Dear Mr/Ms Doe:

We are sorry to learn that you and your spouse are no longer living together. We know that this is a difficult time and would like to help in any way possible.

Since you may have need for pediatric services we want you to know that we can be contacted at:
Phone number: ______________________________________
E-mail: _______________________________________
Web site: ________________________________________
After hours: ________________________________________

Our regular office hours are:
Weekdays: ___________________
Saturday: ___________________
Sunday: __________________

We are located at: __________________________
__________________________

In case we need to reach you we have the following contact information:
Home phone: ______________________
Work phone: ______________________
E-mail: _______________________
Address: _________________________
___________________________

If this is incorrect or changes please contact us as soon as possible.

Finally you may want to stop by the office to pick up some handouts that we believe will be of value to you. They will help you make decisions about the future and help you better understand your child(ren)'s point of view about what has happened, and what may happen in the future. We hope you will keep in contact with us and stay involved with your child(ren) We have included one of our handouts which we suggest that you send your child(ren)'s school(s) at your earliest opportunity.

Sincerely yours

Dr._____ and Office Staff