CINXE.COM
Request for Amendment to Medical Record | Yale Health
<!DOCTYPE html> <html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#"> <head> <!-- Google Tag Manager --> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-NGLCXSQJ');</script> <!-- End Google Tag Manager --> <meta charset="utf-8" /> <meta name="description" content="," /> <meta name="ai_disable_indexing" content="disabled" /> <meta name="geo.placename" content="Yale Health Center" /> <meta name="geo.region" content="US-CT" /> <link rel="canonical" href="https://yalehealth.yale.edu/resource/request-amendment-medical-record" /> <meta property="og:site_name" content="Yale Health" /> <meta property="og:type" content="Resource" /> <meta property="og:url" content="https://yalehealth.yale.edu/resource/request-amendment-medical-record" /> <meta property="og:title" content="Request for Amendment to Medical Record" /> <meta property="og:description" content="," /> <meta property="og:image" content="https://yalehealth.yale.edu/sites/default/files/styles/seo_image/public/2023-07/23-023_YaleHealth_153.jpg?h=3adfe54e&itok=K7tkXfeX" /> <meta property="og:image:width" content="1200" /> <meta property="og:image:height" content="630" /> <meta property="og:street_address" content="55 Lock Street" /> <meta property="og:locality" content="New Haven" /> <meta property="og:region" content="CT" /> <meta property="og:postal_code" content="06520" /> <meta property="og:country_name" content="United States" /> <meta property="og:email" content="member.services@yale.edu" /> <meta property="og:phone_number" content="+1 203-432-0246" /> <meta property="og:locale" content="en_US" /> <meta name="google-site-verification" content="kY_bKZMQilCGiAnkAwSjQ7OJDG8dXUubA97d7pT7Vm0" /> <link rel="apple-touch-icon" sizes="180x180" href="/sites/default/files/favicons/apple-touch-icon.png"/> <link rel="icon" type="image/png" sizes="32x32" href="/sites/default/files/favicons/favicon-32x32.png"/> <link rel="icon" type="image/png" sizes="16x16" href="/sites/default/files/favicons/favicon-16x16.png"/> <link rel="manifest" href="/sites/default/files/favicons/site.webmanifest"/> <link rel="mask-icon" href="/sites/default/files/favicons/safari-pinned-tab.svg" color="#00356b"/> <meta name="msapplication-TileColor" content="#00356b"/> <meta name="theme-color" content="#ffffff"/> <meta name="favicon-generator" content="Drupal responsive_favicons + realfavicongenerator.net" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <script type="application/ld+json">{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalClinic", "additionalType": "CollegeOrUniversity", "url": "https://yalehealthe.yale.edu", "name": "Yale Health Center", "description": "Yale Health Center and Health Plan", "telephone": "+1 203-432-0246", "address": { "@type": "PostalAddress", "streetAddress": "55 Lock Street", "addressLocality": "New Haven", "addressRegion": "CT", "postalCode": "06520-8237", "addressCountry": "USA" } }, { "@type": "WebPage", "@id": "https://yalehealth.yale.edu/resource/request-amendment-medical-record", "isAccessibleForFree": "True", "inLanguage": "en_US" }, { "@type": "WebSite", "name": "Yale Health Center", "url": "https://yalehealth.yale.edu" } ] }</script> <title>Request for Amendment to Medical Record | Yale Health</title> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/align.