February 2, 2023

C/O Clinic Manager/ Clinic Officer

SAN FRANCISCO DIAGNOSTIC & MED. CLINIC & DRUG TEST-SAN FRANCISCO
CENTER ISLAND, BRGY. 4 POBLACION,
SAN FRANCISCO, AGUSAN DEL SUR

RE: THE WALK-IN ANNUAL PHYSICAL EXAMINATION SCHEDULE OF

CIELO TALENT INC.
(DEPENDENT)

Dear Sir/Ma’am:

Please be advised of the following endorsements:

 Members whose names appear in the master list will avail of their Annual Physical Exam,
only once, at their convenience from February 3 to March 5, 2023.
 Annual Physical Exam results must have original signatures of physicians and medical
technologist.
 The Annual Physical Exam results must be released within two weeks after the said
examination of each member has been completed. Release the individually sealed
hard copy to members & email the soft copy to Ms. Twinkle Saquitan at
Twinkle.Saquitan@cielotalent.com - Corporate Nurse/ People & Culture Specialist.
 Forward billing together with the master list provided by the undersigned, affixed with the
individual signature of members to Cocolife Healthcare-Claims Department.

The following are the examinations included in the package:

a) General Physical Examination & Medical History Taking
b) Routine Urinalysis
c) Routine Fecalysis
d) Complete Blood Count
e) Chest X-ray
f) Electrocardiogram (ECG) Covered for 35 years old and up
g) Pap’s Smear Covered for 35 years old and up
Examinations not listed above must be charged directly to the patient.
FOR WALK-IN ANNUAL PHYSICAL EXAMINATION (HCP21-2508)
MEMBER
MEMBER NAME SIGNATURE
NO
45401 CALIWATAN, ROY STEWART C.
Please be guided accordingly.

Thank you very much.

Jenelet Dimarucut
Wellness Associate In-Charge

Noted By:

Anna Karmela O. So, M D.

Head Medical Director
Medical Services Dept. Healthcare
APE-0223-0379
NOTE TO CLINIC/HOSPITAL:
 Fecalysis, Breast exam, Rectal viewing, Pap’s smear will be optional.
 ECG, Xray, Urinalysis, CBC and Physical Exam are mandatory.