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Forms and documents

Forms and documents to support MCC service requests and apply for our exams.
Credentials and servicesForms and documents

Authority to disclose/receive information form

Complete this form to grant a third-party permission to communicate with us on your behalf about your Medical Council of Canada (MCC) examination applications and/or your source verification requests (SVR).

Certification requirements

Instructions to certify your documents and details on acceptable certifying officials, as well as instructions for those officials.

Certified Identity Confirmation form

To be completed and included with your identity document when submitting your SVR and applying to our exams. Both the form and a copy of your identity document need to be certified.

Certified Identity Confirmation samples

Sample of the proper certification process for the Certified Identity Confirmation form and the copy of the identity document.

Consent to release information for credentials verification

Complete and submit this form to authorize us to provide any documentation and information on your behalf in support of your medical credential SVR to the Educational Commission for Foreign Medical Graduates.

Cover sheet

To be completed and included with each medical credential document submitted for source verification.

Name change request form

Complete this form as part of your name change request for your account and/or on your Licentiate of the Medical Council of Canada (LMCC) documents.

Pre-diploma training attestation form

International medical graduates requesting the LMCC should complete this form to confirm you have completed the required postgraduate medical training that is equivalent to postgraduate clinical medical training in Canada.

Request for replacement of LMCC documents

Complete and submit this form as part of your request for a replacement of your LMCC documents (Testamur and/or Certificate of Registration).

Student attestation form

International medical students, US medical students, or US school of osteopathic medicine students applying to the Medical Council of Canada Qualifying Examination Part I and to the National Assessment Collaboration Examination can complete and submit this form if their medical school graduation date has changed since your last application.