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/fieldgroup.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/container-inline.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/clearfix.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/details.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/hidden.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/item-list.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/js.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/nowrap.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/position-container.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/reset-appearance.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/resize.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/system-status-counter.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/system-status-report-counters.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/system-status-report-general-info.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/system/css/components/tablesort.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/core/modules/views/css/views.module.css?smhmk8" /> <link rel="stylesheet" media="all" href="/modules/contrib/extlink/extlink.css?smhmk8" /> <link rel="stylesheet" media="all" href="/modules/contrib/ai_engine/modules/ai_engine_chat/react/static/assets/index.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/base/base.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/layout/layout.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/navigation/footer/footer.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/navigation/quick-links/quick-links.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/field/office-hours/office-hours.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/node/department/teaser/department-teaser.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/views/display-default/display-default.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/views/departments/departments.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/views/view/view.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/field/ckeditor/ckeditor.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/navigation/social/social.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/node/node.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/node/resource/resource.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/media/image/image.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/navigation/main/main.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/navigation/header/header.css?smhmk8" /> <link rel="stylesheet" media="all" href="/themes/custom/yale_health/assets/dist/components/node/notification/teaser/notification-teaser.css?smhmk8" /> <script src="/libraries/fontawesome/js/fontawesome.min.js?v=6.4.0" defer></script> <script src="/libraries/fontawesome/js/light.min.js?v=6.4.0" defer></script> <script src="/libraries/fontawesome/js/brands.min.js?v=6.4.0" defer></script> </head> <body data-roles="anonymous" class="site-page site-page--node-resource"> <a href="#site-main" class="visually-hidden focusable"> Skip to main content </a> <header class="site-header" data-js="site-header"> <div