Continuing Medical Education

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• Transcripts are provided free of charge and will be processed within 72 hours of receipt of request for physicians.
• Effective 8/1/2011 non-physician requestors will be charged a $10.00 fee per request for a verification of attendance.
  • Requests may include dates ranging from 9/1/2010 to within 30 days of the completion of the activity and will be processed within 72 hours of receipt of request.
  • Please mail or deliver payment to TTUHSC, Office of Continuing Medical Education, 3601 4th Street, MS 7113 or Medical Pavilion Basement Suite B098, Lubbock, TX 79430-7113.
• Please wait to request transcripts for four weeks after the date the activity had has occurred.
• To request a transcript, fill out the following form in it's entirety.  All fields marked with an * are required.

First Name: *    

Middle Initial: *    

Last Name: *    

Degree: *    

Preferred Email Address: *  

Re-Type Email Address: *  

Company/Facility:  

Street Address: *  

City: *  

State: *  

Zip: *  

Is this a home or business? * Please Choose Location Home Business  

Preferred Phone Number: *  

Preferred Fax Number: *  

Preferred Delivery Method: * Please Choose Method Mail Fax Email  

What dates would you like to see on the transcript?

Date Range - From: *  

Date Range - To:*  

I agree all personal information entered into this form is accurate.*