Intealth ECFMG

Forms


MyIntealth, the new online environment for accessing our services, has replaced most of our paper-based forms.

The following forms are no longer in use, and applicants can request these services and make all payments in MyIntealth:

  • Form 182 – Request to Change Applicant Biographic Information
  • Form 184 – Request for an Official ECFMG Examination History Chart
  • Form 297 – Request for an Official ECFMG CSA History Chart
  • Form 900 – Payment

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[Last update: January 9, 2026]

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