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REQUEST FOR AMENDMENT OF PROTECTED HEALTH INFORMATION You have the right to request that Summaries make corrections or amendments to the protected health information we retain on your behalf if you
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The form provides individuals with the right to request access to their personal data.
Any individual who wants to access or have their personal data corrected.
The form can be filled out online or in-person through a designated channel provided by the organization.
The purpose of the form is to give individuals more control over their personal data and ensure that organizations are transparent about how their information is being used.
Personal information such as name, contact details, and specific details of the data being requested or corrected.
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