Dear [Hospital Name],
I am writing to request medical treatment at your hospital. My name is [Your Name] and I have been experiencing [health issue or symptoms]. I have tried various treatments, but I am still experiencing discomfort and my condition seems to be worsening.
I have heard great things about your hospital and the medical care you provide. I believe that your hospital is the best place for me to receive the treatment I need. I would be honored if you could admit me as a patient and provide me with the medical care I require.
I have enclosed all relevant medical records and test results, as well as a list of current medications I am taking. I would be grateful if you could review my information and let me know if there is anything else you need from me.
I look forward to your prompt reply and I am hopeful that I will be able to receive treatment at your hospital soon. Thank you for your time and consideration.
Sincerely, [Your Name