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SESK: Stuff Everyone Should Know · sesk.info/hipaa-amend-disagreement

If a covered entity denies a patient's request to amend their record, what may the patient do?

Submit a written statement of disagreement.

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  1. Submit a written statement of disagreement ✔
  2. Nothing more
  3. Edit the record themselves

Why: The patient may submit a written statement disagreeing with the denial. It gets linked to the disputed record and can travel with future disclosures.

Huh, didn't know that: The covered entity may write a rebuttal, but it must give the patient a copy.

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References

Answer: Submit a written statement of disagreement. The patient may submit a written statement disagreeing with the denial. It gets linked to the disputed record and can travel with future disclosures.

  1. 45 CFR 164.526 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.526
    a written statement disagreeing with the denial of all or part of a requested amendment
    Checked 2026-10-10.
  2. 45 CFR 164.526 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.526
    the covered entity must provide a copy to the individual who submitted the statement of disagreement
    Checked 2026-10-10.

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