December 18, 2012
Ms. Shirly Mendoza
Medical Clerk
St. Joaquin Medical Center
Dear Ms. Mendoza:
I am Nathaniel Valencia of East Avenue Subd. Caloocan City. I have been a patient of OPD Department under Dr. Henry Escudero for a 2 years.
I would like to authorize your good office to release all of requested medical information to ACCE Corporation for whatever purposes.
Thank you and more power.
Very truly yours,
Nathaniel Valencia