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Home > Reports > Order Reports

Order Reports

Select Who You Are Below:

Podiatrist YOU are, or represent, a PODIATRIST and want to order a report to be sent to a destination. Organization YOU represent an ORGANIZATION (ex: hospital, CVO) and want to order a report on a podiatrist to be sent to your organization.
Order Reports - Podiatrists (no account needed)
APMLE PART I & II: To send a copy of your APMLE Part I and/or Part II examination scores to a State Board, federal agency, hospital or institution, visit the APMLE web site: http://www.apmle.com.
Podiatrists can request that the Federation of Podiatric Medical Boards send their Part III (PMLexis) Score and/or Disciplinary reports to State Boards, Residencies, Fellowships, VAs, etc. only. Reports cannot be sent to individuals. After completing the form, you will have the option to pay online by credit card -or- print out a form to mail in with a check.
Frequently Asked Questions
  • How are reports sent to destinations?
    Most destinations, including approximately 90% of State Boards, are sent reports via electronic delivery. Alternatively, reports are sent via postal mail.
  • How long is turnaround time?
    The FPMB typically processes report requests within two business days. Destinations that accept electronic delivery typically download reports within two business days. For reports sent via postal mail, allow two to four days for the post office to deliver reports to the destination, plus time for the destination's mail room to deliver reports to the recipient's desk.
  • How will you know that the FPMB received your order?
    Podiatrists that place an order online, and pay via credit card, will receive an email receipt that also serves as confirmation that your order has been received.
  • How will you know that the FPMB processed your order?
    Podiatrists that place an order online will receive an email notification when the FPMB has processed your order.
  • How will you know that the destination received your order?
    For destinations that participate in electronic delivery, podiatrists will receive email notification(s) when the destination(s) download the report(s).
Order Reports - Organizations
Organizations must have an online account to place orders. To create an account, please download, complete and return the Website User Account Request Form.
Organizations (managed care, CVOs, etc.) can request that the Federation of Podiatric Medical Boards send Disciplinary reports on podiatrists via our fast, secure and convenient online system. After completing the form, you will have the option to pay online by credit card -or- print out a form to mail in with a check. Processed reports are returned to organizations via secure electronic delivery.
Frequently Asked Questions
Order Reports - Organizations

Contact Information

Please verify that all contact and address information below is accurate. If any of this information is incorrect, do not proceed with this order and contact the FPMB at fpmb@fpmb.org.
ELECTRONIC DELIVERY
(for email notification to download completed reports)
Name
Title
Email Address
BILLING INFORMATION
(if paying by credit card; receipt is sent to this email address)
Name
Company
Address
City/State/ZIP Code
Phone Number
Email Address

Order Information

*Indicates a Required Field
How many PROVIDERS are in this order? REQUIRED: How many PROVIDERS are in this order?

PROVIDER #1:
FIRST Name REQUIRED: First Name #1
Middle Name
LAST Name REQUIRED: Last Name #1
Maiden/Alternate Name
Date of Birth REQUIRED: Date of Birth #1 INVALID: Date of Birth #1 [format: 1/1/1950] (format: 1/1/1950)
Social Security Number REQUIRED: Social Security Number #1 INVALID: Social Security Number #1 [format: 123-45-6789] (format: 123-45-6789)

PROVIDER #2:
FIRST Name REQUIRED: First Name #2
Middle Name
LAST Name REQUIRED: Last Name #2
Maiden/Alternate Name
Date of Birth REQUIRED: Date of Birth #2 INVALID: Date of Birth #2 [format: 1/1/1950] (format: 1/1/1950)
Social Security Number REQUIRED: Social Security Number #2 INVALID: Social Security Number #2 [format: 123-45-6789] (format: 123-45-6789)

