Registrar/Records Information For Former Students


Alumni Credentialing Fee
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Various forms are required when requesting documentation from the Registrar's/Record's office. Follow the link below to access the appropriate Adobe Acrobat file. Please print out the forms, complete all necessary fields, and return to the Registrar's Office along with any required forms/fees. Press BACK to return to the previous menu.

Medical Student Records Request Form for Former Students
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  • Dean's Letters (Medical Student Performance Evaluation)-a summary evaluation of the student's performance.
  • Verification of Graduation Status
  • State Licensure Form
  • Transcripts

Affadavit for Replacement Diploma
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  • Graduates may request a replacement diploma be reissued when a sufficient reason is shown. Read more about the UASOM's Diploma Policy.

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To contact the Registrar's Office:

Medical Student Services
Attn: Registrar

VH P-100
1530 3RD AVENUE S
BIRMINGHAM AL 35294-0019
Phone: (205) 934-4964
Fax: (205) 934-8724

School of Medicine Registrar's Office Staff

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