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Referral Letter

The referral letter refers an individual for a RT-PCR test at Tomboc - Salayog Hospital and advises home quarantine for a specified number of days. It was issued at the request of an unnamed person for an unspecified purpose other than for legal medical purposes. The letter is signed by the Medical Officer III of the Department of Education of the City Schools Division of Tacurong.

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541 views1 page

Referral Letter

The referral letter refers an individual for a RT-PCR test at Tomboc - Salayog Hospital and advises home quarantine for a specified number of days. It was issued at the request of an unnamed person for an unspecified purpose other than for legal medical purposes. The letter is signed by the Medical Officer III of the Department of Education of the City Schools Division of Tacurong.

Uploaded by

Sugar Caniban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
Region XII
CITY SCHOOLS DIVISION OF TACURONG
City of Tacurong

REFERRAL LETTER

DATE:

To Whom It May Concern:

This is to refer _____________________________________________________________________of


(Name of Patient)
________________________________________________________________________________________________
(Address)
for RTPCR test on Tomboc – Salayog Hospital and advised for home quarantine for
___________________ days.

This certification is being issued at the request of _____________________________


for whatever purpose it may serve except medicolegal.

_______________________ ______________________
(Date) John Lee R. Salvador, RN, MD
LICENSE NO. 0154675
MEDICAL OFFICER III
CSDT – DEPARTMENT OF EDUATION

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