Update Your Address

Don't miss out! It's very important to keep your information current. Fill in the following form to update your address in the Medical Alumni Affairs database or submit a class note to be published in the UNC Medical Bulletin.

Your Email Address Please enter an email address to submit a change of address or class notes item.

Name

Previous/Maiden Name If applicable, please include your previous name.

Spouse's Name

Degree Received

Degree Year

Medical Specialty

Contact Information:

This Is a Change of Address

Effective Date If this is a change of address, please enter the effective date.

Year / Month / Day

Street Address Line 1

Street Address Line 2

City

State

Zip Code

Country

Phone Number

Contact Me About Donor Opportunities Please check if you wish to be contacted regarding alumni giving.

I would like to be contacted.
I would not like to be contacted.