Transcripts FAQ

The FSMB maintains scores for the FLEX, SPEX and USMLE Steps 1, 2CK, 2CS, and 3 examinations only. Please use the following guide if you need scores for other exams: 

NBME: Request your scores here. For assistance, call 215-590-9500 or email scores@nbme.org.

NBOME/COMLEX-USA: Request a certified copy of your official transcript here. For assistance, call 866-479-6828 or email Client Services (see link on the NBOME transcripts page).

State Board Examination: Request the state board or jurisdiction to send your state exam information directly to the board you are applying to for licensure. Most boards require a fee for this service. A directory of state medical boards is available here.

LMCC: Complete the Service Request form here. For assistance, call 613-521-6012 or email service@mcc.ca.

ECFMG Certificate or Status Report: Request a Status Report to be sent to the board you are applying to for licensure here. For assistance, call 215-386-5900 or email credentials@ecfmg.org.

When submitting multiple transcript requests, you must create a separate account for each individual you are requesting transcripts for. Use the "Create an account" link on the initial log in page for each new account you need to set up.

You may designate up to two recipients for each $70 fee, regardless of the number of examinations (USMLE, FLEX, SPEX) included on the official transcript. For example, the cost for 1-2 recipients is $70, 3-4 recipients is $140, 5-6 recipients is $210, etc. Once a transcript request has been submitted, only the recipient(s) listed on the request will be processed; additional recipients cannot be added and the fee will not be applied to an additional recipient.

Most state boards receive transcripts electronically. For boards that do not receive transcripts electronically and for all other recipients (e.g., examinees, residency programs), transcripts are sent via first class mail unless Express shipping is requested. Please be advised that the U.S. Postal Service does NOT guarantee the timing of delivery for first class mail. We recommend you utilize the Express service option to guarantee delivery of your transcript in a timely manner. Express shipping is an additional $25 per recipient and is only available to addresses within the US and its territories. Express shipping does not deliver to P.O. Box addresses.

It depends on who your FCVS profile is being sent to. Transcripts are included for profiles sent to state licensing authorities only; the fee paid for FCVS services includes the price of the transcript(s). If you are having your profile sent to yourself or to a third-party (residency program, hospital, etc.), you will need to submit an official transcript request and have your transcript(s) sent separately. 

USMLE examinees who no longer have access to their score report. USMLE score reports are available for approximately 365 days from the date of your e-mail notification that it is available. After 365 days, the score report is removed from the website and your scores will be provided to you only in the form of an official USMLE transcript, which is available for a fee. The graphical performance profiles included on your original score report are not included on USMLE transcripts. 

Applicants for initial licensure in most states will need to submit one.

Licensed physicians may need to submit one in order to obtain a license by endorsement from another state.

Students and/or physicians may need to submit one to third-parties such as residency programs or may want one for their personal records.

Yes. For FLEX and SPEX scores the FSMB can send a transcript to any recipient designated. For USMLE scores, FSMB can send transcripts to any recipient if the examinee has 1) completed all three Steps of the USMLE examination, or 2) completed Step 1, Step 2 CK and Step 2 CS and is already registered for Step 3. Please review the requirements specified on the USMLE website for full details.

We use 128-bit encryption (SSL) for transmission of data. We never store the credit card information, except the last 4 digits.

We only accept Visa, Mastercard or American Express.

The FSMB maintains scores for the FLEX, SPEX and USMLE Steps 1, 2CK, 2CS, and 3 examinations only. The official transcript includes: biographical information; a complete history of scores (including incomplete attempts) for the designated examination(s); information regarding findings of irregular behavior and actions reported to the FSMB; and an indication, if applicable, of any board action reported to the FSMB by a state board or other regulatory agency. The graphical performance profiles included on your original USMLE score report are not included on your USMLE transcript. 

Please use the following guide if you need scores for other exams: 

NBME: Request your scores here. For assistance, call 215-590-9500 or email scores@nbme.org.

NBOME/COMLEX-USA: Request a certified copy of your official transcript here. For assistance, call 866-479-6828 or email Client Services (see link on the NBOME transcripts page).

State Board Examination: Request the state board or jurisdiction to send your state exam information directly to the board you are applying to for licensure. Most boards require a fee for this service. A directory of state medical boards is available here.

LMCC: Complete the Service Request form here. For assistance, call 613-521-6012 or email service@mcc.ca.

ECFMG Certificate or Status Report: Request a Status Report to be sent to the board you are applying to for licensure here. For assistance, call 215-386-5900 or email credentials@ecfmg.org.

Up to 20 recipients may be entered on one online transcript request. Additional recipients would require submission of another online form.

Once a transcript request is submitted it cannot be canceled.

No. Additional recipients cannot be added once a transcript request is submitted. If you need to add additional recipients, you will need to complete and submit a new transcript request and appropriate fee. 

FSMB sends all transcripts for FLEX and SPEX scores. For USMLE scores, please use the following chart to determine which entity you should contact:

Effective, January 1, 2019, all US medical licensing authorities and some Canadian medical licensing authorities receive official transcripts of USMLE, FLEX, and SPEX electronically through a secure website. 

If the board is provided in the Medical Licensing Authority dropdown list provided after selecting “Send to a Medical Licensing Authority”, then the transcript will be sent to that board electronically.

If the board is not in the dropdown list, the transcript will be sent via First-Class mail (please carefully review the delivery details immediately below). 

For boards that do not receive transcripts electronically and for all other recipients (e.g., yourself or other individuals, residency programs), transcripts are sent via First-Class Mail unless Express shipping is requested. 

Please be advised that the U.S. Postal Service does NOT guarantee the timing of delivery for First-Class Mail. We recommend you utilize the Express shipping option to guarantee delivery of your transcript in a timely manner. Express shipping is an additional $25 per recipient and is only available to addresses within the U.S. and its territories. Express shipping does not deliver to P.O. Box addresses.

Please contact the licensing authority to verify receipt of the transcript. Transcripts are mailed within five business days of receiving a complete transcript request. Some state medical boards have elected to receive transcripts electronically. Electronic transcripts are posted daily to a secure website available to the medical board.

For technical support, you may email the FSMB at usmle@fsmb.org or call (817) 868-4041. Assistance is available Monday through Friday, 8:00 am - 5:00 pm Central Time.