Clerkship and Post-Clerkship Absence Request Form

This form must be used for all absences related to the clinical learning environment, including PCAT clerkships as described below:

PCAT 1 and 2: Family Medicine, Pediatrics and Surgery clerkships

PCAT 3: Emergency Medicine, Internal Medicine, Ob-Gyn, and Psych-Neuro Clerkships

PCAT 4: AI, IPM IV, and Selectives


Please see policy for details.