Notification of Absence 2020
This form is to be filled out by V-CODE DOCTOR ONLY*

*V-Code Doctor is the "Key Individual" appointed by his/her own "Consultant" to be admitted to Union Hospital as a visiting medical staff during a specified Term as stipulated in the Agreement of Services between Union Hospital and his/her Consultant Firm. Doctor shall consult his/her firm for details of absence entitlement.

Information from this notification will be sent to Doctor Liaison Office, the selected Clinical Head(s) and Nursing Administration Department.

Should you have any enquiries, please feel free to contact Ms. Phoebe Pang at 2608 8567 / phoebepang@union.org or Ms Tiffany Chung at 2608 6718 / tiffanychung@union.org
Name of Doctor *
Doctor Code *
Specialty *
Email *
Your leave balance will be sent to this email after your submission of this form.
Start Date *
***You are strongly recommended NOT to submit the absence period across two years e.g. 20/12/2017 to 4/1/2018. In case of absence period across two years, please submit the absence period separately for each calendar year.
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DD
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YYYY
[Start Date] AM/PM *
End Date *
MM
/
DD
/
YYYY
[End Date] AM/PM *
Total No. of Working Days *
Reason of Absence *
Physical Location *
Availability *
Duty will be covered by (Please provide the doctor name) *
Remarks
Submit
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