Record Request Form

This form must be completed and submitted to the Office of the Registrar in order to obtain copies of education records on file:

Only the student or the party with signed consent from the student in accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA) may request records for that student.
Only copies of records will be provided, not the actual records themselves (duplicate diplomas may be requested via the Diploma Request Form and require a duplication fee).
While it is standard for institutions to charge for record requests, such as transcripts, RVU does not.
Current students can print unofficial transcripts via MyVista.
VSLO and ERAS requirements are fulfilled as they become available and do not require iNet requests.
A separate form must be completed for each recipient. However, multiple documents for the same recipient can be submitted on the same form.
Any incorrect or incomplete information will result in a rejection of the record request.
To access your background/health records, contact the following: studentcheck@precheck.com, rvu@sentrymd.com
Forms are processed in the order in which they are received and can take up to 10 business days to complete.

STUDENT INFORMATION

Note: Student information provided must match the student record from the time that they attended the institution.

Student name:*

First MI Last

Program:*

Campus:*

CO
MT
UT

Class or graduation year:*

Birth date:*

Are you a current student?*

Yes
No

Enter student ID:*

Enter last 4 digits of SSN:*

Phone:*

Email:*

Mailing address:*

Street Address City State ZIP / Postal Code

RECORD DETAILS

Select all that apply.

Document*

Note:
Enrollment Verification (EV) – The EV contains dates for this academic year and expected graduation date, and has no clinical or evaluation details.

Letter of Good Standing (LOGS) - This detailed document must come from the student’s Clinical Rotations Coordinator.

Forms to be completed/signed by the Registrar - Select this option to upload a form that requires completion and/or a signature from the Office of the Registrar. Be sure that all student and/or 3rd party sections are completed before submitting.

Enrollment Verification (EV)
Official Transcript
MSPE
Diploma Copy
Form to be completed/signed by the Registrar
Military request
Class Rank
Other

Note: MSPEs are only available for 4th year DO students and alumni.

Please upload the form here:*

Note: Please be sure that all student/3rd party sections of the form are complete before submitting. Please leave all sections to be completed by the Registrar blank.

Drop files here or

Max. file size: 10 MB.

If there is a document to complete with the military request, please upload it here:

Note: Please be sure that all student/3rd party sections of the form are complete before submitting. Please leave all sections to be completed by the Registrar blank.

Drop files here or

Max. file size: 10 MB.

Note: Class rank is only reported by quintile unless specifically needed for military, scholarship, or audition application purposes. Please specify your reason for requesting your class rank in the comments.

Note: If you need a document stating your class rank, please also select "Enrollment Verification" and specify in the comments that you need your class rank included in a letter. Otherwise, your class rank will be emailed to you.

Please specify for Other:*

If there is a document to complete for other, please upload it here:

Note: Please be sure that all student/3rd party sections of the form are complete before submitting. Please leave all sections to be completed by the Registrar blank.

Drop files here or

Max. file size: 10 MB.

Comments:

DELIVERY METHOD

Select the delivery method for your documents. A separate form must be completed for each recipient.

Method:*

Mail
Email
Upload to website
Pick up from registrar

Mailing address:*

Same as above
Other address

Quantity of documents to be mailed:*

Specify other address:*

Recipient Street Address City State ZIP / Postal Code

Email address:*

Same as above

Website:*

Note: VSLO and ERAS requirements are fulfilled as they become available and do not require iNet requests.

Proof of identification required (e.g. driver’s license, passport, student ID)

Note: Only the student themself is permitted to pick up documents from the Office of the Registrar.

ACKNOWLEDGEMENT

Acknowledgment that the information above is true and correct to the best of your knowledge.*

I am the student requesting my own records for myself or for another.
I am the holder of signed consent from the student in accordance with FERPA.

Please attach signed consent document.*

Drop files here or

Max. file size: 10 MB.

Name:*

Signature:*

Date of signature:*

After submitting, there is no need to follow up with a second form or by email/phone, as doing so will push your request out and cause delay of processing.