Dr. __________, (Name of the Doctor)
__________, (Name of the Clinic)
__________ (Address of the Clinic)

Date: __/__/____ (date)

Subject: Apology for missing the appointment

Respected sir/ madam,

With due respect, my name is ___________ (name) and I am a resident of _________ (mention residential address/ locality).

I would like to inform you that I have taken an appointment for my treatment of _________ (mention treatment name) at your clinic i.e. ___________ (clinic name) having booking ID number __________ (booking ID number). Respected, I was supposed to visit on __/__/____ (date) for _____________ (mention treatment name). I write this letter to apologize for missing the appointment. The reason behind the same is __________ (mention reason).

Therefore, it is to request you to kindly reschedule the appointment at your clinic.

Yours sincerely,
___________ (Signature),
___________ (Your name),
___________ (Contact details)

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