Mackay Inpatient - Shift Request Form

Hospital Site *

Your name *

Your role *

Shift Start Date: *

Shift End Date *

Shift Roster Duration *

9am - 9pm Long Day Shift9am - 5pm Short Day Shift5pm - 9pm Short After-Hours Shift9pm - 9am Overnight ShiftWeekend Cover (Friday 5pm - Monday 9am)Other duration (please include the shift time details in the comments below)

Comments

Please note if you are requesting urgent relief cover within 4 hours on the day, contact us at 07 2113 3776 and select roster hotline coordinator for urgent liaison!