Update Contact Information & Class Notes
Alumni can use this form to submit changes of address (work and home), email, and other vital information. Submissions will also be used for Class Notes in Medicine@Brown

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Your name (Title, First, Last)
Brown MD Class Year
Brown Undergraduate Year (if applicable) 
Your Employer
Your Medical Specialty 
Subspecialty 
Your current professional activity and location
Professional activities, accomplishments and developments you'd like to share
Recent news or anecdotes about yourself or your classmates you'd like to contribute to our publications
Work address
Home address
Preferred Mailing Address
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Cell Phone Number
Work Phone Number
Your residency - where and when
Fellowship, if applicable
Relationship Status
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Name of Spouse/Partner
Spouse/Partner Brown Affiliations (if applicable)
Spouse/Partner's place of business
Names and birthdays of your children
Opinions, questions or concerns about the Medical School that you would like us to be aware of and/or address
Story ideas for future issues of Medicine@Brown
Are you interested in serving on the Brown Medical Alumni Association Board or helping to plan reunion class activities and regional events?
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Would you be willing to act as a source of advice and possible advocacy related to residency programs and career opportunities for current Brown medical students? If so, the Medical School will share your contact information with students.
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