class="site-header__notifications"> <div class="view view--embed-in-header view--display-default view--notifications js-view-dom-id-2bbc8e181f60f2c25ce4a5fd96c0666324bc81fa5829917aa6f2a90ad6db0c35"> <div class="view__content"> <div class="view__rows"> <div class="view__row view__row--0"> <div class="node-teaser node-teaser--notification node-teaser--teaser" data-js="node-notification"> <div class="node-teaser__container"> <header class="node-teaser__header"> <div class="node-teaser__heading"> <i class="fal fa-circle-info"></i> Schedule your Flu and COVID vaccine today! </div> </header> <div class="node-teaser__content"> <div class="node-teaser__cta-link"> <a href="/topic/flu-and-covid-vaccine-program-2024-2025">Read more</a> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="site-header__top"> <div class="site-header__content site-header__content--top"> <div class="site-header__yale-university-logo"> <a href="https://yale.edu" aria-label="Yale Health" title="Yale Health"> <?xml version="1.0" encoding="UTF-8"?> <svg id="Layer_1" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 661.6 104.3"> <path d="m59.6,16.2l-18.2,30.7v20.6c2.1,5,7.4,5.6,12.5,5.9v2.9H18.2v-2.9c5.1-.2,11.3-1,12.9-4.3v-21.3L12.5,16.4c-3.2-5.3-6.3-7.1-12.5-7.5v-2.9h31v2.9c-5.9.3-7.7,1.4-9.4,2.8l17.2,29.8,16.9-29.7c-1.8-1.3-4.1-2.5-9.9-2.9v-2.9h26.5v2.9c-5.9.2-9.6,2.2-12.7,7.3Zm36.2,61.1c-6,0-8.8-4.1-9.1-7-3.8,4-8.6,7-13.3,7-6,0-11-3.6-11-9.9,0-3.1.8-6.3,2.3-8.8l22-8v-8.2c0-5-2.3-9.7-7.3-9.7-3,0-5.9,3.6-6.1,9.3l-9.9,1.7v-1.2c3.3-9.9,14.3-13.8,19.6-13.8,10.1,0,13.7,5.3,13.6,13.5l-.3,23.2c-.1,4.5,2.3,5.6,4.5,5.6,1.8,0,3.5-1.1,5.6-3.2v3.2c-2.4,2.8-6.7,6.3-10.6,6.3Zm-22.1-18c-.4,1.8-.8,3.3-.8,5.7,0,3.3,1.9,6.6,5.5,6.6,3.3,0,5.2-1.1,8.2-3.4l.1-14.9c-2.8,1.3-9.9,4.4-13,6Zm33.7,17v-2.5c5-.3,6.4-1.4,7.3-3.3V13.3c0-3.8-.6-5.3-8.2-6v-2.2L126.7,0l.7,1.9-3.2,4v64.6c1.1,2.2,3.2,3,7.7,3.3v2.5h-24.5Zm51.1.9c-11.6,0-20.5-9.2-20.5-22,0-15.7,9.6-26.4,23.2-26.4,10.9,0,17,6.2,17,16v2l-29.8-.2c-.2,1.2-.3,3.2-.3,5.6,0,11.3,7.1,18.7,16.5,18.7,5.6,0,8.5-2,12.9-5.7l1.7,2.5c-6.5,5.7-11.7,9.5-20.7,9.5Zm1-45c-5.5,0-9.4,4.4-10.7,11.4l19.4-.2c0-5.9-3.7-11.2-8.7-11.2Z" style="fill:#00356b;"/> <path d="m275.8,14.1v35c0,20.1-12.3,28.9-29.3,28.9s-27.9-9.8-27.9-27V13.2c-1.1-2.2-5.2-3.7-10.2-3.9v-2.4h30.6v2.4c-5,.2-9.4,1.7-10.5,3.9v36.2c0,13.9,7.3,22,20.4,22,13.9,0,20.8-8.4,20.8-24.1v-14.2c0-6-.4-15.5-.5-18.9-1.1-2.2-7-4.6-12.1-4.8v-2.4h28.8v2.4c-4.8.1-9,2.5-10.1,4.7Z" style="fill:#00356b;"/> <path d="m316.4,76.3v-2.6c5.2-.4,5.9-1.4,6.7-3.3v-25.4c0-5.9-4.2-10.9-10.2-10.9-2.9,0-7.9,1.9-11,3.6v32.8c1.2,2.2,1.7,2.7,7.2,3.3v2.5h-22.8v-2.5c5.4-.3,6.1-1.4,7.1-3.3v-29.5c0-2.2-1.7-4.7-6.9-6v-2.1l14.2-5.1h1.2v7.8c4.9-3.6,13.2-7.6,17.1-7.6,9.9,0,12.9,6,12.9,14.9v28.4c2.2,1.6,4.4,1.7,9.3,2.2v2.9h-24.8v-.1Z" style="fill:#00356b;"/> <path d="m344.9,76.3v-2.6c5.4-.4,6.2-1.4,7.3-3.3l.1-29.7c0-2.5-1.4-4.5-7-5.9v-2l14.1-5.1h1.3v42.7c1.2,2.2,1.9,2.7,7.3,3.3v2.6h-23.1Zm11-64.5c-3.5,0-5.9-2.8-5.9-5.5s2.4-5.7,5.9-5.7,5.8,2.9,5.8,5.7-2.4,5.5-5.8,5.5Z" style="fill:#00356b;"/> <path d="m412.9,38l-16.2,38.3-4.2.9-15.5-40.3c-1.2-2.8-3.5-4.7-8.3-4.9v-2.5h23.7v2.5c-3.8.2-5.5,1.1-7,2l12.2,32.2,11.6-30.4c-.9-1.6-3.6-3.6-8-3.8v-2.5h19.8v2.5c-4.6.1-7,3.2-8.1,6Z" style="fill:#00356b;"/> <path