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I sent a short letter saying something like "Dear _______ Admissions, After careful consideration I have decided to withdraw my application from X SOM (or "withdraw from the XSOM class of 2011" if I was accepted and want my deposit back). Thank you for your consideration." Short and sweet. I don't think most places will accept phone calls. And I thought a snail mail letter was more formal, though I'm sure email is fine, too.
I assume that means you got into multiple schools - congrats!!
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AMCAS rules state you must hold only one acceptance after May 15. Withdrawing requires something written, so either a letter or an email.


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Oct 26, 2006
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Pre-interview invite: Phone

Post-invite, pre-interview: Phone & Email

Post-interview, pre-decision: Email

Post-acceptance: Email with snail mail copy sent the same day, phone call follow-up 1-2 weeks later if no confirmation received.

There is no need to wax on about why you are declining an interview/acceptance; keep it short and sweet. Some schools may ask where you are matriculating—you are under no obligation to respond.
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