Chief Executive XX Hospital /GP partners and practice /Dentist
Your ref (give any reference from complaints correspondence)
Dear XX
Name: Address: NHS and/or hospital number:
I attended the [Name of Hospital/GP/Dentist] on [Date(s)] -provide a short description of the incident giving the date.
Short explanation of when you consider the date of knowledge was, such as when you received diagnosis.
In order to be able to properly investigate whether I have a claim and to avoid unnecessary costs to both parties of having to issue court proceedings, I would ask that you agree in writing to extend the limitation period for issue of court proceedings for a period of [XX] months to the [DD/MM/YYYY] and that you agree(s) that in any subsequent issue about limitation, you will not rely upon any period of time that elapses between the date of this correspondence [DD/MM/YYYY] and [DD/MM/YYYY].
I look forward to hearing from you and thank you for your attention to this matter.
Yours sincerely