[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280989-105":53,"doc-detail-280989-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","sample-letter-to-patient-secondary-contact","Sample Letter to Patient Secondary Contact","","Patient secondary-contact letter template requesting authorized follow-up information when direct contact with a patient is unavailable. Includes patient identity and last-contact details, a confidential statement, instructions to return the form in an enclosed return-addressed envelope, and a prompt to update mailing records. Collects changes in address or phone number, current health status options, physician information, and secondary-contact details such as name, address, city/state/ZIP, and phone number.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/sample-letter-to-patient-secondary-contact/280989/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/sample-letter-to-patient-secondary-contact/280989.png","ImageObject",442,249,{"name":88,"@type":89},"Chloe Bennett","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who is this letter meant for and what is the purpose?","Question",{"text":109,"@type":110},"It is used to reach an authorized secondary contact when the patient cannot be contacted. The letter requests information to update follow-up records and maintain accurate contact details.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information does the patient section collect?",{"text":114,"@type":110},"The patient section gathers current address and phone changes, current health status selection, the physician providing care, and the date of the last exam. It also asks whether there is an authorized person the facility may contact if needed.",{"name":116,"@type":107,"acceptedAnswer":117},"What does the secondary contact section ask the recipient to provide?",{"text":118,"@type":110},"It requests information about the patient’s whereabouts, including the patient name and any known location details. It also collects the secondary contact’s name, address, city/state/ZIP, and phone number, with a confidentiality assurance.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},280989,1790242868,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},962084925782,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","PATIENT NAME DATE LETTER SENT  \nPATIENT ADDRESS CITY, STATE 99999  \nDear Mr . /Ms:  \n(Enter your facility name here)is interested in the health and well-being of its patients long after their encounter with our hospital/clinic . We would appreciate if you would take a moment to complete the brief questionnaire below so we can update our records . Your response will be kept strictly confidential .  \nIf you received this form in error, please let us know this also . In doing so we will update our record and remove you from our mailing list .  \nThank you for your assistance and prompt reply . A self-addressed, stamped envelope is provided for your assistance .  \nSincerely,  \nName of contact  \nFollow Up Coordinator Phone number of contact  \nHas your address or phone number changed? Please provide any new information . Address:  City:   State:   Zip:   Phone: (   )   -   \nWhat is your present health? Excellent   Good   Fair   Poor  Physician now caring for you:  \nDr . :  City/State:   \nDate of last exam:   /   /   \nIs there someone we may contact if we are unable to reach you? Yes   No  Name:   \nAddress:  City:   State:   Zip:   Phone: (   )   -   \nSECONDARY CONTACT’S NAME (Must be an authorized contact only) DATE LETTER SENT  \nADDRESS  \nCITY, STATE 99999  \nDear Mr . /Ms:  \nThe staff at (enter your hospital name) are interested in the health and well-being of its patients long after their encounter with our hospital/clinic . Unfortunately, we have not been able to contact:  \nNAME OF PATIENT  \nIf you have any knowledge of the whereabouts of this patient, we would appreciate if you would complete the information below and return to us in the enclosed return-addressed envelope . Please be assured that all the information you provide will be kept strictly confidential .  \nIf you received this form in error, please let us know this also . In doing so we will update our record and remove you from our mailing list .  \nThank you for your assistance and prompt reply .  \nSincerely,  \nName of contact and title Name of your facility Follow Up Coordinator Phone number  \nPlease provide information on: Patient Name  \nCurrent Address:    \nCity:   State:   Zip:   Phone: (   )   - Patient’s current condition(if known): Doing well   Not doing well  Comments (if any):","cbCaie14o1MtoKUJ","https://ap.wps.com/l/cbCaie14o1MtoKUJ","pdf",144117,"English","# Follow-up Letter (Patient)\n## Questionnaire Fields\n# Follow-up Letter (Secondary Contact)\n## Patient Lookup Request\n## Secondary Contact Information","[{\"question\":\"Who is this letter meant for and what is the purpose?\",\"answer\":\"It is used to reach an authorized secondary contact when the patient cannot be contacted. The letter requests information to update follow-up records and maintain accurate contact details.\"},{\"question\":\"What information does the patient section collect?\",\"answer\":\"The patient section gathers current address and phone changes, current health status selection, the physician providing care, and the date of the last exam. It also asks whether there is an authorized person the facility may contact if needed.\"},{\"question\":\"What does the secondary contact section ask the recipient to provide?\",\"answer\":\"It requests information about the patient’s whereabouts, including the patient name and any known location details. It also collects the secondary contact’s name, address, city/state/ZIP, and phone number, with a confidentiality assurance.\"}]","Sample Letter to Patient Secondary Contact | PDF",1789563427]