Form 345 Ecfmg PDF Details

The 345 ECFMG Form, better known as the Medical School Release Request, stands as a critical document for medical graduates aiming to authenticate and verify their medical credentials through the Educational Commission for Foreign Medical Graduates (ECFMG). Submission of this form is a necessary step for those who have completed their medical diplomas and are seeking to either apply for the United States Medical Licensing Examination (USMLE) or to pursue residency or fellowship opportunities in the U.S. Specifically, the form facilitates the direct communication between ECFMG and the applicant's medical school, authorizing the latter to release the graduate's medical credentials and verify the information related to their medical education. In addition to filling out essential details like the name and address of the medical school, the graduate's name, USMLE/ECFMG identification number, date of birth, and the month and year of graduation, the applicant is required to send two copies of Form 345 along with a current passport-sized color photograph, medical education credentials, and potentially other required documents, depending on the applicant's situation. This comprehensive procedure underscores the importance of transparency, accuracy, and official validation in the process of becoming eligible to practice medicine in the United States.

QuestionAnswer
Form NameForm 345 Ecfmg
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesform345 form 345 2011

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Medical School Release Request

Form 345-I

You must submit the Medical School Release Request (Form 345) when you send your final medical diploma to ECFMG®.

The Medical School Release Request (Form 345) is addressed to your medical school. By completing this form, you are authorizing your medical school, if requested by ECFMG, to provide and/or verify your medical credentials and provide information on your medical education. ECFMG will send a copy of your completed Medical School Release Request (Form 345) to your medical school with its request.

INSTRUCTIONS

Complete the Medical School Release Request (Form 345) by printing the name and address of your medical school (the medical school from which you graduated), your name, USMLE®/ ECFMG Identification Number, your date of birth, and month and year of graduation from medical school in the spaces provided. You must also attach a current, full-face, passport-sized color photograph of yourself, and sign and date the form where indicated.

Submit two copies of the completed Medical School Release Request (Form 345) to ECFMG with your medical education credentials.

If you are applying to ECFMG for an examination and you do not have a valid CERTIFICATION OF IDENTIFICATION (Form 186) on file with ECFMG, the completed copies of the ECFMG Medical School Release Request (Form 345), medical education credentials, photograph, and any other required documents must be sent with your Certification of Identification Form (Form 186). These forms and documents must be sent to ECFMG in one envelope. If your Form 186 is signed by an authorized official of your medical school, this envelope must be sent to ECFMG directly from the office of that official. If your Form 186 is certified only by a Consular Official, Notary Public, First Class Magistrate, or Commissioner of Oaths, this envelope can be sent to ECFMG by you.

If you have a valid CERTIFICATION OF IDENTIFICATION FORM on file with ECFMG, send the documents outlined above to ECFMG in one envelope.

If you are not currently applying for an examination, you still may submit your medical education credentials and associated forms and documents.

These forms and documents must be sent to:

ECFMG

3624 Market Street, 4th Floor

Philadelphia, PA 19104-2685

USA

The Medical School Release Request (Form 345) is available on the ECFMG website at www.ecfmg.org.

Form 345-I, Rev. SEP 2014

Page 1 of 1

Medical School Release Request

Form 345

Please complete, sign, and date this form. This form must be sent to ECFMG with your medical education credentials.

Name of Medical School

Address of Medical School

City, State/Province, Postal Code

Country

Re: Name:

Applicant Name –

Last

First

USMLE/ECFMG ID No. ฀-฀฀฀-฀฀฀-฀

Date of Birth:

Day / Month / Year

Date of Graduation:

Month / Year

Dear Sir or Madam:

Middle

PHOTOGRAPH:

Attach a current, full-face, passport-sized color photograph of yourself here. Use tape or glue; no staples or paper clips please.

A photocopy of your photograph is not acceptable.

I am currently applying to the Educational Commission for Foreign Medical Graduates (ECFMG®). To facilitate this process, I hereby request:

•An official, final medical school transcript which bears your institution’s seal and the signature of an authorized official; and

•Certification of my Final Medical Diploma, by affixing the institution’s seal and the signature of an authorized official onto the diploma; and

•An authorized official of your Medical School to provide the requested information on my medical education.

If you have any questions about this process, please contact ECFMG by e-mail at deansbox@ecfmg.org. Thank you for your assistance.

Sincerely,

Signature of Applicant

Date of Signature

Form 345, Rev. SEP 2014

Page 1 of 1

Medical School Release Request

Form 345

Please complete, sign, and date this form. This form must be sent to ECFMG with your medical education credentials.

Name of Medical School

Address of Medical School

City, State/Province, Postal Code

Country

Re: Name:

Applicant Name –

Last

First

USMLE/ECFMG ID No. ฀-฀฀฀-฀฀฀-฀

Date of Birth:

Day / Month / Year

Date of Graduation:

Month / Year

Dear Sir or Madam:

Middle

PHOTOGRAPH:

Attach a current, full-face, passport-sized color photograph of yourself here. Use tape or glue; no staples or paper clips please.

A photocopy of your photograph is not acceptable.

I am currently applying to the Educational Commission for Foreign Medical Graduates (ECFMG®). To facilitate this process, I hereby request:

•An official, final medical school transcript which bears your institution’s seal and the signature of an authorized official; and

•Certification of my Final Medical Diploma, by affixing the institution’s seal and the signature of an authorized official onto the diploma; and

•An authorized official of your Medical School to provide the requested information on my medical education.

If you have any questions about this process, please contact ECFMG by e-mail at deansbox@ecfmg.org. Thank you for your assistance.

Sincerely,

Signature of Applicant

Date of Signature

Form 345, Rev. SEP 2014

Page 1 of 1

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Filling in segment 1 in Form 345 Ecfmg

2. Once your current task is complete, take the next step – fill out all of these fields - Date of Birth Day Month Year, PHOTOGRAPH Attach a current, Dear Sir or Madam I am currently, An official final medical school, official and, Certification of my Final Medical, onto the diploma and, An authorized official of your, and If you have any questions about with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Ways to prepare Form 345 Ecfmg step 2

It is possible to get it wrong when filling out the PHOTOGRAPH Attach a current, therefore you'll want to look again prior to deciding to submit it.

3. Completing Please complete sign and date this, Name of Medical School Address of, USMLEECFMG ID No, Date of Birth Day Month Year, PHOTOGRAPH Attach a current, and Dear Sir or Madam I am currently is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

The way to fill in Form 345 Ecfmg part 3

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The way to fill in Form 345 Ecfmg step 4

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