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Lorma Colleges

College of Nursing

Carlatan City of San Fernando, La Union

LETTER OF CONSENT

I, _____________________do hereby allow myself to be a part of the study after hearing

the thorough explanation of the student nurses of Lorma Colleges.

Without hesitations, I will allow myself to be physically assessed and be interviewed

regarding my case. I will cooperate in any terms that would further clarify the study

provided that it would not aggravate my existing condition and would not, in any form,

invade my privacy.

Signed on the 9th day of September, year 2008.

Signed by:

Witnesses:

Gines, Barrah Geraldine A.

Dingle, Esmeralda

Hermosura, Marife C.

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