To confirm your acceptance, you should complete the steps included in your acceptance email. The acceptance letter comes in a normal sized envelope.I also received an email from them prior to receiving the actual letter. Congratulations on your acceptance! After receiving an acceptance letter, you should: 1. Learn about the admission process for the MD Program at Wake Forest University School of Medicine. Call or email the person who made you the written offer. Say that you're following up and want to make sure they received your reply accepting the position. Send it with an IRCC webform. I was deferred ED1 but got in RD to Wake.