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Get OHSU Request for Time Off Form

20 fax 503 494-3400 Office of Admissions tel 503 494-8220 Continuing Medical Education Mail code: L602 tel 503 494-8700 fax 503 494-0392 Development and Alumni Relations tel 503 494-0723 fax 503 418-1025 Education and Student Affairs tel 503 494-8228 Graduate Medical Education Mail code: L579 tel 503 494-8652 fax 503 494-8513 Graduate Studies tel 503 494-6222 Clerkship: ____________________________ Date Today: _________________________ Requested Dates for Time Off: _____________________________.

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