Update Your Information

First name *

Middle name/initial

Last name *

Preferred name or nickname

Specialty

Board certified?

YesNo

Graduation year

Office address

City

State

Zip

Practice county

Do you serve in a medically underserved community?

YesNo

Home address

State

Send alumni mail to:

HomeWork

Please list in the alumni directory

HomeWork

Spouse's name

INFO BELOW NOT FOR PUBLICATION

Work phone

Work email

Home phone

Home email

Cell phone number

Preferred email

Children's names, dates of birth

Parent's names and address (for SOM SC Medicine Magazine mailing list and invitation to SOM events)

Please submit “Class Notes” (and pictures to Holly.Jefferson@uscmed.sc.edu) for the next edition of our SC Medicine magazine. We would also appreciate you sending information on your career (or a fellow alum’s) to be considered for a feature story in a future SOM magazine (may include extra-curricular activities, community involvement, etc.) We welcome your suggestions/ideas for the SOM Alumni Association.

Class notes

I would like to:

Become involved with the SOM Alumni AssociationServe on the BoardOther

Other area of interest

I would like to be contacted about hosting medical students outside of the Columbia area.

YesNo

School of Medicine Columbia

Challenge the conventional. Create the exceptional. No Limits.