To obtain a USMLE transcript or have it sent to a third party, please contact the ECFMG, FSMB, or NBME. The entity to contact depends on which examinations have been taken and where the transcript should be sent. Contact the FSMB to have a transcript sent to a medical licensing authority at any time. Examinees who have never registered for or taken Step 3 and want a transcript sent to anyone other than a medical licensing authority should send the request to the last registration entity.