NC Newborn Screening Advisory Committee Conacts

Members of the NC NBS Advisory Committee: it is necessary to update and correct your contact information so that we can communicate with you accurately and quickly. Below is a short survey for which you are asked to provide your contact information. PLEASE SUBMIT YOUR INFORMATION NO LATER THAN JANUARY 31, 2018.


  1. Your first name


  1. Your last name


  1. Your professional title
    MD
    Ph.D
    Mr.
    Mrs.
    Ms.
    DrPH
    Other, see below


  1. What other professional designation would you prefer be used?


  1. What is the e-mail address at which you would like all e-mails sent? Please use an address that includes your institution, if applicable.


  1. Provide a telephone number (and extension, if applicable) for yourself. Please place a hyphen between numbers.


  1. Is this number a landline or a cell phone number?
    Landline
    Cell phone


  1. Provide the mailing address for yourself


  1. In what capacity do you participate in newborn screening?


  1. Do you have questions about the Committee or other newborn screening activities? Someone will contact you with a response.


  1. Would you like changes to the Committee structure or meeting formats and content? Please provide your ideas and input.