Team Member Giving Form

Please use the form below to initiate or change your donation through Novant Health Legacy or 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.

Please complete the following steps to initiate your payroll deduction.