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:

Office of Graduate Medical Education

UMass Chan Medical School-Baystate

3601 Main Street

Springfield, MA 01199

email: Carmen Santiago,

fax: 413-794-0300

phone: 413-794-0884

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