Pre-Clinical Student Absence Form

By filling out and submitting this form, you acknowledge that you have read and understand the attendance policy, and that the information you are submitting is true and accurate.  

Absence Form
First and Last Name
Name of Course(s), Instructor, and Task(s) Missed
16 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.