UEWM OFFICIAL TRANSCRIPT REQUEST FORM

University of East-West Medicine, Administration Office
595 Lawrence Expressway, Sunnyvale CA94085
(408) 733-1878

Fields marked (*) are required

Student's Information

Student's Name * ,
Birth Date *
Phone *
No spaces or brackets e.g. 9999999999 Your mobile number is valid
Email *
Please enter a valid email address e.g. swapnil@example.com Your email address is now valid
Address *
City *
State *
Zip code *
Your postcode is out of range between 10001 - 999999 Your postcode is in the correct range
Student ID * (If you don't have student ID, please enter: 0)
Program: * MAcCHM DAcCHM Tuina Massage DAOM

Check One: * Curernt Student Former Student
From: * To:

Total Official Transcripts requested * (Each Copy: $30.00, replacement diploma: $150)

Send Transcripts to: *
Reason for transcript request: *

Special Instruction:

Please read and check the agreement

I have read and agree to the Applicant Agreement & Understanding.

By submitting this request, I certify that all information I have provided is accurate.

I have read, understand, and agree to the following conditions for my official transcript request:

1) Processing Fee: A non-refundable fee is required for each official transcript. My request will not be processed until payment has been received.

2) Processing Time: Please allow up to 7 business days for standard processing after your completed form and payment are received.

3) Transcripts from Other Institutions: University of East-West Medicine can only issue official transcripts for coursework completed at UEWM. We cannot duplicate or provide copies of transcripts from other institutions; those must be requested directly from the original school.