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Chinese General Hospital Colleges

College of Physical Therapy


286 Blumentritt Road, Sta. Cruz Manila
1014 Tel No: (02) 711-0075 local 120

CENTER CLEARANCE RECORD

Name of Intern: DE JESUS, ACE GERARD F. Group Number: _______________

SIGNATURE OF
MONTH AFFILIATION CENTER DATE OF CLEARANCE
CHIEF PT

MOBILITY AND
AUGUST RECOVERY PHYSICAL AUGUST 30, 2023
THERAPY CLINIC

MOBILITY AND
SEPTEMBER RECOVERY PHYSICAL SEPTEMBER 30, 2023
THERAPY CLINIC

RE-HUB PHYSICAL
OCTOBER NOVEMBER 30, 2023
THERAPY CLINIC

RE-HUB PHYSICAL
NOVEMBER NOVEMBER 30, 2023
THERAPY CLINIC

DECEMBER CPREF

JANUARY CPREF

FEBRUARY SJDEFI-HOSPITAL

MARCH SJDEFI-HOSPITAL

EAST AVENUE
APRIL
MEDICAL CENTER

EAST AVENUE
MAY
MEDICAL CENTER

Certified True and Correct:

___________________________
LINDA E. PUNZALAN, MASPED, PTRP
Chinese General Hospital Colleges
College of Physical Therapy
286 Blumentritt Road, Sta. Cruz Manila
1014 Tel No: (02) 711-0075 local 120

PT Clinical Coordinator
Date: _______________________

Noted by:
_____________________________________
MARLON A. DE GUZMAN, MOH, PTRP
Program-Head, College of PT

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