d="m442.7,77.1c-11.2,0-19.9-9.1-19.9-22.3,0-16.1,9.6-26.9,22.8-26.9,11,0,16.2,5.8,16.2,16.2v1.9l-29.8-.2c-.1,1-.2,3.4-.2,5.9,0,11.5,7.6,19.1,16.7,19.1,6.2,0,8.5-1.9,13.2-5.9l1.6,2.5c-6.6,6.1-11.6,9.7-20.6,9.7Zm1-45.8c-5.8,0-10,4.4-11.2,11.6l20.5-.2c0-6-4.4-11.4-9.3-11.4Z" style="fill:#00356b;"/> <path d="m500.8,39.4h-1.1c-3.4-2-5.8-3.1-8.6-3.1s-4,1.6-6.6,3.9v29.9c1.2,2.2,5.4,2.7,10,3.4v2.7h-25.4v-2.6c5.4-.4,5.9-1.4,6.9-3.3v-30c0-2.2-1.4-4-6.9-5.4v-2.1l13.9-5.1h1.1l.2,10.4c4.9-5.2,9.3-9.8,13.2-9.8,2.7,0,5.2.9,7.8,2.1l-4.5,9Z" style="fill:#00356b;"/> <path d="m525.6,77.4c-8.1,0-12.8-1.7-15.5-3.1l-1.3-12.1h2.7c3.4,6.3,8.5,11.9,10.8,11.9,9.2,0,11.2-4.3,11.2-8.3,0-4.6-3.8-7.1-9.9-9.5-9.1-3.8-13.4-7-13.4-14.5s7.4-13.8,17-13.8c5.8,0,10.4,1.6,13.2,2.9l.5,11.6h-2.4c-3.3-6.3-7.6-11.5-10.2-11.5-8.8,0-10.2,4.7-10.2,7.5,0,4.6,1.9,6.9,10.2,10.3,8.5,3.5,13.3,6.6,13.3,13.8.2,7.9-6.6,14.8-16,14.8Z" style="fill:#00356b;"/> <path d="m549.5,76.3v-2.6c5.4-.4,6.2-1.4,7.3-3.3l.1-29.7c0-2.5-1.4-4.5-7-5.9v-2l14.1-5.1h1.3v42.7c1.2,2.2,1.9,2.7,7.3,3.3v2.6h-23.1Zm11.1-64.5c-3.5,0-5.9-2.8-5.9-5.5s2.4-5.7,5.9-5.7,5.8,2.9,5.8,5.7c-.1,2.7-2.5,5.5-5.8,5.5Z" style="fill:#00356b;"/> <path d="m596.3,77.1c-9.9,0-12.9-5.4-12.9-14.1,0-10.4.7-18.1.9-28.5l-6,.1v-2.3l13-12.9h1.4l-.1,10.2h16.3v5.1l-16.2-.1c-.2,11-.4,17.3-.4,27,0,6.1,3.8,9.9,10.3,9.9,2.5,0,6.1-1.5,7.2-2v2.2c-2.9,2.4-9.6,5.4-13.5,5.4Z" style="fill:#00356b;"/> <path d="m653.2,38l-13.7,33.7c-3.9,9.8-8.5,22.8-11,28.6-.9,2.1-2.9,4-6,4-3.4,0-5.4-2.5-5.4-5s1.9-4.9,5.4-4.9c1,0,2.7.5,3.6.9l7.1-17.1-15.6-41.4c-.9-2.7-3.2-4.7-7.9-4.9v-2.5h23.6v2.5c-3.8.2-5.7,1.1-7.2,2l12.2,32.8,11.2-30.9c-.7-1.6-3.3-3.6-7.6-3.8v-2.5h19.7v2.5c-4.7.1-7.2,3.2-8.4,6Z" style="fill:#00356b;"/> </svg> </a> </div> <div class="site-header__header-menu"> <nav role="navigation" aria-labelledby="block-header-menu" id="block-header" class="block-header-menu" data-js="block-header-menu"> <h2 class="visually-hidden" id="block-header-menu">Header Menu</h2> <ul class="menu menu--header menu--level-0"> <li class="menu__item"> <a href="https://campushealth.yale.edu/">Campus Health</a> </li> <li class="menu__item"> <a href="https://mychart.ynhhs.org/MyChart-PRD/">MyChart</a> </li> <li class="menu__item"> <a href="/directory/departments" data-drupal-link-system-path="node/152">Today's Hours</a> </li> <li class="menu__item"> <a href="/emergencies-and-after-hours" data-drupal-link-system-path="node/689">After Hours</a> </li> <li class="menu__item"> <a href="/language-and-translation" data-drupal-link-system-path="node/910">Translation Services</a> </li> </ul> </nav> </div> </div> </div> <div class="site-header__content"> <div class="site-header__branding"> <div class="branding-block" data-js="branding-block"> <a href="/" title="Home" aria-label="Go to homepage" rel="home" > <?xml version="1.0" encoding="UTF-8"?> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 581.8 86.9"> <path d="m179.2,36.3c-6.2,0-10.6,5-12.1,12.8l21.9-.2c.1-6.7-4-12.6-9.8-12.6m-1.1,50.5c-13,0-23.1-10.3-23.1-24.7,0-17.6,10.8-29.7,26.1-29.7,12.3,0,19.1,7,19.1,18v2.2l-33.5-.2c-.2,1.4-.4,3.6-.4,6.3,0,12.7,7.9,21,18.5,21,6.3,0,9.6-2.2,14.5-6.5l1.9,2.9c-7.1,6.5-12.9,10.7-23.1,10.7m-57.4-1v-2.9c5.6-.4,7.2-1.6,8.2-3.7V14.9c0-4.2-.6-6-9.2-6.7v-2.5l22.7-5.7.7,2.1-3.6,4.5v72.7c1.2,2.5,3.6,3.3,8.7,3.7v2.9c.1-.1-27.5-.1-27.5-.1Zm-37.8-19.1c-.5,2-.9,3.7-.9,6.5,0,3.7,2.1,7.5,6.2,7.5,3.7,0,5.8-1.2,9.2-3.9l.1-16.8c-3.2,1.5-11.2,5-14.6,6.7m24.8,20.2c-6.7,0-9.9-4.6-10.2-7.8-4.2,4.5-9.7,7.8-14.9,7.8-6.7,0-12.4-4.1-12.4-11.2,0-3.5.9-7.1,2.6-9.9l24.7-8.9v-9.2c0-5.6-2.6-10.9-8.2-10.9-3.4,0-6.6,4.1-6.8,10.4l-11.2,1.9v-1.2c3.7-11.2,16-15.5,22-15.5,11.3,0,15.4,6,15.3,15.2l-.4,26.1c-.1,5.1,2.6,6.3,5.1,6.3,2,0,4-1.2,6.3-3.6v3.5c-2.7,3.2-7.6,7-11.9,7M67,18.3l-20.5,34.5v23.2c2.4,5.6,8.3,6.3,14,6.6v3.2H20.4v-3.2c5.7-.2,12.7-1.1,14.5-4.8v-24L14,18.5C10.4,12.5,6.9,10.5,0,10.1v-3.3h34.9v3.2c-6.6.4-8.7,1.6-10.6,3.1l19.4,33.5L62.7,13.2c-2-1.5-4.6-2.9-11.2-3.2v-3.2h29.8v3.2c-6.6.3-10.9,2.5-14.3,8.3" style="fill:#00356b;"/> <path d="m261.6,85.8v-2.3c3.7-.1,7-1.2,7.9-2.8v-19.2h-27.7v19.2c.6,1.6,4.1,2.7,7.8,2.8v2.3h-24.7v-2.3c3.6-.1,7.1-1.2,7.8-2.8v-41.6c-.6-1.6-4.2-2.7-7.8-2.9v-2.1h24.7v2.1c-3.6.2-7.1,1.3-7.8,2.9v18.1h27.7v-18.1c-.9-1.6-4.1-2.7-7.9-2.9v-2.1h24.9v2.1c-3.7.2-7,1.3-7.9,2.9v41.6c.8,1.6,4.2,2.7,7.9,2.8v2.3h-24.9Z" style="fill:#00356b;"/> <path d="m556.9,85.8v-2.3c3.7-.1,7-1.2,7.9-2.8v-19.2h-27.7v19.2c.6,1.6,4.1,2.7,7.8,2.8v2.3h-24.7v-2.3c3.6-.1,7.1-1.2,7.8-2.8v-41.6c-.6-1.6-4.2-2.7-7.8-2.9v-2.1h24.7v2.1c-3.6.2-7.1,1.3-7.8,2.9v18.1h27.7v-18.1c-.9-1.6-4.2-2.7-7.9-2.9v-2.1h24.9v2.1c-3.7.2-7,1.3-7.9,2.9v41.6c.9,1.6,4.2,2.7,7.9,2.8v2.3h-24.9Z" style="fill:#00356b;"/> <path d="m508.7,48.9c-.2-6.9-3.9-10.5-9.8-10.7l-8.7-.1v40.9c1.8,3.8,6.3,4.3,10,4.5v2.3h-29.4v-2.3c3.7-.2,9.1-1,10.2-3.3v-42.1l-8.7.1c-5.9.1-9.6,3.7-9.7,10.7h-2.2v-15.5h2c1.1.3,2.1.6,4.8.6h36.8c1.9,0,3.7-.3,4.8-.6h2v15.5h-2.1Z" style="fill:#00356b;"/> <path d="m412,85.8v-2.3c3.3-.2,8.3-1.1,9.4-3.7v-40.7c-.6-1.6-4.2-2.6-7.8-2.8v-2.2h25.5v2.2c-3.6.2-7.9,1.3-8.5,2.9v42.7l14.7-.4c5.5-.1,9.2-5.4,9.3-12.2h2.2v16.6c-.1-.1-44.8-.1-44.8-.1Z" style="fill:#00356b;"/> <path d="m376.7,44.7l-1.1-3.9h-.4l-1.2,3.9-5.9,16.7h13.8l-5.2-16.7Zm4.3,41.1v-2.3c3.7-.2,6.8-1.1,7.7-2.8l-5.3-15.2h-16.6l-5.2,14.3c.8,1.9,4,3.5,7.7,3.7v2.3h-21.2v-2.3c3.7-.2,6.4-.9,8-2.9,2.2-5.5,4.8-11.8,7.2-18.4,3.4-9.2,6.8-18.1,8.7-23.6.9-2.4.9-3.4,1.1-5h9.9c.2,2.6.4,4,1.1,6.2,2.8,8.6,5,15.3,7.3,22.3,1.9,5.8,3.9,11.1,6.6,18,.9,2.3,4.2,3.3,7.9,3.5v2.3c-.1-.1-24.9-.1-24.9-.1Z" style="fill:#00356b;"/> <path d="m313,85.8l-18.4.2v-2.2c3.7-.2,9.3-1.3,10.3-3.9v-40.8c-.6-1.6-4.2-2.6-7.9-2.8v-2.2h33.7c2.2,0,3.7-.2,4.8-.5h1.9v13.6h-2.1c-.3-7.1-3.2-9.1-9.4-9.1h-11.8v19.3h11.1c5.5,0,7.8-.1,8.5-6.1h2v16.8h-2.1c-.6-6.5-2.4-6.6-8.4-6.6h-11.1v17.6c.2,1.1.6,2.2,2.1,2.8l12.9-.2c5.4-.1,9.1-2.4,9.3-9.4h2v13.5s-27.4,0-27.4,0Z" style="fill:#00356b;"/> </svg=> </a> </div> </div> <div class="site-header__menu"> <nav role="navigation" aria-labelledby="block-main-menu" id="block-main" class="block-main-menu" data-js="block-main-menu" style="opacity: 0;"> <h2 class="visually-hidden" id="block-main-menu">Main Menu</h2> <ul class="menu menu--main menu--level-0"> <li class="menu__item menu__item--has-submenu"> <details class="menu__details"> <summary class="menu__summary"> <a href="/appointments" data-drupal-link-system-path="node/681">Appointments<div class="menu__expand"><span></span><span></span></div></a> </summary> <div class="menu__submenu-wrapper"> <div class="menu__submenu-wrapper-content"> <ul class="menu menu--main menu--level-1 menu--submenu"> <li class="menu__item"> <a