Client Portal Securely Transfer Documents Secure File Upload FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastDegree *Select degree...MDDOPARNLRNPhDEmail *Select the documents you're ready to upload. You may return later to upload additional documents. Documents ready to UploadUSHCL Signed ReleaseCurriculum VitaeDrivers LicensePhotoBirth CertificatePassportDiplomaPost Grad CertificateDEA CertName Change DocumentSocial Security CardOtherCME Certificates Permitted file types: jpg | jpeg | doc | docx | pdf | bmp | png | heic Documents Change Postgraduate USHCL Release (Wet signature only)To view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Drivers LicenseTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Birth CertificateTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File DiplomaTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File DEA CertTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Social Security CardTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File CME CertificatesTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Curriculum VitaeTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File PhotoTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File PassportTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Name Change DocumentTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Postgraduate CertificateTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File OtherTo view this content, you need to have JavaScript enabled in your browser.To do so, please follow these instructions. Add your file Maximum: 1 file(s) File Submit
