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Home > Forms > Admin On-Call

Admin On-Call

Please use this form to record your Call Log information.

Please complete and submit the form below. Your entry will be added to the call log spreadsheet on the next regular working day.

Admin-on-Call Log Entry

"*" indicates required fields

Date of Call (dd-mm-yyyy)*

DD dash MM dash YYYY

AOC Initials*

Type of Call*

Specimen Rejection

Clinical / Technical

Fire / Safety / Security

Human Resources

Inappropriate / Unnecessary / Unknown

Reason for Call*

Urgent (off hours)

In Hours

Not Urgent

Brief Description of Call*

Action Taken / Required*

Personal Health Information Act*

When submitting this information, I affirm that I will not disclose any personal or confidential information in accordance with the Personal Health Information Act. Additionally, I acknowledge that I am not authorized to share this account with anyone.

I agree

I disagree

Name

This field is for validation purposes and should be left unchanged.

This site is not intended to be used by the general public. If you are not a health care professional or a Shared Health staff member, please refer to our public website.

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