Get Clinical Student Absence Request Form - Aucmed

Completing the Clinical Student Absence Request Form - Aucmed is a necessary step for students who anticipate being absent from their rotations. This guide provides clear and comprehensive instructions for filling out the form online, ensuring that you meet the requirements for a request approval.

Follow the steps to properly fill out the Clinical Student Absence Request Form - Aucmed online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering your personal information in the Student Information section. Fill in your full name, student ID number, email address, and telephone number.
3. Proceed to the Rotation Information section. Here, you will need to provide the name of the hospital, the specific rotation name, and the dates you are requesting to be absent.
4. If your absence is due to reasons other than a residency interview, please specify the reason in the designated area.
5. If your absence is for a residency interview, fill out the Residency Interview Information section with details, including the program or hospital name, the city and state, and the interview date.
6. Enter the name of your attending physician in the corresponding field. Ensure you obtain their signature and the date on which they signed.
7. Next, provide the name of the site director, getting their signature and the date as well.
8. Finally, fill out the AUC dean's name, along with their signature and the date.
9. Once all required sections are completed, review your entries for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Complete your Clinical Student Absence Request Form online today to ensure timely processing of your absence.