PROVIDER #3:
FIRST Name REQUIRED: First Name #3
Middle Name
LAST Name REQUIRED: Last Name #3
Maiden/Alternate Name
Date of Birth REQUIRED: Date of Birth #3 INVALID: Date of Birth #3 [format: 1/1/1950] (format: 1/1/1950)
Social Security Number REQUIRED: Social Security Number #3 INVALID: Social Security Number #3 [format: 123-45-6789] (format: 123-45-6789)

PROVIDER #4:
FIRST Name REQUIRED: First Name #4
Middle Name
LAST Name REQUIRED: Last Name #4
Maiden/Alternate Name
Date of Birth REQUIRED: Date of Birth #4 INVALID: Date of Birth #4 [format: 1/1/1950] (format: 1/1/1950)
Social Security Number REQUIRED: Social Security Number #4 INVALID: Social Security Number #4 [format: 123-45-6789] (format: 123-45-6789)

PROVIDER #5:
FIRST Name REQUIRED: First Name #5
Middle Name
LAST Name REQUIRED: Last Name #5
Maiden/Alternate Name
Date of Birth REQUIRED: Date of Birth #5 INVALID: Date of Birth #5 [format: 1/1/1950] (format: 1/1/1950)
Social Security Number REQUIRED: Social Security Number #5 INVALID: Social Security Number #5 [format: 123-45-6789] (format: 123-45-6789)

Review and Place Order

INSTRUCTIONS
10/18/2017 9:49 PM ET
  1. Print a copy of this order by clicking the "PRINT ORDER" button below.
  2. Make check payable to the "Federation of Podiatric Medical Boards" for the TOTAL amount displayed below.
  3. Send the check and a copy of this request to:
Federation of Podiatric Medical Boards
12116 Flag Harbor Drive
Germantown, MD 20874-1979
Do not send by Registered, Certified or Express Mail -- this will delay processing your request.
**You will receive an email notification when your order has been processed.**
Please allow up to ten (10) business days from the date that payment is received for your order to be processed.
PAYMENT STATUS: ACCEPTED
10/18/2017 9:49 PM ET
Print a copy of this order as a receipt by clicking the "PRINT ORDER" button below.
**You will receive an email notification when your order has been processed.**
Please allow up to ten (10) business days for your order to be processed.
NAME
TITLE
Phone Number
Email Address (for delivery)
ORDER ID
Provider 1
Provider 2
Provider 3
Provider 4
Provider 5
TOTAL
ALL ORDERS ARE FINAL. NO REFUNDS WILL BE PROVIDED.
INSTRUCTIONS
  1. In the Order Summary section, verify the Order Amount and Description.
  2. In the Credit Card Information section, enter your credit card (Visa or MasterCard) information.
  3. In the Billing Information, verify that your name and contact information are correct.
  4. Click the Process Payment button.
NOTE: To pay by check, click the Review Order button below.
ALL ORDERS ARE FINAL. NO REFUNDS WILL BE PROVIDED.
We are sorry, but your payment was declined for the following reason:
[Code ]:
INSTRUCTIONS
  1. If you have a problem with one credit card, you may wish to try a different card.
  2. Click the "Credit Card (try again)" button below to try again.
  3. To pay by check, click the "Pay By Check" button below.
Order Reports - Podiatrists

Order Information

*Indicates a Required Field
How many DESTINATIONS are in this order?
(State Boards, Residencies, Fellowships, VA Hospitals, etc.)
REQUIRED: How many Destinations are in this order?

