• Biometric Physician Form Secure Submission

    Upload your completed Biometric Physician Form by 3/31/2025.

    Before you submit your Biometric Physician Form, please complete the following steps:

    • Print clearly and review your form to ensure it is complete and that it contains the required values.
    • Confirm the date of the biometric screening is within the following date range: 1/1/2025-3/31/2025.
    • Be sure to provide a valid email address so we can communicate with you regarding the status of your form.
    • Ensure you have signed your form. Your signature is required.
    • Only one form can be attached per submission.







  • Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 50 MB.

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