Intealth ECFMG

Educational Commission for Foreign Medical Graduates

Electronic Portfolio of International Credentials (EPICSM)

Instructions for Submitting a CGS

A Certificate or Letter of Good Standing (CGS) confirms that you currently hold or previously held a license/registration to practice your health care profession in good standing from your country of graduation or practice location. If the organization to which you are applying for registration requires primary-source verification of your CGS through our Electronic Portfolio of International Credentials (EPIC) service, please follow the instructions outlined below.

Confirmation of good standing must be issued by the appropriate authority and demonstrate that you are currently licensed and in good standing. It must have been issued within 90 days of the date you apply to an EPIC Partner Organization.

There are two options for providing your CGS to EPIC for verification.

Option 1: Regulatory Authority Provides CGS Directly to ECFMG

  • Request the appropriate medical regulatory authority in the location where you are licensed to send confirmation of your good standing to ECFMG via e-mail at [email protected] or by mail to:
    Intealth
    Attn: EPIC CGS
    3624 Market Street
    Philadelphia, PA 19104 USA
  • When completing a credential verification request for your EPIC Portfolio, select the credential type as “Certificate of Good Standing,” and indicate that you have requested the regulatory authority to provide a copy of your CGS by selecting, “I have requested this authority to send a Certificate of Good Standing directly to ECFMG.” You will also have the option to select the EPIC Partner Organization to which you are applying to automatically receive an EPIC Report once your credential has been verified.

Under Option 1, the CGS must be sent to ECFMG directly by the appropriate authority and demonstrate that you are licensed and in good standing. If this requirement is not met, you will need to request a new CGS. Once we receive confirmation of your good standing, we will use this confirmation to complete your verification request and report on your good standing to the EPIC Partner Organization to which you are applying.

Option 2: You Provide Your CGS to EPIC for Verification

  • Request the appropriate medical regulatory authority in the location where you are licensed to provide you with a CGS.
  • When completing a credential verification request for your EPIC Portfolio, select the credential type as “Certificate of Good Standing;” then select “I have a Certificate of Good Standing issued within the last 90 days and am uploading it for verification.” Upload the CGS (and an English translation that meets ECFMG’s translation requirements if the CGS is not in English, as noted below). You will have the option to select the EPIC Partner Organization to which you are applying to automatically receive an EPIC Report once your credential has been verified.

After you upload the CGS, ECFMG will primary-source verify it with the issuing authority to complete your verification request and send a report on your good standing to the EPIC Partner Organization to which you are applying.

If the medical regulatory authority will not send confirmation of good standing directly to ECFMG or to you, or if there is no medical regulatory authority in your country, please contact us for assistance. Please include the name of the EPIC Partner Organization to which you are applying and your MyIntealth ID (and EPIC ID, if one was previously issued) in the e-mail’s subject line.

For more information on the credentials verified through EPIC, see Using EPIC.

Note for a CGS issued to ECFMG in a language other than English: If your CGS is in a language other than English, and an acceptable English translation was not included with your CGS in the correspondence from the medical regulatory authority, ECFMG will obtain an acceptable translation from Straker Translations. You are responsible for payment of the Straker translation fee.

To submit payment to Straker Translations so that we may obtain a translation of your CGS, you must follow these steps:

  • Grant permission for ECFMG to share your e-mail address with Straker Translations.
    If we send your CGS to Straker for translation, we will contact you to request your permission to share your e-mail address with Straker so Straker can provide you with an invoice for the translation fee(s). After you grant permission to share your e-mail address with Straker, we will provide it to Straker.
  • Monitor your e-mail for the invoice from Straker Translations.
    Once Straker receives your e-mail address from ECFMG and completes the translation of your CGS, Straker will send the invoice for the translation fee(s), along with instructions on how to submit payment, directly to your e-mail address.
  • Submit payment to Straker Translations for the translation fee(s).
    After you submit payment to Straker Translations, your CGS translation will be released to ECFMG. We will then be able to evaluate your CGS with the translation. If the documents are acceptable, we will share the CGS verification report with the EPIC Partner Organization to which you are applying. Straker also will provide you with a copy of the CGS translation via e-mail for your records.

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[Last update: August 18, 2025]

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