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HIPAA Quick Reference Guide For Employees

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11.0 Changing a medical record

Sometimes patients want things changed or removed from their medical record.  Can we do that?

Under HIPAA, patients have the right to request that their medical record information be amended.  However, information can't be removed once it is written in the medical record.  Statements can be added by following the amendment process, but not removed.  Individuals may request an amendment by completing a form and submitting it to the HIPAA Program Office.  Patients must include a reason to support the amendment request.  Upon review of the request with all appropriate clinical and administrative personnel, the patient will be notified if the request has been accepted or denied. 

More details are available in the
Amendment of Health Information Policy (A05-32 - Amendment of Protected Health Information).

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