You set up your delivery by clicking "start delivery" on your home page. Then, you type in the full name of the school you want to send your letters to (i.e., Des Moines University); or, you can type in Podiatric and it should bring up most - if not all - of the schools.
Then, you select which confidential LORs you want sent. I also associated my AACPMAS ID number with the document. Then you pay and they send them.