COMPLETE THIS FORM USING GOOGLE CHROME OR FIREFOX. DO NOT USE IE (INTERNET EXPLORER) AS IT ISN'T SUPPORTED FOR THE PAYMENT FORM.
Cost: $75 fee is assessed per verification
Verifications generally take 7-10 business days to complete. At this time, no urgent requests can be processed.
Payment may be sent by check along with a signed release from the physician whose education is being verified.
Once you click submit you will be taken to a secure credit card form to make a payment. You will be asked to fill in the payment amount. Payment can also be assessed by check to the address below.
$75 fee is assessed per verification.
A signed release form is required from the physician whose education is being verified.
Send it one of the following ways:
Fax: 713-798-5553
Email: uroeducation@bcm.edu
Mail to:
海角社区
Attn: Sarah Goudeau/Aqsa Khan
7200 Cambridge St., 10th Floor, Suite 10C
Houston, TX 77030
|