Medical Record Amendment Instructions
All requests to correct or amend documentation in your medical record must be submitted in writing to the Center for Sports Medicine and Orthopaedics.
Instructions
Review your medical records to confirm the information you want amended, removed or do not agree with. Notes are never deleted in their entirety, however incorrect information in the note can be corrected.
Complete the Amendment Request Form below and provide as much detail as possible.
The information will be reviewed by the authoring provider, who will determine the plan of action on the amendment. If denied by the provider, we will inform you in writing with the reason for denial.
There is no charge to obtain copies of your corrected medical records. If you are requesting diagnostic imaging (e.g., X-rays, MRI, or CT scans), a separate fee will apply. Once your request has been processed, your corrected medical records will be securely delivered to the email address you provide.
Under federal regulations (HIPAA) the hospital must reply within 60 days of receipt of the completed form. In the rare instance we need more than 60 days, we will let you know in writing an extension is needed of no more than 30 days to complete the request.
If you have additional questions about this process, please call (423) 697-8738.