HUGS @Mountaindewed Likely your performance evaluation is not considered a warning. IME it is usually a separate form that you and the manager sign outlining what the problem is and what steps you will take to rectify it. If you are having to take a lot of time off of work, it might be worth looking into FMLA leave if you are in the US (Family Medical Leave Act). It can be taken all at once, or a day here, a day there, to deal with your medical issues, or the medical issues of your family members. Again you may need a doctor to substantiate it, but it is a way to help keep your job. There are certain restrictions of FMLA leave (depends how big your company is for example) but it can be helpful during times where you need to take more leave than you have built up.