This group of requesters includes hospitals, HMOs, and other organizations that require confirmation of ECFMG Certification for employment purposes. Requests from ECFMG-certified physicians are not accepted for this purpose.
The completed Confirmation of Certification Report will include the following information:
- Whether an individual is ECFMG certified;
- Date the certificate was issued and the date(s) through which the certificate remains valid for the purpose of entry into graduate medical education;
- Date of most recently passed CSA.
Requests for confirmation of ECFMG Certification can be submitted on-line using CVS ON-LINE (subject to certain conditions). Organizations may also make a request by submitting Form 236A (below). All request must include the ECFMG-assigned organization number. A $25 fee will be assessed for each confirmation report issued. Organizations using CVS ON-LINE pay for their requests on-line. Organizations not using CVS ON-LINE are billed monthly for the previous month's activity. ECFMG accepts checks, money orders, and credit cards (Visa, MasterCard, and Discover) as payment for this service. Credit card payments must be accompanied by a completed credit card payment form (Form 236A2-CC).
Mail request to:
ECFMG Certification Verification Service
PO Box 13679
Philadelphia, PA 19101
Please note: To view and/or print these forms, you will need to have Adobe Acrobat Reader software. If you do not have Acrobat Reader, you can get a free copy by clicking on the Acrobat Reader icon at left and following the instructions. To save a form on your computer, right-click on the name of the document and choose to save it.
- Form 236D Instructions for Organizations Requesting Confirmation of ECFMG Certification
- Form 236A Form for Organizations Requesting Confirmation of ECFMG Certification
- Form 236A2-CC Credit Card Payment Form for Organizations