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Pt Portal
Request Time Off
For your request to be complete, you must receive a confirmation email from your staffer acknowledging that you have been removed from your shift(s).
timerequest
Requests are not processed during weekend hours (Fri 5p – Mon 9a).
I understand
Are you submitting this during weekend hours and requesting off for Monday?
*
Yes
No
Is this request for a shift in the next 24 hours?
*
Yes
No
Requests are not processed during weekend hours, please contact NPLH via phone ASAP; do not text!
Your request is for a shift within the next 24 hours, please contact NPLH via phone ASAP, do not text!
Your Name
*
Your Name
First
First
Last
Last
Your Email
*
Please list the patient name(s) along with the dates and times you would like off.
*
Who staffs the patient(s) for this request?
*
Teresa
Vicki
You may pick one; or both if requesting for multiple patients.
I acknowledge this request is NOT CONFIRMED until I have received an email confirming that I have been removed from the shift(s).
Submit