href="/making-appointment" data-drupal-link-system-path="node/831">Making an Appointment</a> </li> <li class="menu__item"> <a href="/using-mychart" data-drupal-link-system-path="node/684">Using MyChart</a> </li> <li class="menu__item"> <a href="/emergencies-and-after-hours" data-drupal-link-system-path="node/689">Emergencies and After Hours</a> </li> <li class="menu__item"> <a href="/language-and-translation" data-drupal-link-system-path="node/910">Language and Translation</a> </li> </ul> <div class="menu__image"> <figure class="media media--image media--main-menu"> <picture> <source srcset="/sites/default/files/styles/main_menu_1440/public/2023-07/Administrative-staff-at-computer.webp?h=2d7e29d7&itok=S4W3qa8B 1x" media="all and (min-width: 1440px)" type="image/webp" width="900" height="486"/> <source srcset="/sites/default/files/styles/main_menu_1440/public/2023-07/Administrative-staff-at-computer.jpg?h=2d7e29d7&itok=S4W3qa8B 1x" media="all and (min-width: 1440px)" type="image/jpeg" width="900" height="486"/> <img loading="eager" class="main_menu" src="/sites/default/files/styles/main_menu_1440/public/2023-07/Administrative-staff-at-computer.jpg?h=2d7e29d7&itok=S4W3qa8B" width="900" height="486" alt="Administrative staff at computer" /> </picture> </figure> </div> </div> </div> </details> </li> <li class="menu__item menu__item--has-submenu"> <details class="menu__details"> <summary class="menu__summary"> <a href="/getting-better-together" data-drupal-link-system-path="node/832">Our Organization<div class="menu__expand"><span></span><span></span></div></a> </summary> <div class="menu__submenu-wrapper"> <div class="menu__submenu-wrapper-content"> <ul class="menu menu--main menu--level-1 menu--submenu"> <li class="menu__item"> <a href="/directory/departments" data-drupal-link-system-path="node/152">Department Directory</a> </li> <li class="menu__item"> <a href="/directory/staff" data-drupal-link-system-path="node/342">Staff</a> </li> <li class="menu__item"> <a href="/about-yale-health" data-drupal-link-system-path="node/833">About Yale Health</a> </li> <li class="menu__item"> <a href="/announcements" data-drupal-link-system-path="node/843">Announcements</a> </li> <li class="menu__item"> <a href="/resources" data-drupal-link-system-path="node/844">Resources</a> </li> <li class="menu__item"> <a href="/quality-safety" data-drupal-link-system-path="node/1319">Quality & Safety</a> </li> <li class="menu__item"> <a href="/careers" data-drupal-link-system-path="node/842">Careers</a> </li> </ul> <div class="menu__image"> <figure class="media media--image media--main-menu"> <picture> <source srcset="/sites/default/files/styles/main_menu_1440/public/2023-08/23-023_YaleHealth_574.webp?h=626a3a52&itok=orOnqegL 1x" media="all and (min-width: 1440px)" type="image/webp" width="900" height="486"/> <source srcset="/sites/default/files/styles/main_menu_1440/public/2023-08/23-023_YaleHealth_574.jpg?h=626a3a52&itok=orOnqegL 1x" media="all and (min-width: 1440px)" type="image/jpeg" width="900" height="486"/> <img loading="eager" class="main_menu" src="/sites/default/files/styles/main_menu_1440/public/2023-08/23-023_YaleHealth_574.jpg?h=626a3a52&itok=orOnqegL" width="900" height="486" alt="Physical therapist working with a