Credentialing & Verifications
The Internal Medicine Residency office provides credentialing and verification services for both current and former residents of our internal medicine residency.
When submitting a verification request, please ensure that the following information is included:
Release of information form signed by the current or former resident
Dates of training
Trainee’s date of birth
Name during the time of attendance
Preferred method of response to the request (email, fax, mail)
We cannot verify medical school attendance, PA requests, or any past employee.
Jump to: Submission Requests Service Fees & Processing Time Resident Professionalism Form Certificate Duplication Request Form
Submission Methods
Verification requests can be sent:
Snail mail
Internal Medicine Residency
1120 15th Street, BI 5070
Augusta, Georgia 30912
Note: Requests cannot be accepted via telephone.
Service Fee
A service fee of $55 is applicable for each verification request.
We accept payments through Visa, Mastercard, Discover, AMEX, & eCheck.
Verification services will commence after the payment and a signed consent form have been received by our office. If you have any questions or concerns regarding your verification request, please feel free to contact our office at 706-721-2423.
Processing Time
Please allow 7-10 business days for the processing of each request after payment has been received.
Malpractice Verification
Please submit your request for malpractice verification along with a signed authorization & release to the Office of Legal Affairs
Resident Professionalism Form
Physicians in training must be held to a high standard of professionalism in all areas of their lives. These standards must be taught and reinforced both by formal education and by constructive formative feedback. If you have witnessed a resident displaying either a lapse in professionalism or exemplary professionalism, please complete the information below and provide us with the details.
Requesting Duplication of a Certificate
You can submit a request ONE of two different ways:
1. Print, fill-out, and then submit this certificate request form as an attachment to: imverifications@augusta.edu
OR
2. Fill and submit the request below. (make sure to click the bottom arrow until you complete the form)
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