Review Your Records

If you would like to review your Upper Valley Medical Center (UVMC) medical record in person, you can make an appointment with the Medical Records/Health Information Services Department. You must review the records in the presence of a Medical Records/Health Information Services employee. Appointments may be made from 8:00 a.m. to 4:00 p.m. as available.
 
You must bring a photo ID. You may not remove any part of the record from the folder or make any changes. You can get a copy of your record for a reasonable fee.

Request a Correction

If you need to make a change to your UVMC medical record, you can use the Amendment Request Form. Complete the form, specifying what information you want amended, and then sign and return it to the Medical Records/Health Information Services Department. Either an approval or a denial notice will be mailed to you after a decision has been made.

You can get this form one of two ways:

• Download it. To open the form you’ll need Adobe® Acrobat Reader®, which you can download for free.
• Call the Medical Records/Health Information Services Department (937) 440-4650 to request the form be mailed to you.

Submitting an Amendment Request

Submit a signed copy of the amendment request form by mail, fax, or in person.

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