Get Denison University Medical Leave Form

Filling out the Denison University Medical Leave Form online is an essential step for users seeking a medical leave of absence. This comprehensive guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete your Medical Leave Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the Notification of Departure from Campus Form. Complete the top portion by entering your last name, first name, and Denison ID number. Provide your campus address, home address, and contact numbers.
3. Indicate your class by circling the appropriate year. If applicable, include information regarding the street address for the leave and your faculty advisor.
4. Collect the necessary signatures for the Notification of Departure from Campus Form. These include approvals from the Accounting Office, Financial Aid, and the Dean of Students or their proxy.
5. Next, complete the Medical Leave of Absence Questionnaire. Write a brief statement explaining your reasons for taking the leave and outline your plans for the time away.
6. Read the Medical Leave Agreement carefully. Fill in the required fields and sign the agreement to confirm your understanding and acceptance.
7. Request a letter from your healthcare professional documenting the need for your medical leave. Ensure it includes relevant details and is submitted within two weeks of your departure.
8. Gather all completed documents—Notification of Departure, Medical Leave of Absence Questionnaire, Medical Leave Agreement, and the letter from your healthcare professional.
9. Submit all documents to the Dean of Students Office at Doane 101E. This must be done before your medical leave can be reviewed.
10. Finally, ensure you keep copies of all documents for your records. You may save changes, download, print, or share the form as necessary.

Prepare to submit your Medical Leave Form online to ensure a timely and successful process.