Medical Records Authorization Letter

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

Medical Record Information Authorization Letter

April 21, 1990

Ms. Aprilyn Sanchez
St. Joseph Clinic
Balanga City, Bataan

Dear Ms. Sanchez,

I, Rico L. Herrera, hereby authorize Dr. Rodrigo C. Medina to release my personal medical information to Dr. Arnie L. Camacho.

I am writing this letter for granting access to any of my medical records such as CT scans, MRI scans and X-rays since I am under the care and treatment of Dr. Medina since February, 1990.

Sincerely yours,

(sign)
Rico L. Herrera