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Order Reports
Federation of Podiatric Medical Boards
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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)
NOTE:
The FPMB continues to process
Part I/II/III (PMLexis) Score
and
Disciplinary
reports
without
interruption; however, State Boards may require additional time.
For
COVID-19
information for
your
state, including guidance for health care providers, please visit the FPMB's
COVID-19 web page
.
Podiatrists
can request that the Federation of Podiatric Medical Boards send their
Part I/II/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 all State Boards with the exception of Vermont, 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).
What are the Score Report fees?
The fee for Part I & II (combined) is $40 per destination. The fee for Part III (PMLexis) is $45 per destination.
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Order Reports (Podiatrists)
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
How are reports sent to Organizations?
Reports are sent via electronic delivery.
How long is turnaround time?
The FPMB typically processes report requests within two business days.
How will you know that the FPMB
received
your order?
Organizations 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?
Organizations will receive an email notification when the FPMB has processed your order.
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Order Reports (Organizations)
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
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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)
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Review and Place Order
INSTRUCTIONS
2/24/2021 5:42 PM ET
Print a copy of this order by clicking the "PRINT ORDER" button below.
Make check payable to the
"Federation of Podiatric Medical Boards"
for the TOTAL amount displayed below.
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
2/24/2021 5:42 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.
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Pay by
Check
(print & mail)
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Pay by
Credit Card
(faster processing)
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print
Print Order
INSTRUCTIONS
In the
Order Summary
section, verify the
Order Amount
and
Description
.
In the
Credit Card Information
section, enter your credit card (Visa or MasterCard) information.
In the
Billing Information
, verify that your name and contact information are correct.
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.
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Review Order
We are sorry, but your payment was declined for the following reason:
[Code
]:
INSTRUCTIONS
If you have a problem with one credit card, you may wish to try a different card.
Click the "Credit Card (try again)" button below to try again.
To pay by check, click the "Pay By Check" button below.
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Pay by
Check
(print & mail)
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Pay by
Credit Card
(try again)
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Print Order
Order Reports - Podiatrists
Order Information
Indicates a Required Field
ERROR: The same destination has been selected more than once.
When did you take the exam(s)?
(
Optional, but preferred
)
Part I Exam
[Month]
January
February
March
April
May
June
July
August
September
October
November
December
[Year]
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
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1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
WARNING: We are not accepting pre-orders for this exam yet.
Part II Exam
[Month]
January
February
March
April
May
June
July
August
September
October
November
December
[Year]
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1997
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1984
1983
1982
1981
1980
1979
1978
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1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
WARNING: We are not accepting pre-orders for this exam yet.
Part II CSPE Exam
[Month]
January
February
March
April
May
June
July
August
September
October
November
December
[Year]
2021
2020
2019
2018
2017
2016
2015
2014
WARNING: We are not accepting pre-orders for this exam yet.
The Part II CSPE exam was administered beginning with the Class of 2015, excluding the Class of 2016, and continuing with the class of 2017.
Part III Exam
[Month]
June
December
[Year]
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
WARNING: We are not accepting pre-orders for this exam yet.
NOTE:
When Prometric releases your exam results, the FPMB sends them to the State Board where you applied.
Do
NOT
use this form to place a duplicate order.
The Part III (PMLexis) exam was
not
administered prior to June 1987. Do
NOT
continue if you have
not
taken the Part III (PMLexis) exam.
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Contact Information
Indicates a Required Field
Please verify that you have correctly entered your "Date of Birth" and "Social Security Number" before clicking the ">> Next" button.
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Mailing Information
Indicates a Required Field
YOUR
Mailing
Address
(Do
not
provide the order destination mailing address)
USA
Canada
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)
USA
Canada
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Review and Place Order
INSTRUCTIONS
2/24/2021 5:42 PM ET
Print a copy of this order by clicking the "PRINT ORDER" button below.
Make check payable to the
"Federation of Podiatric Medical Boards"
for the TOTAL amount displayed below.
(Personal checks
are
accepted.)
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
2/24/2021 5:42 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 I Taken
Part II Taken
Part II CSPE Taken
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.
Your order will resume in a moment ...
GET CONNECTED
with Your State Associations of Podiatric Physicians!
State Associations
provide many member benefits, including:
Fellowship with other Podiatrists
Support of your Podiatric medical career at a local
and
national level
Fostering laws to improve regulations regarding Podiatric medical care, including scope of practice
Interaction with colleagues and your state regulators to improve practice efficiency and revenue
Participation and interaction with the broader medical community within your state
Would you like the association(s) below to reach out to you with membership information?
(check/uncheck, as desired)
NOTE: By clicking the "Yes" button, you grant the FPMB permission to provide your contact information to the association(s) checked above.
cancel
No
check_circle
Yes
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Previous
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Pay by
Check
(print & mail)
shopping_cart
Pay by
Credit Card
(faster processing)
home
Home
print
Print Order
INSTRUCTIONS
In the
Order Summary
section, verify the
Order Amount
and
Description
.
In the
Credit Card Information
section, enter your credit card (Visa or MasterCard) information.
In the
Billing Information
, verify that your name and contact information are correct.
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.
fast_rewind
Review Order
We are sorry, but your payment was declined for the following reason:
[Code
]:
INSTRUCTIONS
If you have a problem with one credit card, you may wish to try a different card.
Click the "Credit Card (try again)" button below to try again.
To pay by check, click the "Pay By Check" button below.
shopping_cart
Pay by
Check
(print & mail)
shopping_cart
Pay by
Credit Card
(try again)
home
Home
print
Print Order