Name Change Request

We are happy to assist you with updating your account information to reflect your new legal name. Please complete the form below with your information as it currently appears on your account, and then your updated legal name. If you need to make additional changes to your contact information, please do so through your My Account page before submitting this request. If you have a name change request that is not covered on this page, please contact the Action Center at 800-498-2071, Monday–Friday, 8:30 a.m.–5:00 p.m. ET.

ASHA Corporate Partners