Verifications

Postgraduate Training Information Verifiable by GME Office

Name of trainee
Type of program (Internship/Residency/Fellowship)
Training program/specialty
Dates of training
Successful completion of training

Training Verifications Form

GME Training Verification Form

Training Verification Request

Does this request require competency/procedural verification or a Program Director signature?(Required)

Yes

Visit the Clinical University of Virginia School of Medicine website to locate a specific program site.

You must reach out to the program directly if you need a competency/procedural verification or a Program Director signature. You can also look for the department contact information through the UVA People Search site.

TRAINEE INFORMATION

Name(Required)

First Last

Previous Name (Optional)

First Last

National Provider Identifier (NPI):

Training Type

Program(Required)

Program Start Year(Required)

Format: YYYY

Program End Year(Required)

Format: YYYY

Pay Now $30.00

Release of Information(Required)

Please upload a signed PDF from the provider authorizing the release of their information.

Accepted file types: pdf, Max. file size: 100 MB.

REQUESTER INFORMATION

Name(Required)

First Last

Organization(Required)

Title(Required)

Email(Required)

Is there a cost for verifications completed by the GME Office?*

There is a $30.00 charge for verifications of training of programs completed five or more years ago.

If training occurred within the last five years, or if a federal entity or medical board is requesting, there is no charge.

How do I submit payment?

After submitting the verification form, you’ll receive an invoice via email. Once payment is made, your verification will be sent to the email provided.

*Costs for these services are determined by the office completing the verification.

Postgraduate Training Information Verifiable by GME Office

GME Training Verification Form

Additional Types of Verifications and Contact Information

Malpractice Verification

Program Information

Requested Documentation

Electronic Signature

Send Verification to: