Songco Dental & Medical Clinic

1134 Centro St., Brgy. Calulut San Fernando, Pampanga

Opening hours: Monday - Friday 9:00 AM - 5:00 PM
Tel No.: +639669047522

Dental Clearance Certificate

Date: 02/21/2024

To Whom It May Concern,

This is to certify that CORONEL, ANGELICA 22F, has undergone a comprehensive dental assessment for the
purpose of brace adjustment. The patient has been evaluated by our dental team and has been deemed fit and
cleared for the necessary orthodontic procedures.

Clinical Assessment:
- The patient's dental health was assessed thoroughly, including an examination of the teeth, gums, and overall oral
structures.
- It has been determined that the patient's oral health is stable and suitable for brace adjustment.

Recommendations:
- The patient is recommended to proceed with the planned brace adjustment procedure as recommended by the
orthodontist.
- It is advised that the patient follows all post-procedure instructions provided by the orthodontic team for optimal
treatment outcomes.

Clearance for Operations:

- Based on our assessment, the patient is cleared for the brace adjustment operation scheduled.

This dental clearance certificate is issued to facilitate the patient's orthodontic treatment. For any inquiries or
further information, please do not hesitate to contact our dental office.

Issued this 21st day of February 2024, in San Fernando, Pampanga, Philippines.

MARIBEL DIONISIO, DMD

Registered Dentist
Lic No.: 012900

1134 Centro St., Brgy. Calulut San Fernando, Pampanga

Opening hours: Monday - Friday 9:00 AM - 5:00 PM
Tel No.: +639669047522