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Pcso Authorization Letter
Pcso Authorization Letter
Pcso Authorization Letter
AUTHORIZATION
The undersigned hereby authorize my daughter Mrs. Aiza Livestre, of legal age, with residence
address of Bliss, Poblacion, Sta. Catalina, Negros Oriental to act on my behalf in all manners
relating to my request of Medical Assistance from SWAD, including signing of all documents
relating to these matters. Considering of my current situation, which I am now in Negros
Polymedic Hospital Dumaguete City. Any and all act carried out by Mrs. Aiza Livestre on my
behalf shall have same effect as acts of my own. And authority to do and perform each and every
act which may be necessary or convenient, in connection with any of the foregoing as fully to all
intents and purposes as I might or could do, if personally present and acting in person.
Sincerely,
LUZ D. LOGRO
Patient