Absence Notification Form - Second Year Medicine

AY 2018-19

Enter the following information:

Before you submit an absence notification form you must already have made arrangements with your course director 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?


Please note that you will be asked to state on this form the remediation plan that you worked out with your course director. Please do that before you complete this form.


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 PCM. If this absence affects a scheduled PACE encounter, please contact the coordinator Alyssa Pryor (apryor@neomed.edu or 330.325.6798) instead of the course director.

Northeast Ohio Medical University