patient" /> </picture> </figure> </div> </div> </div> </details> </li> <li class="menu__item menu__item--has-submenu"> <details class="menu__details"> <summary class="menu__summary"> <a href="/coverage" data-drupal-link-system-path="node/687">Coverage<div class="menu__expand"><span></span><span></span></div></a> </summary> <div class="menu__submenu-wrapper"> <div class="menu__submenu-wrapper-content"> <ul class="menu menu--main menu--level-1 menu--submenu"> <li class="menu__item"> <a href="/new-members" data-drupal-link-system-path="node/1165">New Members</a> </li> <li class="menu__item"> <a href="/clerical-technical-service-maintenance-coverage-staff-yale-security" data-drupal-link-system-path="node/870">Clerical & Technical, Service & Maintenance Staff, & Yale Security Coverage</a> </li> <li class="menu__item"> <a href="/managerial-professional-staff-faculty-post-doctoral-associates-fellows-coverage" data-drupal-link-system-path="node/871">Managerial & Professional Staff, & Faculty, Post-Doctoral Associates & Fellows Coverage</a> </li> <li class="menu__item"> <a href="/yale-police-benevolent-association-ypba-coverage" data-drupal-link-system-path="node/872">Yale Police Benevolent Association (YPBA) Coverage</a> </li> <li class="menu__item"> <a href="/student-health-care-navigator" data-drupal-link-system-path="node/1747">Student Health Care Navigator</a> </li> <li class="menu__item"> <a href="/student-coverage" data-drupal-link-system-path="node/686">Student Coverage</a> </li> <li class="menu__item"> <a href="https://yalehealth.yale.edu/preferred-provider-directory">Preferred Provider Directory</a> </li> <li class="menu__item"> <a href="/topic/out-area-coverage" data-drupal-link-system-path="node/586">Out of Area Coverage</a> </li> <li class="menu__item"> <a href="/other-yale-benefits" data-drupal-link-system-path="node/873">Other Yale Benefits</a> </li> <li class="menu__item"> <a href="/coverage-topics" data-drupal-link-system-path="node/685">Coverage Topics</a> </li> </ul> <div class="menu__image"> <figure class="media media--image media--main-menu"> <picture> <source srcset="/sites/default/files/styles/main_menu_1440/public/2023-07/23-023_YaleHealth_124.webp?h=70ed23bb&itok=osYwAcH- 1x" media="all and (min-width: 1440px)" type="image/webp" width="900" height="486"/> <source srcset="/sites/default/files/styles/main_menu_1440/public/2023-07/23-023_YaleHealth_124.jpg?h=70ed23bb&itok=osYwAcH- 1x" media="all and (min-width: 1440px)" type="image/jpeg" width="900" height="486"/> <img loading="eager" class="main_menu" src="/sites/default/files/styles/main_menu_1440/public/2023-07/23-023_YaleHealth_124.jpg?h=70ed23bb&itok=osYwAcH-" width="900" height="486" alt="Doctor examining young boy" /> </picture> </figure> </div> </div> </div> </details> </li> <li class="menu__item menu__item--has-submenu"> <details class="menu__details"> <summary class="menu__summary"> <a href="/health-topics" data-drupal-link-system-path="node/663">Health Topics<div class="menu__expand"><span></span><span></span></div></a> </summary> <div class="menu__submenu-wrapper"> <div class="menu__submenu-wrapper-content"> <ul class="menu menu--main menu--level-1 menu--submenu"> <li class="menu__item"> <a href="/population-health-metrics" data-drupal-link-system-path="node/908">Population Health