Request for Recheck of usmle



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Request for Recheck of USMLE

®

 Step 1, Step 2 CK, or Step 2 CS Score

  

Form 265

 

 

 

 

 

 



Form  265, Rev. MAR 2015 

Page 1 of 1 



 

 

     


 

  

 



  

 

 



 

 

 

 

 



Step 1 Date of Examination           /              /

 

                      



 

   Month     Day        Year

 

 

 



 

Step 2 CK Date of Examination           /              /

 

                      



 

          Month     Day       Year

 

 

 

Step 2 CS Date of Examination            /              /

 

                      



 

          Month     Day        Year

 

 

 



For Step 1/Step 2 Clinical Knowledge (CK), standard quality assurance procedures ensure that the scores reported for you 

accurately reflect the responses recorded by the computer. When a request for score recheck is received, the original 

response record is retrieved and rescored using a system that is outside of the normal processing routine. The rechecked 

score is then compared with the original score.  

 

For Step 2 Clinical Skills (CS), score rechecks first involve retrieval of the ratings received from the standardized patients 

and from the physician note raters. These values are then resummed and reconverted into final scores in order to verify 

whether the reported pass/fail outcome was accurate. There is no rerating of encounters or of patient notes; videos of 

encounters are not reviewed. Videos are used for general quality control and for training purposes and are only retained for a 

limited period of time. 

 

Patient notes are carefully reviewed, in some instances by multiple physicians, before scores are released. As part of the 



quality control procedures for initial scoring, examinees who fail Step 2 CS solely on the basis of the Integrated Clinical 

Encounter subcomponent and who are performing at a level that is near the minimum passing point have their patient notes 

rated by multiple physician note raters. Therefore, patient notes are not reviewed again when a recheck is requested. 

 

For all Steps and Step Components, a change in your score or in your pass/fail outcome based on a recheck is an 

extremely remote possibility. 

 

 



Instructions: 

 

 



To obtain a score recheck, complete and sign this request form. 

 



To submit payment, complete all information requested on the Payment for Service(s) Requested (Form 900), which is 

included with this request form. Include a payment of US$80.00 for each exam for which a recheck is requested. 

 

You should check “Score Recheck: USMLE Step 1/Step 2 CK/Step 2 CS” in item 2 of the payment form. Submit the 



completed payment form with your request for recheck. 

 



Return the completed Form 265 along with payment (Form 900) by fax, to (215) 386-3185, or mail to ECFMG, 3624 Market Street, 

4th Floor, Philadelphia, PA 19104-2685 USA. 

 

Direct questions to ECFMG at (215) 386-5900. 



 

Important Notes: 

 



 

Your recheck request must be received at ECFMG

®

 no later than 90 days after your score report release date. 



 

For more information on score rechecks, please refer to the USMLE Bulletin of Information and the USMLE website at 



www.usmle.org.  

 



Score recheck results will be sent to your address of record.  

 



Please allow four to six weeks for your request to be processed. 

 

1 



USMLE / ECFMG 

Identification Number:

  

-



 

���-



 

���-



 



        

 

Enter your 



Identification 

Number.                



                         

  

    



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

            

First Name(s)                                                                                    Middle Name(s) 

 

Enter Your Name.



 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                          Last Name(s) (Surname/Family Name)                                                                           Generational 

  

                                                                                                                                         Suffix (Jr, Sr, 



 

                                                                                                                                         II, III, IV) 



 

 



     

Indicate the                

                                           

exam/date to be      

 

rechecked.              



 

 

 

 

 

      


 



     

Signature                  Submitted by:   

 

   


 

                                

 

 

 

Signature 

 

 

          Date 



 

   


 

   


 

   


 

                                                         

1

2

3

Enter your 

Identification 

Number.


Enter your 

name.


Indicate the 

service(s) 

for which 

you are 


providing 

payment.


Select a  

method of 

payment 

and 


complete all 

information 

requested.

Do 


NOT 

send cash.

For detailed information on ECFMG’s Payment and Refund policies, refer to the ECFMG Information Booklet and to the ECFMG website at www.ecfmg.org.

Form 900, Rev. DEC 2016

Page 1 of 1

This form is available on the ECFMG website at www.ecfmg.org.

Application for ECFMG Certification ($75)



  Application for USMLE Step 1/Step 2 CK ($895 per exam*)

Application for USMLE Step 2 CS ($1,550 per exam)



Extension of USMLE Step 1/Step 2 CK Eligibility Period    

 

($70 per exam)



Testing Region Change: USMLE Step 1/Step 2 CK  

 

($65 per region change*) 



Score Recheck: USMLE Step 1/Step 2 CK/Step 2 CS  

 

($80  per exam)   



ERAS


®

 Token ($105) – ERAS Applicants: Do NOT use this   

 

form  to pay for transmission of your USMLE transcript via    



 

ERAS. Instead, login to AAMC’s MyERAS website.

USMLE Transcript ($65 per request form – up to 10  



 

 

transcripts) – ERAS Applicants: Do NOT use this  



 

 

form  to pay for transmission of your USMLE transcript via    



 

ERAS. Instead, login to AAMC’s MyERAS website.

ECFMG Exam Chart ($50 per request form – up to three copies) 



ECFMG CSA History Chart ($50 per request form – up to 10 copies) 

CVS – State Board ($40)   



EVSP (J-1 visa sponsorship) ($325)   

Reprint ECFMG Certificate ($50)



Name Change on ECFMG Certificate ($50)

File Copy Fee ($25)



Translation Fee – Medical School Transcript ($250)

 

*International test delivery surcharges also may apply and must be 



included in payment. For the list of fees, see the ECFMG website at 

www.ecfmg.org/fees. 

Previous Balance/Other (Specify):   

$



USMLE

®

 / ECFMG

® 

Identification Number:

P

A



Y

M

E



N

T

First Name(s)



Middle Name(s)

Last Name(s) (Surname or Family Name)

Payment for Service(s) Requested

Form 900

BY MAIL/COURIER: ECFMG, 3624 Market Street, 4th Floor, Philadelphia, PA 19104-2685 USA

TELEPHONE: (215) 386-5900  •  FAX: (215) 386-3185  •  INTERNET: www.ecfmg.org

Generational

Suffix (Jr, Sr, 

II, III, IV)

®



Charge my credit card.



(A)

(B)

/

Credit Card 



Number:

Exp. Date 

(Month/Year):

Check One:

Name of Card Holder:

Address of Card Holder:

City:

State:

Country:

Zip/Postal Code:

Signature of Card 

Holder:



VISA             



MASTERCARD             



DISCOVER             



AMERICAN EXPRESS

By signing below, I authorize ECFMG to charge my credit card in the amount indicated above.



My check, bank draft, or money order made payable to ECFMG is enclosed.

Payment must be made in U.S. funds through a U.S. bank. Include your USMLE/ECFMG Identification Number on your check.



Document Outline

  • Form265 MAR2015
  • form900

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