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PAST TRAINING VERIFICATION REQUESTS

Training Verification - Completed within Five Years Post Training Program Completion

Training completed within five years should be directed to the training program for verification.
Please reference the following list of Residency and Fellowship Programs to identify the appropriate department contact.

Training Verification Completed Five Years Post Training Program Completion

Standard Training Verification Requests:
The University of California, Irvine, Office of Graduate Medical Education (GME), requires an official verification request letter, accompanied by an Authorization of Release of Information form, in order to complete a training verification. All verification training requests must be submitted to the University by a verification company. Please follow the instructions outlined below to submit your request.

Board Application Training Verification Requests:
If you are requesting that a training verification be completed as part of a medical board application, please complete the Medical Board Verification of Training Request Form. This form must be notarized and mailed directly to the Office of Graduate Medical Education at 333 City Boulevard West, Suite 870, Orange, CA 92868. Please follow the instructions outlined below to submit your request.

To request a standard training verification or board application verification, please complete the following request form:
Standard Verification:

  • Please complete the fields outlined below.
  • Upload a copy of your verification request form and authorization of release of information form. Both are required to process a standard verification request.

Board Application Form:

  • Please send the medical board verification request document(s).
    • Please complete and sign any sections on the medical board form as dictated on the form; varies per state. 
  • Please mail your notarized Medical Board Verification of Training Request Form to the GME Office as instructed above.

The GME Office charges $50 per verification request (per Verification Company/Board).
Please allow 2-3 weeks for processing.

It is the policy of the University of California, Irvine, Office of Graduate Medical Education (GME), to verify only, the dates and type of post-graduate (Residency or Fellowship) training for all training completed more than five (5) years ago. The Office of GME, or individual training programs, can only verify that a trainee was deemed competent for the years of training credit awarded based on the training program requirements at that time.

A Program Director that signs Medical Board forms does so because your State requires a signature to license the physician applicant. However, the Program Director signing the licensing form is not responsible for the information stated. It is important to note that the training information submitted on the form, per the University verification process, is from GME’s Resident/Fellowship file and not from the individual training program.

Questions regarding this process should be directed to our GME Registrar Sonia Portillo-Mendoza or 714-456-3526.

Fields marked with an asterisk(*) are required.

PAST TRAINING CERTIFICATE REPLACEMENT REQUESTS/PAST TRAINING ENROLLMENT LETTERS

Past Training Certification Replacement Requests
Training program completion certificates are only issued to physicians who successfully complete a UC Irvine ACGME accredited training program. Certificates are not issued for incomplete training. If you did not complete your training program at UC Irvine but are requesting confirmation of the dates you did complete, please reference the Past Training Enrollment Letter section below.

If you are requesting a replacement training certification, please complete the Certificate Replacement Request Form. The form must be notarized and mailed directly to the Office of Graduate Medical Education at 333 City Boulevard West, Suite 870, Orange, CA 92868.

To request a training certificate, please complete the following request form:

  • Please complete the fields outlined below.
  • Please mail your notarized Certificate Replacement Request Form to the GME Office as instructed above.
  • The GME Office charges $50 per physical certificate replacement order or $10 per scanned certificate copy (if available). Please contact the GME Registrar to see what is available based on your training record before submitting your order.
    • Physical Replacement Certificate $50 (Check Box)
    • Scanned Certificate Copy $10 (Check Box)
  • Please allow 2-3 weeks for a scanned copy and 6-8 weeks for processing a replacement certificate.

Past Training Enrollment Letter Requests
If you did not complete a training program at UC Irvine but are requesting confirmation of the partial training dates you did complete, please complete the Past Training Enrollment Verification form. The form must be notarized and mailed directly to the Office of Graduate Medical Education at 333 City Boulevard West, Suite 870, Orange, CA 92868. Please note, this document is not a primary source verification. Inquiries related to past training verification must be submitted to the University of California, Irvine, Office of Graduate Medical Education (GME) for processing.

To request a past training enrollment letter, please complete the following request form:

  • Please complete the fields outlined below.
  • Please mail your notarized Past Training Enrollment Verification form to the GME Office as instructed above.
  • The GME Office charges $50 per request.
  • Please allow 2-3 weeks for processing

Submissions and questions regarding this process should be directed to our GME Registrar Sonia Portillo-Mendoza or 714-456-3526.