Request Letter to Hospital for Name Correction (Sample)

Sometimes, a hospital may make an error in writing the name while giving you medical bills or any other kind of certificates or any documents.

If you want it to be corrected, then you can approach the hospital authorities to correct it. You may have to give a formal application in this regard to enable them to take action on it appropriately.

Here are examples of letters to the hospital for correction of names under different circumstances.

TEMPLATE #1

(Letter to Hospital for Name Correction in Medical Bills)

Date: _______

From

(Name of the Person)

(Address)

Mob. ________

To

(Name of the Hospital)

(Address)

Tel. _________

Sub.: Name correction in medical bills.

Dear Sir/Madam,

I was admitted to your hospital for medical care on (Date). I was being treated for (Name of the Disease). I was discharged from the hospital on (Date).

I was given different medical bills for the purchase of medications. Although the list of medications is correct in it as I have checked with my doctor, however, my name has been incorrectly mentioned in them. Kindly note that:

Correct name: _____________. Patient ID: _________. Address: ________________.

I have to submit the bills to my insurance company for reimbursement. Therefore, I kindly request you to issue me fresh bills with my name. I am enclosing herewith the copies of the old bills, which need to be corrected.

Thank you for your time and cooperation.

Sincerely,

    (Signature)

(Name of the Person)

Enclosure: Copies of medical bills.

TEMPLATE #2

(Letter to Hospital for Name Correction in Birth Certificate)

Date: _______

From

(Name of the Person)

(Address)

Mob. ________

To

(Name of the Hospital)

(Address)

Tel. _________

Sub.: Name correction in birth certificate.

Dear Sir/Madam,

My name is ___________. I am a resident of (Home Address). My wife gave birth to a son/daughter in your hospital ward on (Date). 

I was given the birth certificate on (Date) for my newly born/daughter upon my application. However, there is a spelling mistake in it. Kindly note that:

Wrong name: _____________.

Correct name: _____________.

Therefore, I kindly request you to correct the same and issue me a fresh birth certificate. I am enclosing herewith the old certificate.

Thank you for your time and cooperation.

Sincerely,

    (Signature)

(Name of the Person)

Enclosure: Original birth certificate.

TEMPLATE #3

(Letter to Hospital for Name Correction in Death Certificate)

Date: _______

From

(Name of the Person)

(Address)

Mob. ________

To

(Name of the Hospital)

(Address)

Tel. _________

Sub.: Name correction in death certificate.

Dear Sir/Madam,

My name is ____________. I am a resident of (Home Address). My father/mother expired on (Date) at your hospital while undergoing treatment for (Name of the Disease).

Upon my application, your hospital had issued to me a Certificate of Death of my late father/mother. However, there is a spelling error in the name. Kindly note that:

Wrong name: _____________.

Correct name: _____________.

I am enclosing herewith a copy of identity proof of my late father/mother for your ready reference. Therefore, I kindly request you to correct the same and issue a new death certificate. I am enclosing herewith the old certificate.

Thank you for your time and cooperation.

Sincerely,

    (Signature)

(Name of the Person)

Enclosure: Original death certificate.