New FCVS User For new applicants and those individuals who have begun the FCVS verification process but who have not yet had their credentials verified.
Note: If you would prefer a paper application, email email@example.com and please indicate whether you are a domestic or international graduate. An additional $50 fee will be incurred for choosing to submit a paper application.
FCVS Physician Forms
The forms below are made available for the convenience of applicants and should be mailed to the following address:
Federation Credentials Verification Service (FCVS)
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
Complete this form and sign it in the presence of a notary.
Attach a recent (less than six months) 2" x 2" passport quality color photograph of yourself (alone) to this form in the designated space. Photograph must be clear, front view, full face without a hat or dark glasses. Full length photos, black and white or computer-generated photographs will not be accepted.
Sign your name across the front of the photograph. Do not sign on the back of the photograph.
Be certain that the notary follows the directions listed on the form.
This form must be dated within 1 year of FCVS’s request to NBME.
Change in Designate Form — if you wish to make a change in the recipients designated to receive your Physician Information Profile, please call 1-888-ASK-FCVS (1-888-275-3287) or email. A Customer Service Representative will email you the correct form.
Returning FCVS User
For those individuals who have an established, verified FCVS profile and are now requesting to have an additional profile forwarded to another state licensing authority or entity of their choice.
Previously entered information from your Initial Application will automatically be entered in the Subsequent Application, with the ability to update some information and to submit the application electronically.
Note: If you would prefer a paper application, email
firstname.lastname@example.org and please indicate whether you are a domestic or international graduate. An additional $25 fee will be incurred for choosing to submit a paper application.
Subsequent FCVS Verification Process
FCVS stores all documents related to your identity, medical education and graduate medical education training (plus applicable translations, if necessary). These documents are permanently stored in your FCVS file and will not require re-verification.
However, data reported on examination score transcripts and confirmation of ECFMG Certification is considered proprietary by the issuing organizations; therefore FCVS is prohibited from storing and duplicating these documents. Additional time and surcharges are required for FCVS to obtain original documents from these institutions.
Furthermore, any updates to the physician file (i.e. additional training or completion of training that was previously in progress) will require verification directly from the primary source; including portions of training that were not complete at the time your last Profile was sent. To do so, FCVS will contact the training program(s) directly for the verification request.
The average processing time will vary with the complexity of the file but our goal is to process the Subsequent FCVS Verification Process as quickly as possible.
For USMLE Step 3 applicants wishing to begin your FCVS profile.