DMMC INSTITUTE OF HEALTH SCIENCES COLLEGE OF PHYSICAL THERAPY CLEARANCE FORM FOR CLINICAL INTERNSHIP PROGRAM

NAME:

USMAN, GHADA M.
CLINICAL SUPERVISOR REMARKS

NAME OF INSTITUTION JUNE LUNG CENTER OF THE PHILIPPINES JULY LUNG CENTER OF THE PHILIPPINES AUGUST JOSE REYER MEMORIAL MEDICAL CENTER SEPTEMBER JOSE REYES MEMORIAL MEDICAL CENTER OCTOBER VETERANS MEMORIAL MEDICAL CENTER NOVEMBER VETERANS MEMORIAL MEDICAL CENTER DECEMBER DANIEL MERCADO MEDICAL CENTER JANUARY MARY MEDIATRX MEDICAL CENTER FEBRUARY PHILIPPINE GENERAL HOSPITAL MARCH PHILIPPINE GENERAL HOSPITAL

SARAH REMANESES, PTRP

SARAH REMANESES, PTRP

AMITA T.TEMPLO,PTRP

AMITA T.TEMPLO,PTRP

JOEL M.GAFFUD,PTRP

JOEL M. GAFFUD, PTRP

MARY GRACE D.BALDRIAS,PTRP

Ma. TERESA L.MAGSINO,PTRP

WILBERT BUCO, PTRP

WILBERT BUCO, PTRP

ERWIN S. OCAMPO, PTRP

INTERNSHIP COORDINATOR

IRENE HELENA SAYAS, PTRP,MPA

COLLEGE DEAN

ANNA LIZA M. SAVALVARO

COLLEGE REGISTRAR

NOTE:

This Clearance serves as a requirement for Graduation. Please sign to indicate that the above named individual Has no unsettled obligation, academic, clinical or otherwise, to your department.

INTERNSHIP COORDINATORS COPY

DMMC INSTITUTE OF HEALTH SCIENCES COLLEGE OF PHYSICAL THERAPY CLEARANCE FORM FOR CLINICAL INTERNSHIP PROGRAM

NAME:

USMAN, GHADA M.
CLINICAL SUPERVISOR REMARKS

NAME OF INSTITUTION JUNE LUNG CENTER OF THE PHILIPPINES JULY LUNG CENTER OF THE PHILIPPINES AUGUST JOSE REYER MEMORIAL MEDICAL CENTER SEPTEMBER JOSE REYES MEMORIAL MEDICAL CENTER OCTOBER VETERANS MEMORIAL MEDICAL CENTER NOVEMBER VETERANS MEMORIAL MEDICAL CENTER DECEMBER DANIEL MERCADO MEDICAL CENTER JANUARY MARY MEDIATRX MEDICAL CENTER FEBRUARY PHILIPPINE GENERAL HOSPITAL MARCH PHILIPPINE GENERAL HOSPITAL

SARAH REMANESES, PTRP

SARAH REMANESES, PTRP

AMITA T.TEMPLO,PTRP

AMITA T.TEMPLO,PTRP

JOEL M.GAFFUD,PTRP

JOEL M. GAFFUD, PTRP

MARY GRACE D.BALDRIAS,PTRP

Ma. TERESA L.MAGSINO,PTRP

WILBERT BUCO, PTRP

WILBERT BUCO, PTRP

ERWIN S. OCAMPO, PTRP

INTERNSHIP COORDINATOR

IRENE HELENA SAYAS, PTRP,MPA

COLLEGE DEAN

ANNA LIZA M. SAVALVARO

COLLEGE REGISTRAR

NOTE:

This Clearance serves as a requirement for Graduation. Please sign to indicate that the above named individual Has no unsettled obligation, academic, clinical or otherwise, to your department.

REGISTRARS COPY

DMMC INSTITUTE OF HEALTH SCIENCES COLLEGE OF PHYSICAL THERAPY CLEARANCE FORM FOR CLINICAL INTERNSHIP PROGRAM

NAME:

USMAN, GHADA M.
CLINICAL SUPERVISOR REMARKS

NAME OF INSTITUTION JUNE LUNG CENTER OF THE PHILIPPINES JULY LUNG CENTER OF THE PHILIPPINES AUGUST JOSE REYER MEMORIAL MEDICAL CENTER SEPTEMBER JOSE REYES MEMORIAL MEDICAL CENTER OCTOBER VETERANS MEMORIAL MEDICAL CENTER NOVEMBER VETERANS MEMORIAL MEDICAL CENTER DECEMBER DANIEL MERCADO MEDICAL CENTER JANUARY MARY MEDIATRX MEDICAL CENTER FEBRUARY PHILIPPINE GENERAL HOSPITAL MARCH PHILIPPINE GENERAL HOSPITAL

SARAH REMANESES, PTRP

SARAH REMANESES, PTRP

AMITA T.TEMPLO,PTRP

AMITA T.TEMPLO,PTRP

JOEL M.GAFFUD,PTRP

JOEL M. GAFFUD, PTRP

MARY GRACE D.BALDRIAS,PTRP

Ma. TERESA L.MAGSINO,PTRP

WILBERT BUCO, PTRP

WILBERT BUCO, PTRP

ERWIN S. OCAMPO, PTRP

INTERNSHIP COORDINATOR

IRENE HELENA SAYAS, PTRP,MPA

COLLEGE DEAN

ANNA LIZA M. SAVALVARO

COLLEGE REGISTRAR

NOTE:

This Clearance serves as a requirement for Graduation. Please sign to indicate that the above named individual Has no unsettled obligation, academic, clinical or otherwise, to your department.

STUDENTS COPY

DMMC INSTITUTE OF HEALTH SCIENCES COLLEGE OF PHYSICAL THERAPY CLEARANCE FORM FOR CLINICAL INTERNSHIP PROGRAM

NAME:

USMAN, GHADA M.
CLINICAL SUPERVISOR REMARKS

NAME OF INSTITUTION JUNE LUNG CENTER OF THE PHILIPPINES JULY LUNG CENTER OF THE PHILIPPINES AUGUST JOSE REYER MEMORIAL MEDICAL CENTER SEPTEMBER JOSE REYES MEMORIAL MEDICAL CENTER OCTOBER VETERANS MEMORIAL MEDICAL CENTER NOVEMBER VETERANS MEMORIAL MEDICAL CENTER DECEMBER DANIEL MERCADO MEDICAL CENTER JANUARY MARY MEDIATRX MEDICAL CENTER FEBRUARY PHILIPPINE GENERAL HOSPITAL MARCH PHILIPPINE GENERAL HOSPITAL

SARAH REMANESES, PTRP

SARAH REMANESES, PTRP

AMITA T.TEMPLO,PTRP

AMITA T.TEMPLO,PTRP

JOEL M.GAFFUD,PTRP

JOEL M. GAFFUD, PTRP

MARY GRACE D.BALDRIAS,PTRP

Ma. TERESA L.MAGSINO,PTRP

WILBERT BUCO, PTRP

WILBERT BUCO, PTRP

ERWIN S. OCAMPO, PTRP

INTERNSHIP COORDINATOR

IRENE HELENA SAYAS, PTRP,MPA

COLLEGE DEAN

ANNA LIZA M. SAVALVARO

COLLEGE REGISTRAR

NOTE:

This Clearance serves as a requirement for Graduation. Please sign to indicate that the above named individual Has no unsettled obligation, academic, clinical or otherwise, to your department.

DEPARTMENTS COPY