Request for EXAMINATION AND BOARD ACTION HISTORY REPORT (EBAHR) The Federation of State Medical Boards' Examination and Board Action History Report (EBAHR) will certify whether you have previously.
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How to fill out the Ebahr Request Form online
The Ebahr Request Form is essential for obtaining your Examination and Board Action History Report. This guide will walk you through the process of completing the form online, ensuring that you provide all necessary information correctly.
Follow the steps to fill out the Ebahr Request Form online.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Complete Section I by entering your personal information. Include your last name, first and middle name, alternate or previous name, address, date of birth, phone number, email, and other requested identifiers.
- In Section II, indicate your examination history. Check all applicable examinations and provide the number of attempts and dates of each attempt for the designated exams.
- Fill out Section III to calculate your payment. Indicate the number of recipients to which you want the EBAHR sent, which determines the total fee.
- In Section IV, authorize the release of your examination information by selecting the examination types you want included and providing the recipient's full name and address.
- Sign and date the authorization section to authorize the release of your examination information. Ensure your signature matches your identification.
- Have the document notarized in Section IV, Part C, ensuring all checklist items are met for proper notarization.
- Once completed, save your changes and ensure you have a copy for your records. Then, mail it to the appropriate address provided for first class or express courier delivery along with the payment.
Complete your EBAHR request online today to ensure prompt processing of your examination history.
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