Request Official Student Records
Use this form to request official student records including letter of academic standing, MSPE, transcripts, certified photocopies of diploma, or replacement of original diploma.
There is a $5.00 fee per transcript (no charge for currently enrolled students). There is a $15.00 fee for replacement of original diploma. Payment must accompany request form. Please make checks payable to SIU School of Medicine.
PLEASE RETURN COMPLETED FORM VIA MAIL, FAX, OR EMAIL TO:
Karla Hehner, Registrar - firstname.lastname@example.org
Phone: 217-545-0890 Fax: 217-545-5538
SIU-SOM, Office of Student Affairs, RM 3080
P.O. Box 19624
Springfield, IL 62794-9624