- Act 48
- Campus Housing Contact
- Campus Housing FERPA Release
- Change of Address
- Change of Name
- Change of Preferred First Name
- Dean's Letter/MSPE
- Diploma Reprint Request
- FERPA Request Form
- Maximum Timeframe Appeal
- Veterans Benefits
- Verification of Enrollment
- Verification of Good Standing
- Verification of Graduation
- Leave of Absence or Withdrawal
- Return from Leave of Absence
- Separation Reinstatement
State Licensure
Certifications for state licensure must complete our online Registrar Request Form and select the "Licensure" form request.
Procedure for Licensing
- Submit the form from the state you are requesting licensure.
- Be sure that your name is noted on the form.
- To find licensure forms, go to the website of the state board where you are requesting licensure and search for the board's “verification of medical education form."
- If a transcript is required to be submitted with the form, please also complete our online Registrar Request Form and select "Transcripts."
- Attach any instructions that the state provides.
- Email your documents to licensure@pcom.edu.
- Be sure to include your phone number in the email.