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Department of Physical Medicine and Rehabilitation: Residency Program
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  1. University of Arkansas for Medical Sciences
  2. College of Medicine
  3. Department of Physical Medicine and Rehabilitation
  4. Residency Program
  5. Protected: For Current PM&R Residents
  6. Leave Request Form

Leave Request Form

Requests less than 45 days before leave will begin will not be accepted online; please speak with the Program Coordinator. Submission of this form does not guarantee approval of your leave request. The request is not approved until the Coordinator confirms the receipt of the form and receives approval from the Program Director and Department Chair.

    If leave is requested less than 45 days in advance, the resident must request faculty permission to break policy. Contact the Program Coordinator for next steps.
    Resident is assuming responsibility to notify all affected parties PRIOR TO online request.
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Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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