Verifications   

Remember to include (with each request of the primary source) a copy of a signed Authorization to Conduct Criminal Background Check (Page 10 of 20 page application).

  1. All licensing agencies where you hold, or have ever held a professional license, certificate, permit (active, inactive, training, locum tenens, etc.): verifications
  2. Your medical or osteopathic college of graduation - attach your picture photograph as instructed: verification of graduation
  3. All postgraduate training (residency, internship, fellowship, etc.):  verification of postgraduate training
  4. All facilities where you have held or now currently hold privileges (not including postgraduate training facilities).  Mail all verifications of privileges to all facilities