Submit a Member Note

If you would like to submit information about yourself for possible inclusion in the Member Notes section of the NC Family Physician, please complete and submit this form.

If you are unable to use this form, you may email the information to Tara Hinkle at Please include your full name, practice name, and city.

Please supply the following information as applicable:

Jr., Sr., III, etc.
For confirmation and follow-up.
Please be as specific as possible. For example, if this is an honors announcement, include complete title of honor/award, the organization that bestowed it, and any/all applicable year(s).
Please identify the people in the photo, from left to right, and describe the setting. Additionally, please include photo credit if known.