Some schools require an "enrolled" or "recently accepted" graduate school LOR

[CupcakeMD]

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So I realized, after receiving some secondaries, that some school require a graduate school letter of rec if you are attending/been accepted to one. I have recently been accepted so I asked my graduate school to write one. The letter does not contain much information regarding personal observations, the main purpose is to verify that I have been accepted to this graduate institution and I can complete the program before matriculation to medical school.

My question is, should I send this letter out to ALL medical schools I am apply for, or just the ones that require this graduate letter of rec?

I already have 7 letters of rec in my file.

Thanks!