For Medical Students
If you are a student in the College of Medicine (or past graduate), you can use this
form to submit a change of address to the office of Student and Academic Affairs.
You cannot use this form to change your name - that must be done in person in the Student
Affairs office. You can submit this information three ways:
- Print out the form, fill it out by hand, and return it to: College of Medicine; Office
of Student and Academic Affairs; 4301 W. Markham St.,
#603; Little Rock, AR
72205 OR FAX it to 501-686-8160;
- Type the information into the form, print it and return as above;
- Type the information into the form and submit it to us electronically by hitting the
"Submit" button. If you submit this form electronically, a copy will
automatically be sent to the Records office and the Financial Aid office, as well as the
main office of Student and Academic Affairs.
Please change my address, phone number, or e-mail address in your official records to