the potential legal consequences of sending a goodwill letter, you should consult with a licensed attorney.

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