Office of the Registrar

Please select the items you are requesting.

Student transcript (unsigned; for your personal use)
Official transcript (signed, sealed, and mailed to a third party)
Replacement of Medical school diploma (lost, damaged or name change)
    (Further instructions on New/Replacement of Medical School Diplomas.)
My matriculation/graduation dates and degree received.

Letter of recommendation for:
Fellowship (You will receive a 4th year Deans letter for this option)
  Specialty you are applying for: 
Licensure (You will receive a matriculation letter for this option, not a Deans letter)
Employment (You will receive a matriculation letter for this option, not a Deans letter)
Residency Training (You will receive a 4th year Deans letter for this option)
  Specialty you are applying for: 
Other?

Mail this information to: (You MUST provide a complete name and address of the receiving institution.
 
Please use the COMMENT area for additional mailing instructions).

Institution Name:

Attn:

Mailing address:

City, State, Zip:

-or- FAX information to:

A mailing address is REQUIRED for all documents to be forwarded to a third party, even if FAXing is requested, as the original document will then be mailed.

My identifying information is: