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Get Request for Endorsement of NBME Certification 2003-2024

NATIONAL BOARD OF MEDICAL EXAMINERS REQUEST FOR ENDORSEMENT OF NBME CERTIFICATION IMPORTANT Please read all instructions before completing this form. Complete this form ONLY if You are a graduate of an LCME-accredited medical school in the U.S. or Canada. You have passed NBME Parts I II and III or a combination of NBME Parts and Steps 1 2 or 3 of the United States Medical Licensing Examination USMLE administered by the NBME. Osteopathic Physicians who need osteopathic board scores should contact the National Board of Osteopathic Medical Examiners at 312 635-9955. The endorsement of certification is provided only to state medical licensing authorities for purposes of licensure and shows your NBME scores or your combination of NBME and USMLE scores. Enclose the appropriate fee 50 in US currency for the first five endorsements and 5 for each additional endorsement requested at the same time. Make your check or money order payable to the National Board of Medical Examiners Your fee must accompany this form* Send the form and fee to NBME P. O. Box 48014 Newark NJ 07101-4814. Send overnight delivery requests to National Board of Medical Examiners - 48014 c/o Image-Remit Inc* 205 North Center Drive Commerce Center - Suite 205 North Brunswick NJ 08902. If you have taken FLEX all three Steps of USMLE or need a Step 1 and 2 transcript for your Step 3 application contact the Federation of State Medical Boards at 817 868-4000. Foreign Medical Graduates who need a transcript of NBME or USMLE scores should contact the Educational Commission for State s to Which Endorsement s Should be Sent t TOTAL FEE ENCLOSED ALLOW AT LEAST TWO WEEKS FOR PROCESSING* Requests are processed in the order in which they are received* You will be notified by mail when your endorsement has been sent. Address and Biographic Information Please type or print clearly in uppercase block letters. Use black ink only. Provide as much information as possible. If you do not know your Identification Number do not call the NBME* The other biographic information is sufficient to process your request. Your Full Name t Social Security or Canadian Insurance Number Last MO Date of Birth DY First YR Identification Certificate Number Middle Your Address Medical School Do not use this form if you graduated from an osteopathic or foreign medical school Year of Graduation City State Signature Previous Name Date June 2003 E-Mail Telephone no. The endorsement of certification is provided only to state medical licensing authorities for purposes of licensure and shows your NBME scores or your combination of NBME and USMLE scores. Enclose the appropriate fee 50 in US currency for the first five endorsements and 5 for each additional endorsement requested at the same time. Enclose the appropriate fee 50 in US currency for the first five endorsements and 5 for each additional endorsement requested at the same time. Make your check or money order payable to the National Board of Medical Examiners Your fee must accompany this form* Send the form and fee to NBME P. .

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