Update Your Alumni Information

Please update your alumni information and "like" us on Facebook.  We look forward to hearing about all your professional and personal accomplishments.  In addition, we would like to keep you updated about our alumni events.

 

 

First Name*:
Last Name*:
   
Graduation Year*:
   
Email*:
Home Phone:
Office Phone:
Cell Phone*:
   
Address:
 
City: State: Zip:
   
Spouse/Partner's name:
   
   

Opportunities to Stay Connected with the College of Osteopathic Medicine
Please check all that interest you: Alumni Programming
Mentorship Program
Guest Lecturer- Topic(s):
CME Lecturer- Topic(s):
   

News

  

Please fill all the appropriate boxes and provide pertinent details (e.g., who, what, when, where, why).
Presentation at Professional Meeting:
New Position:
Fellowship Program:
Award:
Academic Appointment:
Professional Appointment:
Research Activities and Publications:
Personal Accomplishments or Community Service Activities:
Other:
   

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Attach any photos you'd like to share (JPG, GIF, PNG):
   
   
 
Contact Us

Old Westbury
Northern Boulevard, P.O. Box 8000, Old Westbury, NY 11568
516.686.3747 | Email | Map

Academic Health Care Center
Northern Boulevard, P.O. Box 8000,  Old Westbury, NY 11568
516.686.1300 | Email | Map

Family Health Care Center
267 Carleton Ave., Central Islip, NY
631.348.3254 | Email | Map