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. Return completed form to:
Karla Henebry, Registrar
SIU-SOM, Office of Student Affairs
P.O. Box 19624
Springfield, IL 62794-9624
Phone: 217-545-0890 Fax: 217-545-5538