Form 345 Ecfmg PDF Details

If you are an international medical graduate, you will likely need to complete Form 345 ECFMG in order to be eligible for residency or fellowship programs in the United States. Completing this form can seem daunting, but with this guide, you will be able to understand what is required and how to complete the process. In addition, our team of experts is available 24/7 to answer any questions you may have about Form 345 ECFMG or the application process. Get started today and begin your journey towards becoming a U.S. doctor!

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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For you to fill out this form, be certain to enter the right information in every single blank field:

1. To get started, when completing the Form 345 Ecfmg, start out with the page that has the subsequent blank fields:

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

4. The subsequent paragraph arrives with all of the following empty form fields to complete: If you have any questions about, and Form Rev SEP Page of.

The way to fill in Form 345 Ecfmg step 4

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