20_AS_Absence_Notification_Pharmacy - P3


	Student Absence Notification Form - Third Year Pharmacy AY 2019-20 Enter the following information: Your last name Your first name Your NEOMED email address Student ID (minus the @ and initial zeros) Please answer before continuing. Please answer before continuing. Please answer before continuing. Please answer before continuing. Before you submit an absence notification form you must already have made arrangements with your course director/preceptor on your make-up plan. Have you contacted your course director and arrived at a plan for making up time and any required activities missed during absence? Yes No Please answer before continuing. Most of the Spring courses are listed beneath the option Course Not Listed. What course or activity is affected by this absence? Please answer before continuing. Which independent research activity? Evidence of Patient Care Services in Acute and Ambulatory Pharmacy Practice Settings Impact of Flash Continuous Glucose Monitoring on Overall Glucose Monitoring Frequency Evaluation of a Direct Oral Anticoagulant Clinic Led by Pharmacists Evaluation of Multimodal versus Opioid Only Pain Management of Length of Stay for Patients with Acute Pancreatitis Outcomes from Different Communication Methods to implement Transition Related Interventions Evaluation of provider acceptance of pharmacist recommendations in a high utilizer patient population If the absence results in you missing a required activity in more than one course, you must submit a separate absence report for each course. You selected "Course Not Listed." What course was affected? Please answer before continuing. Northeast Ohio Medical University

Student Absence Notification Form - Third Year Pharmacy