UNC Urology Residency/Fellowship Verification Requests
The UNC Department of Urology is pleased to offer two options to verify the clinical training of our residency graduates and fellowship graduates.
OPTION 1 - STANDARDIZED DEPARTMENT VERIFICATION OF TRAINING FORM
Standardized department verification of training form modeled on National Association of Medical Staffing Services best practices. Form information includes trainee full name and date of birth; training specialty; dates of training; program completion status; program accreditation; any relevant leave, remediation, and/or early dismissal from the program; and any additional comments, as necessary.
OPTION 2 - UNIQUE INSTITUTIONAL FORM
The program will complete a unique institutional form upon request. Please send completed, signed forms to Aleasha_Crisp@med.unc.edu
Please pay by check or credit card.