| Employee | |
|---|---|
| Date | 06/12/2025 |
| Name | Shenita Forest |
| Any Details You Care to Provide Regarding the Nature of Your Request: | 3 month check up with PCP (diabetes). Appointment is at 8 and I will be in immediately after its over. |
| Clinic | Pearl |
| Time Requested Off | |
| Is the request for four hours or less? | Yes |
| Is this request for the full day? | No |
| Is this request for multiple days? | No |
| Initial Date Requested off | 08/22/2025 |
| Start Time Off | 08:00 AM |
| End Time Off | 10:00 AM |
| Has anyone else already scheduled off during this time? | No |
| Do you have any patients scheduled on you for the requested time off? | No |
| Approved? (Admin-only) |
|