HIPAA Quick Reference
Guide For Employees
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/PC
78 - Amendment of Protected Health Information).