ECFMG Certification Fact Sheet 2026

1. Click ‘Get Form’ to open the ECFMG Certification Fact Sheet in our editor.
2. Begin by entering the USMLE/ECFMG Identification Number in the designated field. Ensure accuracy as this is crucial for processing your request.
3. Fill in the Physician’s Name, including First, Middle, and Last Name. Use clear and legible text to avoid any processing delays.
4. Input the Date of Birth in the specified format (Month/Day/Year) to confirm identity.
5. Provide the Residency Program Name and Program ID Number as listed on the ACGME website. This information is essential for verification.
6. Complete the Address section where the Status Report should be sent, including Hospital Name, Address, City, State, and Zip Code.
7. Include Attention Contact’s Name and Title. Ensure that you have a contact person for efficient communication.
8. Finally, add Contact’s Signature and Phone Number for verification purposes before submitting your form.

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