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Transcripts Overview

Effective April 15, 2020:

In response to COVID-19, the FSMB is temporarily providing official USMLE, FLEX, and SPEX transcripts to all entities and individuals in an electronic format (see Method of Delivery section below for more details). Any transcript requests submitted prior to April 15 that were sent out via our standard hard copy (paper) mailing process will not be resent in an electronic format.

FSMB produces official transcripts for the FLEX, SPEX, and USMLE Steps 1, 2 CK & CS, and 3 examinations only. Please review the Transcripts FAQs if you need scores for other examinations (NBME, NBOME, COMLEX-USA, State Board Exams, LMCC). 

If you have not registered for or taken USMLE Step 3 and want your transcript sent to anyone other than a medical licensing authority, you must submit your request through the same entity that registered you for Step 1 and/or Step 2 (ECFMG or NBME).

Once you register for or take USMLE Step 3, all requests (with the following exception) for USMLE transcripts must be submitted through the FSMB. Exception: If you have taken any component of the NBME Parts Exam in conjunction with another exam (e.g., NBME Part(s), plus USMLE; or NBME Part(s), plus FLEX), you must request the transcripts from the NBME.

All exam scores are confidential; therefore, an official transcript request must be submitted in order for FSMB to provide your transcript to you or to a third party. 

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, if applicable, an indication of any board action reported to the FSMB by a state board or other regulatory agency.

Transcript Fees

You may request transcripts to be sent to up to two recipients for each $70 fee, regardless of which and how many examinations (USMLE, FLEX, and/or SPEX) you are requesting scores for. For example, the cost to send transcripts to 1-2 recipients is $70; 3-4 recipients cost $140; 5-6 recipients cost $210; etc.

Once a transcript request is received, transcripts will only be sent to the recipient(s) listed on the request. The recipient(s) cannot be changed, and additional recipients cannot be added later.  

Processing Time

All requests are processed as they are received. FSMB issues transcripts within five business days of receiving the completed transcript request and appropriate fee, unless there is a discrepancy between the biographic information provided on the transcript request and what we have in our database. All discrepancies are reviewed, verified (e.g., you must provide documentation verifying a new name) and corrected before a transcript is released.

The FSMB will not hold a transcript request pending the release of scores at a later date. If you have recently taken an exam and need that score to appear on your transcript, do not send the request until you have received your official score report for that exam.

Method of Delivery 

Effective April 15, 2020:

In response to COVID-19, the FSMB is temporarily providing official USMLE, FLEX, and SPEX transcripts to all entities and individuals in an electronic format. Any transcript requests submitted prior to April 15 that were sent out via our standard hard copy (paper) mailing process will not be resent in an electronic format.

State Boards – State medical and osteopathic boards will continue to receive transcripts electronically through a secure website.  

Physician (self) – Transcript will be sent to you via email. The email will provide you with a link where you can access and download a PDF of the transcript. 

Entities other than state boards & individuals other than Self (e.g., residency program, hospital, parents) - Transcript will be sent to you via email. The email will provide you with a link where you can access and download a PDF of the transcript. You are responsible for then sending (emailing) the transcript to the appropriate entity/individual.

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