Address Update Form

If you serve in a leadership role in the Medical Student Section and have a change in your contact information, please complete this form in its entirety and submit to the MSS. Please note: This will not change your address with the main AMA database.

To change your address in the AMA's main database (membership, journals, etc.), you must call (800) 262-3211.

Please enter the contact information on file with the MSS:
The information you provide below is solely for the AMA's internal use and will not be reused or sold for any commercial use without your permission.

MSS Leadership Position:

Name:

Address:

City:

State:

Zip Code:

Phone:

E-mail:

Your e-mail address will not be shared, sold, traded, exchanged or rented. See our Privacy Policy for more information.

Medical School:

Please complete only those fields that need updating: