HTML Preview Appointment Request Letter Format page number 1.


SAMPLE APPOINTMENT REQUEST LETTER
* Letters should be written on your letterhead. Governors and Regents should use ACP stationery.
(DATE)
For Senators:
The Honorable (last name)
United States Senate
Washington, DC 20510
Dear Senator (last name):
For House Members:
The Honorable (last name)
U.S. House of Representatives
Washington, DC 20515
Dear Senator/Representative (last name):
Throughout the day of May 21, members of the American College of Physicians (ACP) from (your state)
will be meeting individually with their representatives in Congress.
I am writing to schedule (or confirm) a meeting with you to discuss issues of concern to physicians and
their patients. ACP is the nation's largest medical specialty society representing 141,000 physicians
practicing internal medicine and its subspecialties, as well as students with an interest in the specialty.
We would like to discuss with you issues of interest to ACP, including support for: physician payment
and delivery system reforms that will transition us to new value-based models of care, such as those
principles contained in the Medicare and CHIP Reauthorization Act; reauthorization of the Medicare
Primary Care Incentive Program that is set to expire at the end of this year; reinstatement of the
Medicaid Primary Care Pay Parity Program that would ensure Medicare-Medicaid payment parity for
primary care and immunization services; programs that are critically important to ensuring a sufficient
supply of physicians (particularly primary care internal medicine specialists and internal medicine
subspecialties facing shortages). While we recognize that there are differences within Congress and
between the political parties on some of these issues, we hope to share with you our ideas on specific
priority programs that both parties should support.
(If you do not have a specific time confirmed):
I hope that we can arrange for an appointment with you on May 21. I intend to follow-up with your
office to determine the best meeting time.
Thank you. I look forward to meeting with you. (Add time and date, if set)
Sincerely,
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