ERROR: The same destination has been selected more than once.
DESTINATION #1:
Destination Type REQUIRED: Destination Type #1
Send Report(s) to: REQUIRED: State Board #1
Report Types REQUIRED: Report Types #1
Please provide the name, address and contact information for this destination.
NOTE: Reports cannot be sent to individuals.
Organization Name REQUIRED: Organization Name #1
Address REQUIRED: Address #1
Address (line 2)
City REQUIRED: City #1
Country REQUIRED: Country #1
State/Territory REQUIRED: State/Territory #1
Province REQUIRED: Province #1
ZIP Code REQUIRED: ZIP Code #1 INVALID: ZIP Code #1 [format: 12345] (format: 12345)
Contact Name REQUIRED: Contact Name #1
Contact Title REQUIRED: Contact Title #1
Phone Number REQUIRED: Phone Number #1 INVALID: Phone Number #1 [format: 202-555-1212] (format: 202-555-1212)
Email Address REQUIRED: Email Address #1 INVALID: Email Address #1 [format: name@provider.com] (format: name@provider.com)

DESTINATION #2:
Destination Type REQUIRED: Destination Type #2
Send Report(s) to: REQUIRED: State Board #2
Report Types REQUIRED: Report Types #2
Please provide the name, address and contact information for this destination.
NOTE: Reports cannot be sent to individuals.
Organization Name REQUIRED: Organization Name #2
Address REQUIRED: Address #2
Address (line 2)
City REQUIRED: City #2
Country REQUIRED: Country #2
State/Territory REQUIRED: State/Territory #2
Province REQUIRED: Province #2
ZIP Code REQUIRED: ZIP Code #2 INVALID: ZIP Code #2 [format: 12345] (format: 12345)
Contact Name REQUIRED: Contact Name #2
Contact Title REQUIRED: Contact Title #2
Phone Number REQUIRED: Phone Number #2 INVALID: Phone Number #2 [format: 202-555-1212] (format: 202-555-1212)
Email Address REQUIRED: Email Address #2 INVALID: Email Address #2 [format: name@provider.com] (format: name@provider.com)

DESTINATION #3:
Destination Type REQUIRED: Destination Type #3
Send Report(s) to: REQUIRED: State Board #3
Report Types REQUIRED: Report Types #3
Please provide the name, address and contact information for this destination.
NOTE: Reports cannot be sent to individuals.
Organization Name REQUIRED: Organization Name #3
Address REQUIRED: Address #3
Address (line 2)
City REQUIRED: City #3
Country REQUIRED: Country #3
State/Territory REQUIRED: State/Territory #3
Province REQUIRED: Province #3
ZIP Code REQUIRED: ZIP Code #3 INVALID: ZIP Code #3 [format: 12345] (format: 12345)
Contact Name REQUIRED: Contact Name #3
Contact Title REQUIRED: Contact Title #3
Phone Number REQUIRED: Phone Number #3 INVALID: Phone Number #3 [format: 202-555-1212] (format: 202-555-1212)
Email Address REQUIRED: Email Address #3 INVALID: Email Address #3 [format: name@provider.com] (format: name@provider.com)

DESTINATION #4:
Destination Type REQUIRED: Destination Type #4
Send Report(s) to: REQUIRED: State Board #4
Report Types REQUIRED: Report Types #4
Please provide the name, address and contact information for this destination.
NOTE: Reports cannot be sent to individuals.
Organization Name REQUIRED: Organization Name #4
Address REQUIRED: Address #4
Address (line 2)
City REQUIRED: City #4
Country REQUIRED: Country #4
State/Territory REQUIRED: State/Territory #4
Province REQUIRED: Province #4
ZIP Code REQUIRED: ZIP Code #4 INVALID: ZIP Code #4 [format: 12345] (format: 12345)
Contact Name REQUIRED: Contact Name #4
Contact Title REQUIRED: Contact Title #4
Phone Number REQUIRED: Phone Number #4 INVALID: Phone Number #4 [format: 202-555-1212] (format: 202-555-1212)
Email Address REQUIRED: Email Address #4 INVALID: Email Address #4 [format: name@provider.com] (format: name@provider.com)

When and where did you take the Part III (PMLexis) exam?
(Optional - Helps expedite your request)
NOTE: The Part III (PMLexis) exam was not administered prior to 1987.
Do NOT continue if you have not taken the Part III (PMLexis) exam.
Month
Year WARNING: We are not accepting pre-orders for this exam yet.
State

