The purpose of this document is to inform A Homemade Plan in writing that you, permanently or temporarily, wish to be taken off an assignment. Below, please find questions regarding further details as to the reason(s) why you are making this request. You must fill out ALL of the following questions. A Homemade Plan would like to reiterate our call out policy which is as follows:
All absences are to be arranged at least two weeks in advance including vacations, doctors appointments, and time off for other reasons.
If you are ill, injured or an unexpected emergency arises which prevents you from coming to work, you must notify our office staff no later than 24 hours before the start of your scheduled work day. The office staff can be reached 24 hours a day, 7 days a week through our emergency phone by following the directions on the office phone after hours auto attendant for emergencies. Failure to notify A Homemade Plans office staff that you will not be attending work (no-call no-show) will result in loss of work opportunities and will be reported to the Maryland Board of Nursing and the Office of Health Care Quality as neglect.
***Furthermore, you may not request off by leaving a voice message, text message, email or by solely filling out this form, you must speak to a member of the office staff. Please understand that these processes are in place to keep our patients safe in their homes.