Questions about LORs

[SoulinNeed]

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OK, so I know for AACOMAS, you don't send your LOR AACOM, but rather, to each school you are applying to. Now, my question is, do you have to wait until your secondary comes in, or can you just send them in after you submit your AACOMAS. Also, do you have to include the AACOMAS number ON the letter, or can it just be attached separately in another piece of paper?

EDIT; The reason I ask, is because the DO doctor who I am shadowing is moving away, and she has offered to write me a letter now, before I apply.

EDIT 2: I just realized that this should go in the AACOMAS questions thread, I'll just repost it there.