Following are the fees encountered most frequently for ECFMG programs and services. Other fees may apply. All fees are in U.S. dollars and are subject to change without notice.
| Fee(s) | How to Apply | More Information | |
|---|---|---|---|
| MyIntealth Account Establishment | $100 | Online using MyIntealth |
Includes $50 NotaryCam fee for online notarization of the identification form. |
| Fee(s) | How to Apply | More Information | |
|---|---|---|---|
| Application for ECFMG Certification | $560 | Online using MyIntealth | |
| Verification of Credentials for ECFMG Certification | $200 ($100 for final medical diploma and $100 for final medical school transcript) | Online using MyIntealth, when completing the Application for ECFMG Certification | |
| USMLE Step 1 | Refer to the USMLE website for information on current Step exam fees and other exam-related services. | Online through the Federation of State Medical Boards (FSMB) | Medical Science Examination Requirement for ECFMG Certification |
| USMLE Step 2 CK | Refer to the USMLE website for information on current Step exam fees and other exam-related services. | Online through FSMB | Medical Science Examination Requirement for ECFMG Certification |
| Application to a Pathway for ECFMG Certification | $925 | Online using Application for Pathways for ECFMG Certification, which is part of the MyIntealth environment | Clinical Skills Requirement and Communication Skills Requirement for ECFMG Certification |
| ECFMG Exam History Transcript | $50 per request form (up to two copies) | Online using MyIntealth | Provides a complete results history of all non-USMLE® exams taken, including all attempts on the ECFMG Examination, Visa Qualifying Examination (VQE) Days 1 and 2, Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), National Board of Medical Examiners® (NBME®) Parts I and II, ECFMG English Test, Test of English as a Foreign Language™ (TOEFL®) (only if used for ECFMG purposes), and ECFMG Clinical Skills Assessment (CSA®). |
| Fee(s) | How to Apply | More Information | |
|---|---|---|---|
| Medical School Transcript | $52 per page | Not applicable | In certain cases, if a document provided to ECFMG is not in English and an acceptable English translation is not provided, ECFMG will have the document translated by an independent translation service and will charge the applicant’s MyIntealth financial account for the translation. Examples include documents submitted on behalf of applicants for ECFMG Certification, such as a final medical school transcript provided by a medical school and documents provided by a medical regulatory authority. |
| Fee(s) | How to Apply | More Information | |
|---|---|---|---|
| ERAS Token | $165 | Online using MyIntealth | ERAS Token Request |
| Support for ResidencyCAS Application | $165 | Residency Application Support Form | ResidencyCAS Application Services |
| Fee(s) | How to Apply | More Information | |
|---|---|---|---|
| Application for J-1 Visa Sponsorship | $370** | Online using MyIntealth | ** An additional $220 SEVIS fee, payable to the Department of Homeland Security, is required of initial applicants for J-1 sponsorship. |
| Fee(s) | How to Apply | More Information | |
|---|---|---|---|
| CVS Report for state medical boards/medical licensing authorities, hospitals, HMOs, and other entities | $66 | Online using MyIntealth |
IMGs may request to have ECFMG send a report of their ECFMG certification status directly to a state medical board/medical licensing authority. See CVS for IMGs. CVS Reports are provided to U.S. residency/fellowship programs at no cost. See Residency/Fellowship Programs. |
| Additional Fee for Paper CVS Report | $5 | Online using MyIntealth |
| Looking for information on the fees associated with using EPIC? See the EPIC Fees page. |
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[Last update: January 9, 2026]
