Medical Council of Canada

Forms and Documents

Forms and documents

We make available forms and documents that you can use to access our services and to apply for our exams. Many of these documents are available through your physiciansapply.ca account. For ease of reference, they are also included below.

Student Attestation form

You can use this form if you are an international medical student, a US medical student or a US school of osteopathic medicine student applying to the Medical Council of Canada Evaluating Examination (MCCEE), to the Medical Council of Canada Qualifying Examination (MCCQE) Part I and to the National Assessment Collaboration (NAC) Examination and if your medical school graduation date has changed since your last application.

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Authority to Disclose/Receive Information form

You can use this form to grant a third-party the permission to communicate with us on your behalf about your MCC examination applications and/or results.

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Certification Requirements

This document outlines the instructions to get your documents certified as well as provides details on acceptable certifying officials and instructions for those officials.

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Certified Identity Confirmation form

This form needs to be submitted to us with your identity document when you submit your source verification request and when you apply to our exams. Both the form and a copy of your identity document need to be certified.

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Certified Identity Confirmation samples

This document provides samples depicting the proper certification process for the Certified Identity Confirmation form and the copy of the identity document.

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Consent to Release Information for Credentials Verification

You must use this form to authorize us to provide any documentation and information on your behalf in support of your medical credential source verification request to the ECFMG.  

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Cover sheet

You will need to submit a cover sheet with each medical credential document that you submit for source verification. These are available in your account, but also accessible here if you require extras.

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Credit Card Authorization form

You can use this form to provide us with the authorization to charge your Visa or MasterCard credit card to purchase certain MCC services.

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MCCQE Part II Attestation form

This form is for international medical graduates applying to the Medical Council of Canada Qualifying Examination (MCCQE) Part II. It confirms that you have completed the required postgraduate medical training that is equivalent to postgraduate clinical medical training in Canada.

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Name Change Request form

Please use this form if you would like your name changed on your physiciansapply.ca account and/or on your Licentiate of the Medical Council of Canada (LMCC) documents.

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Service Request form

You must fill out this form to obtain certified MCC documents, including MCC examination result letters.

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