GHHS Contact Update

This form is intended for updating GHHS leader contacts, including chapter advisors, liaisons, and student leaders.

If you are a GHHS student member, resident, or doctor wishing to update your contact information or stay connected, please log in to your Gold Member Portal account and update your email directly there.

If you need assistance accessing your account, please contact smorris@gold-foundation.org.

Full Name *
Title *
GHHS Role at Institution *
Please specify other:
Looking to? *
Other:
If asking to be removed from list, please specify new contact below:Please include name, title, GHHS role, and email.
Email Address *
Secondary Email Address
Questions, comments, concerns?

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