CWRU School of Medicine Absence Policy

Absence Request Form for Clinical Rotations

Students are responsible for forwarding or faxing the Absence Request Form for Clinical Rotations to two (2) individuals. Complete and submit the form via email or fax by following the two (2) steps below:

1. The site coordinator who forward your Absence Request form to your Discipline Leader/Rotation Leader.

Site Rotation Coordinator Email Fax
UH/VA Basic Core I Cindy Neczypor This e-mail address is being protected from spambots. You need JavaScript enabled to view it (216)201-4212

Friday Afternoon Curriculum

University Students

Dawn Burke This e-mail address is being protected from spambots. You need JavaScript enabled to view it (216)368-5125

Friday Afternoon Curriculum

CCLCM Students

Jan Edmonson This e-mail address is being protected from spambots. You need JavaScript enabled to view it (216)636-1348
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2. University Students: email CarolChalkley at This e-mail address is being protected from spambots. You need JavaScript enabled to view it or send a fax to her attention at (216)368-5125page5image26208

Please note that non-emergent requests must be submitted at least 30 days in advance.

Absence Request Form for Clinical Rotations