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DuvallNorth Bend – Telehealth

Larch Team Form Submissions

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Hours Hours Described Date Actions
     
***This form is for Admin use only***
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Member Name*
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Please describe the purpose of the training and how it will impact your work with Larch and/or how it will help you meet your CE license requirements.

You may request the full amount of the training. You will get paid out what you have already accumulated to date, and if the training was more than you have already accumulated, you will receive a monthly reimbursement until the balance is paid in full, or your annual allotment is met. You can ask the admin what your current available funds are, and also what your total allotment is for the full year is.
Max. file size: 32 MB.
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Member Name*
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Cost/Mile:
$0.60
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Max. file size: 32 MB.
Member Name*
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Direct Deposits can take up to 10 days to update. Please note this when you are making your selection
Select One

Please perform your own spell check before submitting to ensure that there are no errors in your updates. Also, include the full description for each of the sections you are updated. For example, do not simply write “Can you add “I like swimming” to my about me section. Instead, add the complete text, which may mean copy and pasting what you currently have active on the website.

If you are not updating a field, put “NA”.

Member Name*

Member Name*
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Each RSD Clinician has an equal amount of PTO and Sick Time per year to the number of days a week they work. For example, if you work two days a week, you have two PTO days a school year, and 2 sick days a school year. Sick days are reserved for when you are sick and cannot be submitted in advanced. Sick days can be used for some family emergencies. All time off must be approved.
Date Actions