Request Medical Education Verification From Third Party

Bailey Jenkins
28 steps
2 minutes

Umaryland

**Pro tips:** - **Before** beginning, make sure you have **gathered** and **uploaded** all required documents to your device **before** completing the form. - For your driver's license, state issued ID, or passport, preferred format is .jpeg, .png or .pdf. - Do not upload files with **special characters** or **additional spaces** in the file name.

Navigate to [https://www.medschool.umaryland.edu/osa/alumni-services/](https://www.medschool.umaryland.edu/osa/alumni-services/)

Click "Medical Education Verification page".

Click "Medical Education Verification Request Form".

Select the "Third Party (e.g., Medical License Consultant, Office Assistant, etc.)" option.

List the name of the organization completing form.

Input name of authorized representative from organization (listed above).

Input email address of authorized representative from organization (listed above).

Upload written consent authorizing the release of information. \*\***Please do not upload files with special characters or additional spaces in the file name.\*\***

Click "Add".

Click "OK".

List STUDENT first, middle, and last name.

Input STUDENT preferred email address.

List STUDENT birth year.

If STUDENT'S name was different when they were a medical student, list that name here.

List the years STUDENT attended UMB as a medical student.

List the name of the recipient of this verification form. (Who will receive the verification form?)

List the recipient's email or mailing address. (Where should this verification form be sent?)

Choose a Due Date (Please allow 5-7 business days to process).

Upload Medical Verification Form here. \*\***Please do not upload files with special characters or additional spaces in the file name.\*\***

Click "Add".

Click "OK".

Input STUDENT ID if known (@XXXXXXXX).

Upload unexpired form of identification (**current** driver's license/passport/state ID). Preferred formats: jpeg, png, pdf. \*\***Please do not upload files with special characters or additional spaces in the file name.\*\***

Click "Add".

Click "OK".

Please provide any comments or special instructions so we can process efficiently.

Click this checkbox after ensuring the applicant section of the verification is complete and accurate.

Double check each field for accuracy. Click "Submit".

Request Medical Education Verification From Third Party

Bailey Jenkins
28 steps
2 minutes

Umaryland

Navigate to [https://www.medschool.umaryland.edu/osa/alumni-services/](https://www.medschool.umaryland.edu/osa/alumni-services/)

Click "Medical Education Verification page".

Click "Medical Education Verification Request Form".

Select the "Third Party (e.g., Medical License Consultant, Office Assistant, etc.)" option.

List the name of the organization completing form.

Input name of authorized representative from organization (listed above).

Input email address of authorized representative from organization (listed above).

Upload written consent authorizing the release of information. \*\***Please do not upload files with special characters or additional spaces in the file name.\*\***

Click "Add".

Click "OK".

List STUDENT first, middle, and last name.

Input STUDENT preferred email address.

List STUDENT birth year.

If STUDENT'S name was different when they were a medical student, list that name here.

List the years STUDENT attended UMB as a medical student.

List the name of the recipient of this verification form. (Who will receive the verification form?)

List the recipient's email or mailing address. (Where should this verification form be sent?)

Choose a Due Date (Please allow 5-7 business days to process).

Upload Medical Verification Form here. \*\***Please do not upload files with special characters or additional spaces in the file name.\*\***

Click "Add".

Click "OK".

Input STUDENT ID if known (@XXXXXXXX).

Click "Add".

Click "OK".

Please provide any comments or special instructions so we can process efficiently.

Click this checkbox after ensuring the applicant section of the verification is complete and accurate.

Double check each field for accuracy. Click "Submit".