A state medical board medical education verification form (Licensure) is a document required by some State Medical Boards for verification of a degree earned by a medical professional. It may be referred to as a medical education verification form, certification of medical education form, certificate of professional training form, or other similar name.

Please note that a fee of $5.00 is required to accompany each request for completion of a state medical board medical education verification form (Licensure).

The application process for some states requires both your academic transcript and completion of a verification form, and other states require only one or the other. If you are applying for Licensure/Certification in the United States please refer to that states licensure application instructions regarding requirements for verification of your medical education.

Return to the Registrar/Student Records Request Services page.