Fellowship Program Training Verification

Overview

The Department of Neurology provides fellows who have completed medical education training in the Vascular Neurology Fellowship 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
  • UTHealth Vascular Neurology Fellowship Program Training Verification Request Form
  • and a mailed payment (instructions below)

Fees are determined by the number of years since the alum graduated from their training program and the type of verification requested.

If the fellow has graduated in the last two years, please skip the payment process and submit the Consent to Release of Information and Release of Liability Form to the email or address below.

Graduated alumni of more than two years – training verifications are completed at the following prices:

$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 Fellowship Coordinator

$125.00 –Non-Standard Organizational Form:

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

Instructions to Request a Verification

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

  • Email: To submit a request by email, you can send your two completed forms (see above) and email to stroke.fellow.verifications@uth.tmc.edu with the subject line “Training Verification Request.” You must still mail in payment using the instructions below.
  • Mail: Please send the completed verification forms with payment to the address below:
    UTHealth – Department of Vascular Neurology
    Crystal Carpenter
    6431 Fannin Street, MSB 7.117
    Houston, TX 77030

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

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 Vascular Neurology” and mail to:

UTHealth – Department of Vascular Neurology
Abigail Betner
6431 Fannin Street, MSB 7.220
Houston, TX 77030