NOTIFICATION of LEAVE

NOTIFICATION of LEAVE FORM

Please complete all details below:

N.B: Please use this form ONLY if you will be away for more than THREE (3) working days!

You will receive EMAIL confirmation once your leave has been confirmed.

Please make a note of your handover partner when notifying CSMP of your intended leave.

Your leave dates will be publicly available on the Practice's public website, as well as whom your patients are to see in your absence.

EVENT	Away FROM:	Returning ON:	Locum GP?
Dr Eddie Rice AWAY!	30/9/2025	19/10/2025	Dr Sean KRISTOFFERSEN (T, W, Th)
Dr Sean Kristoffersen AWAY!	7/10/2025	9/10/2025	Dr Ben TONG (M, F)
Dr Anes Karahasan AWAY!	29/08/2025	15/09/2025	NO LOCUM
Dr Helena Torpinski AWAY!	11/09/2025	15/09/2025	Dr Eddie RICE (M, T, Th, F)
Dr Rada Germanos AWAY!	03/10/2025	10/10/2025	Dr Heather McKENZIE (T, Th)
Dr Sean Kristoffersen AWAY!	4/11/2025	6/11/2025	NO LOCUM

Surname

Name

Submission Date

FIRST Day AWAY?

LAST Day AWAY?

First WORKING DAY back at CSMP?

While I'm away, my correspondence and results will be checked by:

Have you discussed any COMPLEX care patients with your handover partner?

I have installed Microsoft Teams to my phone in the event of an URGENT RESULT or CONTACT

I have installed Teams and logged in for URGENT CONTACT ONLY.