Contact Information

*Indicates a Required Field
FIRST Name REQUIRED: First Name
Middle Name
LAST Name REQUIRED: Last Name
Maiden/Alternate Name
Date of Birth REQUIRED: Date of Birth INVALID: Date of Birth [format: 1/1/1950] (format: 1/1/1950)
Social Security Number REQUIRED: Social Security Number INVALID: Social Security Number [format: 123-45-6789] (format: 123-45-6789)
Phone Number REQUIRED: Phone Number INVALID: Phone Number [format: 202-555-1212] (format: 202-555-1212)
Email Address REQUIRED: Email Address INVALID: Email Address [format: name@provider.com] (format: name@provider.com)
Please verify that you have correctly entered your "Date of Birth" and "Social Security Number" before clicking the ">> Next" button.

Mailing Information

*Indicates a Required Field
YOUR Mailing Address
(Do not provide the order destination mailing address)
Address REQUIRED: Mailing Address
Address (line 2)
City REQUIRED: Mailing City
Country REQUIRED: Mailing Country
State/Territory REQUIRED: Mailing State/Territory
Province REQUIRED: Mailing Province
ZIP Code REQUIRED: Mailing ZIP Code INVALID: Mailing ZIP Code [format: 12345] (format: 12345)


YOUR Billing Address
Is your billing address the same as your mailing address? REQUIRED: Is your billing address the same as your mailing address?
(Credit Card Orders - Billing Address must match card)
Address REQUIRED: Billing Address
Address (line 2)
City REQUIRED: Billing City
Country REQUIRED: Billing Country
State/Territory REQUIRED: Billing State/Territory
Province REQUIRED: Billing Province
ZIP Code REQUIRED: Billing ZIP Code INVALID: Billing ZIP Code [format: 12345] (format: 12345)

Review and Place Order

INSTRUCTIONS
10/18/2017 9:49 PM ET
  1. Print a copy of this order by clicking the "PRINT ORDER" button below.
  2. Make check payable to the "Federation of Podiatric Medical Boards" for the TOTAL amount displayed below. (Personal checks are accepted.)
  3. Send the check and a copy of this request to:
Federation of Podiatric Medical Boards
12116 Flag Harbor Drive
Germantown, MD 20874-1979
Do not send by Registered, Certified or Express Mail -- this will delay processing your request.
**You will receive an email notification when your order has been processed.**
Please allow up to ten (10) business days from the date that payment is received for your order to be processed.
PAYMENT STATUS: ACCEPTED
10/18/2017 9:49 PM ET
Print a copy of this order as a receipt by clicking the "PRINT ORDER" button below.
**You will receive an email notification when your order has been processed.**
Please allow up to ten (10) business days for your order to be processed.
NAME
Date of Birth
Social Security Number
Phone Number
Email Address
Your Mailing Address
Your Billing Address
ORDER ID
Part III Taken
TOTAL
*
*Reports are offered at a reduced rate when sent to State Boards who are current with their membership dues for the Federation of Podiatric Medical Boards.
ALL ORDERS ARE FINAL. NO REFUNDS WILL BE PROVIDED.
INSTRUCTIONS
  1. In the Order Summary section, verify the Order Amount and Description.
  2. In the Credit Card Information section, enter your credit card (Visa or MasterCard) information.
  3. In the Billing Information, verify that your name and contact information are correct.
  4. Click the Process Payment button.
NOTE: To pay by check, click the Review Order button below.
ALL ORDERS ARE FINAL. NO REFUNDS WILL BE PROVIDED.
We are sorry, but your payment was declined for the following reason:
[Code ]:
INSTRUCTIONS
  1. If you have a problem with one credit card, you may wish to try a different card.
  2. Click the "Credit Card (try again)" button below to try again.
  3. To pay by check, click the "Pay By Check" button below.