Medical Student Absence Request Form

For questions about the attendance procedures and absence form, Hershey students should email medstudentabsence@pennstatehealth.psu.edu. University Park students should email UP-COM@pennstatehealth.psu.edu.
Student Information




Absence Information





Please note that discretionary absences require:
  • 3 working days notice
  • You to notify your small-group facilitator or student group member
No explanation is necessary
Please note that unexpected absences require:
  • You must submit this form the morning of your absence. For emergencies, contact Medical Education at 717-531-8563 within 24 hours of absence.
  • You to notify your small-group facilitator or student group member
  • An explanation (input below)
Please note that religious observance absences require:
  • 7 working days notice
  • You to notify your small-group facilitator or student group member
  • An explanation (input below)
Please note that absences related to military obligations require:
  • 7 working days notice
  • You to notify your small-group facilitator or student group member
  • An explanation (input below)
Please note that absences related to presentations at conferences require:
  • 7 working days notice
  • You to notify your small-group facilitator or student group member
  • An explanation (input below)
Please note that absences related to medical appointments require:
  • 7 working days notice
  • You to notify your small-group facilitator or student group member
  • An explanation (input below)

Policy/Confirmation
Click to read the complete attendance policy for Hershey and University Park. An email of approval be sent to you after this form is received and any necessary approvals have been completed.