For Alumni: Residency Program Training Verification

Overview

The Department of Neurology provides residents who have completed medical education training in the Adult Neurology Residency Program at the McGovern Medical School, part of The University of Texas Health Science Center at Houston, with training verification. To offset the cost required for credentialing our current trainees, there is a cost associated with requesting a training verification. Please see below for more detailed information.

All verification requests must provide a Consent to Release of Information and Release of Liability Form signed by the alum, online UTHealth Adult Neurology Program Training Verification Request Form, and payment. Fees are determined by the number of years since the alum graduated from their training program and the type of verification requested. Please see below for details and instructions.

If the resident graduated in the last two years, please skip the payment process and follow the other steps outlined above.

Graduated alumni of more than two years – training verification are completed at the following price points:

$75.00 – Standard Verification Letter includes:

• Name of Trainee
• Training Program and Specialty
• Dates of Training
• Training Status (i.e., Completed, In Progress, Incomplete)
• Unusual Circumstances
• Signature of the Senior Program Manager or Senior Residency Coordinator

$125.00 –Non-Standard Organizational Form:

• Specific Privileges or Procedure Training
• Performance Evaluations
• Program Director Signature

Payment

We accept payment made by check or money order only. We apologize for the inconvenience. Please make all checks payable to “UTHealth – Dept. of Neurology” and mail to:

UTHealth – Department of Neurology
Britney May Mortenson
6431 Fannin Street, MSB 7.003
Houston, TX 77030

Please note that completed verifications will be submitted upon receipt of payment.

Instructions to Request a Verification

To submit a request for training verification, you may do so using the following methods:

• Email: Please submit a UTHealth Adult Neurology Program Training Verification Request Form via this link and forward the Google Form confirmation email to [email protected], attaching a signed Consent to Release of Information and Release of Liability Form (available via the link above), and confirmation of payment.
• Mail: Please send printed copies of the two documents outlined above including the payment to the address below
  UTHealth – Department of Neurology
  Britney May Mortenson
  6431 Fannin Street, MSB 7.003
  Houston, TX 77030