This is the Alumni Update Form for outgoing graduates and past graduates of HCMC residency and fellowship programs and for medical staff alumni.
This information will be maintained within HCMC/Hennepin Health Foundation and will not be shared. Your privacy is important to us.
Please fill out all required contact information fields so that we can accurately identify and update your record. If a category does not apply to you, please write or select “Not Applicable” in the space.
To enter or change your preferences for information and updates, please check the boxes.
Thank you!
If you have questions or problems with this form, please call 612-873-8777. |
