NORTHWESTERN UNIVERSITY

Don Mariano Marcos Ave., Laoag City, Ilocos Norte, Philippines

College of Allied Health Sciences
Department of Nursing
Laoag City

September 21, 2023

ARLENE G. RAGASA, MD, FPPS

OIC, Chief of Hospital
Governor Roque B. Ablan Sr. Memorial Hospital
Laoag City, Ilocos Norte

Thru: GOHMER GUILLERMO, MAN

Chief Nurse

Dear Doctor/Sir:
Greetings with love and peace!
The Level III nursing students of Northwestern University as represented by the undersigned, are
currently enrolled in NCM 112, Care of Clients with Problems in Oxygenation, Fluid and
Electrolytes, Infectious Inflammatory & Immunologic Response, Cellular Aberration, Acute and
Chronic. As part of the requirement, we will conduct and present a case study in the latter part of
our Master Rotation Plan this AY 2023-2024-1.

In this regard, we would like to request permission to access patient’s information and to conduct
interviews, assessment and appraisal in your prestigious healthcare facility.

Rest assured that all information acquired is entirely confidential and used solely for educational
purposes.

We look forward, with high hopes, to a favorable response to this request.

Thank you very much, and more power!

Respectfully yours,

JEREMIAH C. BALUAN
09270423183
Group Leader

Noted by:

HARVEY GANAL, MAN

Level III Chairman

IMELDA M. DAWANG, MAN

Head, Department of Nursing

CHARLIEMANE A. BULLALAYAO, EdD

Dean, College of Allied Health Sciences

Tel. Nos. (077) 670-8607-10/670-8510 Direct line: (077) 670-6864 Fax No. (077) 771-3814 Website: www.nwu.edu.ph E-mail: info@nwu.edu.ph
 NORTHWESTERN UNIVERSITY
Don Mariano Marcos Ave., Laoag City, Ilocos Norte, Philippines
College of Allied Health Sciences
Department of Nursing
Laoag City

September 21, 2023

MARSHA LOU A. WAPAN, MD

Chief of Hospital, Laoag City General Hospital
Laoag City, Ilocos Norte

Thru: GILBERT T. ANDRES, PhD

Chief Nurse

Dear Doctor/Sir:
Greetings with love and peace!
The Level III nursing students of Northwestern University as represented by the undersigned, are
currently enrolled in NCM 112, Care of Clients with Problems in Oxygenation, Fluid and
Electrolytes, Infectious Inflammatory & Immunologic Response, Cellular Aberration, Acute and
Chronic. As part of the requirement, we will conduct and present a case study in the latter part of
our Master Rotation Plan this AY 2023-2024-1.

In this regard, we would like to request permission to access patient’s information and to conduct
interviews, assessment and appraisal in your prestigious healthcare facility.

Rest assured that all information acquired is entirely confidential and used solely for educational
purposes.

We look forward, with high hopes, to a favorable response to this request.

Thank you very much, and more power!

Respectfully yours,

JEREMIAH C. BALUAN
09270423183
Group Leader

Noted by:

HARVEY GANAL, MAN

Level III Chairman

IMELDA M. DAWANG, MAN

Head, Department of Nursing

CHARLIEMANE A. BULLALAYAO, EdD

Dean, College of Allied Health Sciences

Tel. Nos. (077) 670-8607-10/670-8510 Direct line: (077) 670-6864 Fax No. (077) 771-3814 Website: www.nwu.edu.ph E-mail: info@nwu.edu.ph