Letters from Two Physicians All letters MUST be on letterhead and contain a proper signature Letters MUST be uploaded into the online application – DO NOT MAIL TO UCNS <Date> To: UCNS Certification Department Dear Certification Department: This letter serves as documentation of Headache Medicine practice time for the individual listed below. 1. Applicant name and credentials: 2. Number of years familiar with the applicant’s practice pattern: 3. At least 25% of the applicant’s practice during the past 36 months has been devoted to Headache Medicine Yes ☐ No ☐ Sincerely, <Must include a handwritten, digitized, or electronic signature equivalent: /John Doe/> Name and credentials: Name of institution: Address: Phone number: Email: UCNS HM Template Letter – Letters from Two Physicians