Verification Requests

Program Å·ÃÀÊìÅ®ÂÒÂ×amp; Program Administrators

Å·ÃÀÊìÅ®ÂÒÂ× is happy to process verification requests for all of our trainees (past, current, and incoming). In instances where a request requires HRP’s consent form and/or a processing fee, these must be received before the request will be processed. Please allow 2-3 weeks for processing after we have received all the required components.

We use a standardized template to confirm a trainee’s program enrollment and training dates (only) at no cost. For a dates-only training verification requiring Program Director signature, contact the relevant Training Program(s) directly. If the GME Operations Director signature will suffice, contact credentialing@hawaiiresidency.org.

For verification requests of any additional information beyond training dates, an HRP Consent to Release of Information and Liability form is required. A $50 processing fee is also required, except in instances where the trainee is currently employed by HRP and/or the information is being released to a requesting institution in the State of Hawai‘i. Requested information (training, credentials, malpractice history, etc.) will only be provided directly to the indicated institution.

Please note:

We require one HRP consent form per requesting institution. One HRP consent form will suffice for multiple requests (e.g., verification of both training and malpractice coverage) from the same institution. No other (non-HRP) consent form will be accepted. HRP consent forms are valid for one year from the date of signature. (Please let us know if you already have a valid HRP consent form on file for the institution in question.)

Payment Options. For your convenience we have added a credit card payment option on our HRP Consent form. If you choose to pay by check, please mail your payment to:
Å·ÃÀÊìÅ®ÂÒÂ×, Inc.
Attn: Verifications Department
1356 Lusitana Street, Suite 507
Honolulu, Hawaii 96813

To contact the Credentialing staff, email us atÌýcredentialing@hawaiiresidency.org. For details onÌýall other types of requests, click to expand the relevant section(s) below:

Employment & Salary Verification

Confirmation of employment history, such as dates of employment, position, and/or salary.

  • Examples: Employment letters, loan applications, loan deferment/forgiveness forms (including the PSLF).
  • Consent form & fee – NEITHER REQUIRED
  • Contact the HRP Human Resources staff:
    • For assistance with a Public Service Loan Forgiveness (PSLF) form, contact Casey Clutter.
    • For all other verifications of employment (not training), contact HRP Human Resources Director Rick Kinigson.

Program Training Verifications

Requests for qualitative training program information beyond the scope of a dates-only verification.

  • Examples: verification of performance, competencies, credentials, or privileges; questionnaires related to training; any request that requires a program seal or notarization.
  • Consent form and fee – BOTH REQUIRED (see details above)
  • Contact credentialing@hawaiiresidency.org; staff, will process the consent & fee and then forward the request as appropriate.

Malpractice/Claims History Verifications and/or Memorandum of Coverage

Disclosure of any malpractice/claims history, or proof of liability coverage (past, present, or future).

  • Examples: verification requests that include a question about malpractice history, stand-alone malpractice inquiries, visiting resident applications that require proof of coverage.
  • Consent form and fee – BOTH REQUIRED for a claims history request
  • NEITHER REQUIRED for a Memorandum (Certificate) of Coverage (MOC) when requested by the trainee directly. Consent is required if the request is being made by a third party.
    • Contact the HRP Credentialing staff for a claims history (to process consent and fee before forwarding request).
    • Contact HRP Executive Administrator, Avi Gonzalez, for a Memorandum of Coverage (MOC) only.

Faculty References Letters

Requests for personal (subjective) references from current training program faculty members.

  • Examples: requests for personal reference letters on program letterhead; peer reference forms that ask for personal assessments and do not request qualitative training data.
  • Consent form and fee – CONSENT REQUIRED; PROCESSING FEE NOT REQUIRED
  • A HRP Consent to Release of Information and Liability form
  • Contact the HRP Credentialing staff, who will process the consent form and then forward the request as appropriate.

Replacement of Certificate of Completion

Requests for a replacement Certificate of Completion, signed by institutional and program leadership.

  • Examples: Employment letters, loan applications, loan deferment/forgiveness forms (including the PSLF).
  • Consent form and fee – $50 FEE REQUIRED; CONSENT FORM NOT REQUIRED
  • A $50 processing fee
  • Except in instances where the trainee is currently employed by HRP and/or the information is being released to an HRP member hospital or to the Hawai‘i Medical Board.
  • Contact the HRP Credentialing staff at credentialing@hawaiiresidency.org, who will process the fee and then forward the request as appropriate.