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Click ‘Get Form’ to open it in the editor.
Begin by entering your USMLE/ECFMG Identification Number in the designated field. This is crucial for processing your request.
Fill in your personal details, including your first name, middle name, last name, and any generational suffix if applicable.
Indicate the exam and date you wish to have rechecked by selecting from the options provided. Ensure accuracy to avoid delays.
Sign the form where indicated. Your signature confirms that you are requesting a score recheck.
Complete the Payment for Service(s) Requested (Form 900) included with this request. Make sure to check 'Score Recheck' and include payment of $80 for each exam.
Submit both Form 265 and Form 900 via fax or mail as instructed at the bottom of the forms.
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