Hea Authorization Letter
Hea Authorization Letter
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.
Sincerely,
MARIFEL COLINA