Team Member Giving Form

Please use the form below to initiate or change your donation through Novant Health New Hanover Regional Medical Center (NHNHRMC) payroll deduction.


If you currently have an ongoing payroll deduction and do not wish to make any changes, you do not need to complete the below form as your gift will continue each pay period – even when a new calendar year begins. If you would like to adjust your donation amount or make a change to your fund designation, please complete the form below.

If you wish to end your current deduction, please contact Payroll by following the prompts in Service Now within Human Resources/Payroll Cases.

Please refer to the iConnect Gratitude Campaign page here.