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STATE OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCYDEPARTMENT OF HEALTH CARE SERVICES PRIVACY OFFICEREQUEST TO AMEND PROTECTED HEALTH INFORMATION File Number: You have the right to request amendments
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The individual or organization seeking the document or information is required to file the request.
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The request must include details such as the name of the document or information being requested, the reason for the request, and any relevant identification or reference numbers.
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