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

Sick Leave Request Form

Once this form is submitted, a copy will be emailed to the Program Director and Program Coordinator. Sick leave requested for medical appointments MUST be requested in advance using the Sick Leave Request Form. If sick leave is requested for medical reasons that do not allow advance notice the Resident must:

  • Contact the Chief Resident/s by phone or pager– Chief Resident/s will assign coverage, if necessary.
  • Contact the assigned PM&R attending faculty member by phone or pager (i.e., ACH, BHRI, UAMS, VA).
  • Notify the Residency Program Director by phone.
  • Notify the Residency Coordinator by phone.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
UAMS College of Medicine LogoUAMS College of MedicineUniversity of Arkansas for Medical Sciences
Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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