Absence Logger

Please use this form to notify Vine Medical Group if you are not able to attend work.

You will receive confirmation of your absence when your team leader or manager has been informed.

Remember to log your absence here every day that you are not in.

First name Use your full first name as on payroll (e.g., "Joanna", not "Jo").

Please enter your first name.

Last name

Please enter your last name.

Date you will not be at work

Please select the absence date.

Anticipated Return to Work If your absence is due to Diarrhoea / Vomiting please be aware that, in line with our Infection Control Policy, there must be at least 48 hours from your last occurrence before you can return to work.

Please choose an option.

Main reason for absence

Please select a reason.

Further information Include as much or as little information as you are comfortable sharing. Be aware that all Team Leaders, Management Team and Rota team have access to your absence notification. 250 characters remaining

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First name
Last name
Absence Date
Anticipated RTW
Reason (category)
Further information

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Report your absence

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