MD State Licensure Documentation

Third parties processing state licensure paperwork on behalf of MD alumni, please submit your request along with a signed consent form by the physician to:

Office of Student Records
Wake Forest Baptist Health
PO Box 573183
Winston Salem, NC 27157
mdstudentrecords@wakehealth.edu

Fax – 336-716-9593

Request Form (pdf)

Quick Reference

Student Records

Phone 336-716-4263
Fax 336-716-9593

MD Program
mdstudentrecords
@wakehealth.edu

Graduate School
gradstudentrecords
@wakehealth.edu

Hours
Mon-Fri – 9:00-4:00

Location:

Bowman Gray Center for Medical Education, 1st Floor, 475 Vine St.

Mailing Address:

Office of Student Records
Wake Forest Baptist Health
PO Box 573183
Winston Salem, NC 27157

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Last Updated: 08-02-2016
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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