Two of my references say 'complete' and the other one (physical therapist) says 'accepted.' Is this because PTCAS needs to verify that he is actually a PT or something?
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New SDN Article: “The Boards”: USMLE Overview
It means that he accepted to write one for you and may have even written it but just hasn't clicked "Submit" button on his end. I had to call one of my references as well and explain that they made sure to hit the "submit" button on their end.