ST. ANTHONY COLLEGE OF ROXAS CITY, INC.

San Roque Extension, Roxas City, Capiz 5800

Tel. No. (063) 6210-434/431 telefax: (036) 6214-185

November 28, 2022

Sister Remedios Tidor, D.C

VP for Health Services
St. Anthony College of Roxas City, Inc.

Thru:

Ian Steve Borbon, RN, MAN

Director, Ancillary Dept.
St. Anthony College of Roxas City, Inc.

Dear Mr. Borbon,

Greetings of peace and joy!

I, Ricci Jean Ashley Bigbig and Krisha Marie Tiffany V. Yu, 3 rd year students in the Bachelor of
Science in Nursing of St. Anthony College of Roxas City, Inc., humbly ask permission from your
office to allow us to retrieve medical records of a patient admitted at Immaculate Heart of Mary
Ward, Room 227, named Sherlita Dela Cruz under Dr. Soberano.

The aforementioned data will be utilized for our Clinical Case Study in partial fulfilment of the
requirements for NCM 112: Care of Clients with problem in Oxygenation, Fluid and Electrolyte,
Infectious, Inflammatory and Immunologic Response, Cellular Aberration, Acute and Chronic
Course. We believe that it will create useful tools and be of great help for us, nursing students.

Rest assured that the above data or information will be strictly confidential as we are guided by
Republic Act 10173 or the Data Privacy Act of 2012.

We hope and look forward to your kind consideration regarding this matter.
Thank you very much. God bless you and the whole community.

Respectfully yours,

Ma. Sofia Joy B. Aller, SN

Student Nurse Assigned

Supervised by:

Mrs. Kristine Grace S. Acepcion, RN Mr. Gino Paulo A. Buizon,

RN
Clinical Instructor Clinical Instructor

Approved by:

Dr. Rubilyn B. Sumaylo, RN, LPT

Dean, College of Nursing