Lorma Medical Center

Carlatan, City of San Fernando

La Union 2500

August 31, 2018

Hon. Robert B. Madarang

City Mayor
Burgos, La Union

Thru:
Dr. Eugenia T. Dominguez
City Health Officer
Burgos, La Union

Greetings!

The following Post-Graduate Interns of our institution have expressed their intention to
render service to your Municipality:
 Gleah Jane T. Dominguez
 Eman L. Sarhan
In this light, we would like to ask from your good office permission to have his Community
Medicine Rotation at your City Health Office for the month of September 2018.

We are hoping for your kind consideration.

Thank you!

Prepared by:

Michael C. Bangloy, MD
Intern’s Monitor

Noted by:

Maria Teresa V. Orlino, MD, FPAFP

Chief, Staff Physician

Approved by:

Raymond L. Espinosa, MD, FPNA

Assistant Medical Director for Staff Development & Training