Medical Student Education Student Affairs Registrar and Forms Name Change Request Name Change Request If your name changes while you are in medical school, you must notify the Registrar’s Office. Simply fill out the Name Change Affidavit below and submit it along with a copy of a legal name-change document, such as a marriage license, driver’s license, Social Security card, passport or other document. Any questions, please contact the Registrar’s office. In This Section Name Change Request Privacy Law - FERPA Services to Alumni Name Change Request Form Brendan McCarthy Registrar University of Kentucky College of Medicine 800 Rose Street, MN-102C Lexington, KY 40536-0298 Phone: (859) 218-1638 Fax: (859) 323-4094 Email: med.registrar@uky.edu
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