MARIFEL COLINA
P-5, DIMALUNA, OZAMIZ CITY, MIS. OCC
MAY 08,2024
MEDINA GENERAL HOSPITAL
GOV. ANGEL MEDINA, NEW CARMEN ANNEX, OZAMIZ CITY
MISAMIS OCCIDENTAL, 7200
To Whom it May concern,
I MARIFEL COLINA, hereby authorize my sister LESLIE COLINA, to claim my HEA from
MEDINA GENERAL HOSPITAL on my behalf. Due to being away from home, I am unable to
personally attend to the matter.
Please accept this letter as formal authorization for LESLIE COLINA to act on my behalf
regarding all matter related to the claim of my HEA at your facility.
Thank you for your understanding.
Sincerely,
MARIFEL COLINA