Submit verification requests for Pediatric Internships, Residencies, and Fellowships completed in the UCSF Department of Pediatrics by completing this form request. Along with your request, please attach the following forms in the drag and drop section below:

• Authorization Form
• Verification Form

We are only able to verify Residents and/or Fellows who trained in Pediatrics Residency and Fellowship Programs at UCSF. We do not verify for Pediatrics Anesthesia, Pediatric Derm, UCSF - FRESNO, UCSF Mount Zion.

Payment Information

Due to the high volume of requests for verifications, there is an administrative processing fee for each request. Verification services are rendered only after payment confirmation to our verification manager. Note that processing takes 5 to 14 business days once payment is received/confirmed. We expect to receive payment within 45 days of receiving the payment confirmation. If you require an invoice and W9, please indicate so in your request.

Verification Price List and Service Level Agreement

• Standard Verification Letter/Form: $75.00

There are no fees associated with:

• VA Medical Centers
• CA Medical Board*
• Current trainees

For payments, make checks payable to UC Regents and mail to:

Attention: Andrea Siu

Pediatrics Division of Education

University of California, San Francisco (UCSF)

550 16th Street, 4th Floor, Box 0110

San Francisco, CA 94158

Please submit separate forms for trainees with multiple programs needing verification.