
Breast Imaging Fellowship
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Verifications
We use the standardized “Verification of Graduate Medical Education Training” (VGMET) form released in 2018 by the ACGME, AHA, NAMSS, and OPDA. If you have a customized form, require program director signature and/or our institutional seal please select the appropriate option and email us the form.
A charge of $25.00 - $55.00 will be assessed for each comprehensive letter of verification, payable via credit card using our on-line payment portal (or by check, if submitting the request by US mail). This charge is in place to offset the fees we commonly incur while credentialing our own incoming residents and fellows. We apologize for the inconvenience.
Once the request has been submitted via the link below, please e-mail a completed Authorization for Release of Information form to RadiologyResidency@utah.edu.
When we have received the payment and trainee authorization, you will receive the completed verification of training form via e-mail. If you have further questions, please call 801-581-2868.
The University of Utah School of Medicine does not discriminate on the basis of gender, sexual orientation, race, age, religion, color, national origin, disability, or veteran’s status. In accordance with the requirements of The Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act of 1973, as amended, (Section 504), the University of Utah provides reasonable accommodations to qualified individuals with disabilities, so that they may fully participate in its academic programs, employment opportunities, medical services, programs, and events.