THE PROCESS for Letters of Recommendation

[paranoidparanormalpremed]

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Can someone who has gone through the letter of recommendation process verify it for me? I've read a few articles so far and it seems like it's a mix of both sending in a physical letter and also starting the letter online through AMCAS (this is the part that confuses me).

How accurate is #4 on this guide to LOR's?: http://goo.gl/2xvVoL