MedCertify

Leave of Absence


Student Name:  

Instructor:  

Program:

Start Date:  

By digital signing this document you are agreeing to and understand the MedCertify Leave of Absence rules and regulations that have been laid out in the MedCertify Catalog. After submission this document will be sent to the proper channels for approval. Your MedCertify representative will reach out once approved. Please email us at [email protected] if more guidance is needed. 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Leave of Absence
lock iconUnique Document ID: a909b5899a6b2766909c9e0eb57811bbc1d46a13
Timestamp Audit
February 8, 2022 3:49 PM EDTLeave of Absence Uploaded by MedCertify Education - [email protected] IP 99.190.9.234
February 15, 2022 2:00 PM EDTMedCertify Edu - [email protected] added by MedCertify Education - [email protected] as a CC'd Recipient Ip: 99.190.9.234