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UNMC Residency Verification Form UNMC Residency Verification Form
College of Medicine
University of Nebraska Medical Center
University of Nebraska Medical Center
University of Nebraska Medical Center

UNMC Residency Verification Form


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Residency Details
*Program Completed
Choose the Program You Completed


Verification Options
  • For the Categorical Anesthesiology Residency and Advanced Anesthesiology Residency programs, you may choose the Standardized Verification Form or Your Specific Verification Form.
  • For the Executive Medical Fellowship Perioperative and Critical Care Echocardiography program, the only verification option is a Verification Letter.
*Verification
Choose the Verification You Need



Standardized Verification Form
Upon completion and acceptance of the above form, the Division of Education will email you a standardized verification form (VGMET) free of charge.
The standardized verification form includes:
  • Individual's name
  • Individual's training program at University of Nebraska Medical Center
  • Individual's training year(s) at University of Nebraska Medical Center
  • Confirmation of successful completion of program
  • Disciplinary actions during training
  • Comments for negative responses
Verification Letter
Upon completion and acceptance of the above form, the Division of Education will email you a verification letter free of charge.
The verification letter includes:
  • Individual's name
  • Individual's training program at University of Nebraska Medical Center
  • Confirmation of training completed

* Release Authorization
Attach Release Authorization (required)



If you have any questions please contact:
The Anesthesiology Residency Office
Phone: 402.559.7405
E-mail: smccaffr@unmc.edu




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