Download Provider to Member Stars Letter.

[Insert your practice logo here]
[Add your practice return address here]
[Date]
[Patient name]
[Patient street address]
[Patient city], [Patient state] [Patient Zip code]
Dear [Patient name]:
To help you enjoy the best possible health and well-being, we are collaborating with your health plan to
let you know about important preventive screenings and health services you may need. According to our
records, you may be due for the following service(s):
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Mammogram (Breast cancer screening )
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Colon cancer screening
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Bone density evaluation to check for osteoporosis
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Body mass index height and weight measure
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The following diabetes care management tests or screens:
□
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HbA1c testing (blood sugar monitoring)
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LDL-C test (cholesterol testing)
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Simple urine test for protein (kidney disease monitoring)
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Comprehensive eye exam (retinal eye exam)
Review of the following medications:
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Blood pressure medications
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Cholesterol medications
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Diabetes medications
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Rheumatoid arthritis medications
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Other medication(s):
Together we can keep you in the best possible health! Please call us at your first opportunity at [Your
practice phone number], [Days of the week] between [time] and [time] to schedule or discuss these health
care services. Thank you!
Sincerely,
[Signature]
[Patient’s physician’s name or practice name]