If you believe that health information the Hospital has on file about you is incorrect or incomplete, you may ask us to amend the health information. To request an amendment you must file an appropriate written request with the Health Information Management Services (HIMS) Department. In addition, you must provide a reason that supports your request. The Hospital can only amend information that we created or that was created on our behalf. If your health information is accurate and complete, or if the information was not created by the Hospital, we may deny your request to amend. If we deny your request, we will share with you in writing with our reasons for doing so. Requests to amend your health information must be in writing and we recommend, but do not require, that you use the Hospital's Request for an Addendum or Correction form. Your written request must describe each item that you want changed (for example: History and Physical on 3/1/2013 and Clinic Visit Note on 4/14/2013) and the reason you are requesting the change. Even if we deny your request to amend, you have the right to submit a written addendum to the Health Information Management Services (HIMS) Department. Addendums may not exceed 250 words for each item or statement in your record you believe is incomplete or incorrect. Requests for an addendum must be in writing and we recommend, but do not require, that you use the Hospital's Request for an Addendum or Correction form.Please send your request to Health Information Management Services - 450 Broadway, Mail Code 5200, Redwood City, CA 94063 or fax it to 650-725-9821. Copies of the request forms and assistance are also available at the Hospital's HIMS Department. The HIMS Department will acknowledge your request when it is received and process your request within sixty (60) days of receipt. In certain situations the HIMS Department may require an additional thirty (30) day extension to process your request.