Verification by the Appropriate Fellowship Program Director

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Verification by the Appropriate Fellowship Program Director (accredited training)
All letters must be on letterhead and contain the proper electronic signature
Letters must be uploaded into the online application – DO NOT MAIL TO UCNS
Date
To: UCNS Certification Department
RE: <Name of Applicant>
Certification Dept:
This letter serves as documentation that <Name of Applicant> has satisfactorily completed 12
months of UCNS-accredited fellowship training in Clinical Neuromuscular Pathology at <Name
of UCNS-Accredited Program/Institution>. The training occurred from <MM/DD/YY to
MM/DD/YY>.
Sincerely,
<may include digitized signature or electronic signature equivalent: /John Doe/>
<Name of Fellowship Program Director>
Fellowship Program Director
<Name of Institution>
Address
Phone
E-mail
UCNS CNMP Template Letter – Accredited Fellowship Training
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