There is 3rd party software that will allow you to print to Word, but it still doesn't format well.
Not sure why you would want to delete a patient visit? Maybe I am misunderstanding, but that doesn't sound like a good idea. Here I would have to keep a newborn's visit 24 years.
There are certain things in AC that are a disaster I am sorry to say. The letter writer is one of them. It would be easy to have it opne in Word, but so far, Jon hasn't chosen to do that.