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To submit an amendment or correction of information, you can email, fax, or mail a letter to the contact information provided below. Patients have the right to request amendments to their medical or dental records, but providers have the right to determine if the changes will be made.The following information is necessary to file a Privacy Act request to change your records. I know that patients can request to see their whole medical record, but can they change it? What does HIPAA allow? Your patients have the right to amend their own medical records. Let's look at an overview of your main responsibilities when you get an amendment request. Change Name: I would like to change my name on my notary public commission and will use the imprint of the new notary seal above. Complete the following:. Submit DD Form 149, Application for Correction of Military Records to the relevant service branch.