Service Request Form

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2283 St. Laurent Blvd., Suite 100
ADDRESS
Ottawa, ON CANADA K1G 5A2
Tel: 613-520-2240
CONTACT
Fax: 613-248-5234
MCC.CA
Email: service@mcc.ca
SERVICE REQUEST FORM
INSTRUCTIONS
IMPORTANT
Please allow a minimum of 10 business days for processing your request.
Once your request has been processed and issued, we will notify you through your
physiciansapply.ca account or by email.
If there are any specific requirements or special instructions, please indicate them in a signed letter
that you include with this request.
Please note that the language of the Result Letter(s) cannot be changed.
If you are requesting documents on behalf of a physician, you must include a signed letter from the
physician authorizing this request.
Please note that the MCC reserves the right to request supplemental documents such as
a Certified Identity Confirmation form and a certified identification document, if needed.
Candidates assume applicable certification costs.
COURIER OPTION
FOR DELIVERY OF REQUESTED DOCUMENTS
• We strongly suggest you use a courier service (e.g., Purolator) to deliver your requested documents.
• Documents sent by courier can be tracked. This is especially important for time sensitive requests.
• The MCC is not responsible for documents sent by regular post.
• The fee schedule for courier service is as follows:
Provinces
$ 31
Canada
Territories
$ 36
U.S.
$ 62
International
$ 140
* Please include the courier fee in your payment on the attached
Credit Card Authorization form
MCC | Service Request | P1

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