Training Verification

The Department of Urology is pleased to offer two options to verify the clinical training of our residency graduates and fellowship graduates.

This is unpublished

Option 1 - Standardized department verification of training form

Cost: $60

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. 

Note: For fellowships, we do not offer a standardized department verification of training form. Only the unique institutional form (option 2) will be completed upon payment and request.

Option 2 - unique institutional form

Cost: $105

The program will complete a unique institutional form upon request. Please send completed, signed forms to

Verification Payment


The “invoice number” should state the full name of the trainee for the training verification

Estimated completion: 10 business days from confirmation of payment and receipt of release agreement



For Residency program verification, please contact Dani Townsend at

For Fellowship program verification, please contact Amy Say at