| Life
Support Example Letter
The
following is an example letter requesting that the customer be placed on
the life support priority list. The signed letter should be mailed
or faxed to us on official hospital/doctor's office letterhead.
Doctor Jane Doe's Office
Patient Name:
John Doe
Address:
1233 Tipmont Drive
Telephone:
777
777-7777
Attention:
Customer Service
The above named child is under my care and is to
be at
home with a monitor. Electrical power is
essential to maintaining the
monitor.
In the event of a power failure, please place this
home
on a priority list for restoration of
electricity. Also, if there is a
forewarning of a
power disconnection, please notify this home so
that
special arrangements can be made.
Sincerely,
Jane Doe M.D.
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