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Upon your request the NBCE will process one complimentary transcript containing all passing scores. Additional transcripts are processed for 25 payable to NBCE. Additional services as requested 20 same-day processing of transcript 18 express mail cost. This latter requirement does not apply to those licensed on or before December 31 1997. Providing the Part IV score is 375 or above your passing Part I II III PHT and ACU scores will accompany a Part IV transcript. Print your legal name NBCE reference no. Print your mailing address City/State/Zip Date of birth Phone Signature Date For NBCE use only Amt Encl CHK No. or MO Initial Date Sent Amt Refunded Rcpt No./NC. NATIONAL BOARD OF CHIROPRACTIC EXAMINERS 901 54th Ave. Greeley Colorado 80634 PHONE 970-356-9100 FAX 970-336-6477 I authorize the National Board of Chiropractic Examiners to release a transcript of my most recent Part IV score approximate Part IV Examination date to the licensing board or governmental agency in the State of. Requests with proper payment enclosed will facilitate the processing of your transcript. Credit cards are not accepted* NOTE An official Part IV transcript will not be released to a State Licensing Board if the score is below 375 or if an applicant has NOT attained a score of 375 or above on the Part I II and III examinations. This latter requirement does not apply to those licensed on or before December 31 1997. Providing the Part IV score is 375 or above your passing Part I II III PHT and ACU scores will accompany a Part IV transcript. Print your legal name NBCE reference no. Print your mailing address City/State/Zip Date of birth Phone Signature Date For NBCE use only Amt Encl CHK No* or MO Initial Date Sent Amt Refunded Rcpt No*/NC. Requests with proper payment enclosed will facilitate the processing of your transcript. Credit cards are not accepted* NOTE An official Part IV transcript will not be released to a State Licensing Board if the score is below 375 or if an applicant has NOT attained a score of 375 or above on the Part I II and III examinations. This latter requirement does not apply to those licensed on or before December 31 1997. Providing the Part IV score is 375 or above your passing Part I II III PHT and ACU scores will accompany a Part IV transcript. .

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