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Graduate Medical Education Verification of Training

To request a Verification of Training, former GME trainees must complete and submit the following release form that reflects an original signature. (Download the GME release form in pdf format.)

The signed release form may be submitted by email, fax, or mail to:

Mary Ann Lutat
Division of Academic Affairs
Baystate Medical Center
759 Chestnut Street
Springfield, MA 01199
v 413.794.6393
f 413.794.0300
email maryann.lutat2@baystatehealth.org