All requests for amendments (changes) to your medical record must be submitted using a Request for Amendment of Protected Health Information form to:
Health Information Management
PO Box 3016
Durham NC 27710
Within 60 days of receipt, the Health Information Management Department will respond to the request for amendment and if the response cannot be provided within sixty (60) days you will be notified of a needed 30-day extension to process your request.
Download the Request for Amendment of Protected Health Information Form (PDF, 102 KB)
Use one of the following options to send us the completed form:
Mail:
Release of Information
Duke University Health System
P.O. Box 3016
Durham, NC 27710
Fax: 919-620-5165
If you have questions, please email ROI-Requestor3@dm.duke.edu or call 919-684-1700 between 8:00 am and 4:30 pm, Monday – Friday.