Request for Correction
If an individual requests a correction to their Personal Health Information
Individuals should be advised to complete the CCMB Request to Correct Personal Health Information Form and submit it to the site where their personal Health Information is maintained.
The Request should be sent to the attention of the Privacy Officer at the site where the information is kept.
Once the form is complete, please mail to:
For individuals whose Personal Health Information requests located at other health care locations; please submit the forms to the Privacy Officer at that location. Click here for site locations.