Metrics</a> </li> <li class="menu__item"> <a href="/emmi-educational-videos" data-drupal-link-system-path="node/1146">Emmi Educational Videos</a> </li> </ul> <div class="menu__image"> <figure class="media media--image media--main-menu"> <picture> <source srcset="/sites/default/files/styles/main_menu_1440/public/2024-04/23-023_YaleHealth_484.webp?h=deaec4b9&itok=cTW4Y7mB 1x" media="all and (min-width: 1440px)" type="image/webp" width="900" height="486"/> <source srcset="/sites/default/files/styles/main_menu_1440/public/2024-04/23-023_YaleHealth_484.jpg?h=deaec4b9&itok=cTW4Y7mB 1x" media="all and (min-width: 1440px)" type="image/jpeg" width="900" height="486"/> <img loading="eager" class="main_menu" src="/sites/default/files/styles/main_menu_1440/public/2024-04/23-023_YaleHealth_484.jpg?h=deaec4b9&itok=cTW4Y7mB" width="900" height="486" alt="children and parent in waiting area" /> </picture> </figure> </div> </div> </div> </details> </li> <li class="menu__item"> <a href="/forms-and-guidelines" data-drupal-link-system-path="node/911">Forms & Guidelines</a> </li> </ul> </nav> </div> <div class="site-header__tools"> <a href="/search" aria-label="Yale Health search page"> <i class="fal fa-search"></i><span class="visually-hidden">Search</span> </a> <button class="menu-toggle" data-js="menu-toggle" aria-controls="block-main" aria-expanded="false"> <span></span> <span></span> <span></span> </button> </div> </div> </header> <main id="site-main" class="site-main"> <div class="site-main__system"> <div class="region-system"> <div data-drupal-messages-fallback class="hidden"></div> </div> </div> <div class="region-content"> <div id="block-yale-health-content"> <article class="node node--resource node--full" data-js="node-resource"> <header class="node__header" data-js="node-header"> <h1 class="node__heading"> Request for Amendment to Medical Record </h1> </header> <div class="node__content"> <div class="node__side-content"> <section> <h6>Download</h6> <div class="node__media-resource-download"> <a href="https://yalehealth.yale.edu/sites/default/files/2023-07/5002%20Request%20Amendment%20YH.pdf" target="_blank"><i class="fal fa-file-pdf"></i> <span>5002 Request Amendment YH.pdf</span></a> </div> </section> </div> </div> </article> </div> </div> </main> <footer class="site-footer"> <div class="site-footer__content"> <div class="site-footer__branding"> <div class="branding-block" data-js="branding-block"> <a href="/" title="Home" aria-label="Go to homepage" rel="home" > <?xml version="1.0" encoding="UTF-8"?> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 581.8 86.9"> <path d="m179.2,36.3c-6.2,0-10.6,5-12.1,12.8l21.9-.2c.1-6.7-4-12.6-9.8-12.6m-1.1,50.5c-13,0-23.1-10.3-23.1-24.7,0-17.6,10.8-29.7,26.1-29.7,12.3,0,19.1,7,19.1,18v2.2l-33.5-.2c-.2,1.4-.4,3.6-.4,6.3,0,12.7,7.9,21,18.5,21,6.3,0,9.6-2.2,14.5-6.5l1.9,2.9c-7.1,6.5-12.9,10.7-23.1,10.7m-57.4-1v-2.9c5.6-.4,7.2-1.6,8.2-3.7V14.9c0-4.2-.6-6-9.2-6.7v-2.5l22.7-5.7.7,2.1-3.6,4.5v72.7c1.2,2.5,3.6,3.3,8.7,3.7v2.9c.1-.1-27.5-.1-27.5-.1Zm-37.8-19.1c-.5,2-.9,3.7-.9,6.5,0,3.7,2.1,7.5,6.2,7.5,3.7,0,5.8-1.2,9.2-3.9l.1-16.8c-3.2,1.5-11.2,5-14.6,6.7m24.8,20.2c-6.7,0-9.9-4.6-10.2-7.8-4.2,4.5-9.7,7.8-14.9,7.8-6.7,0-12.4-4.1-12.4-11.2,0-3.5.9-7.1,2.6-9.9l24.7-8.9v-9.2c0-5.6-2.6-10.9-8.2-10.9-3.4,0-6.6,4.1-6.8,10.4l-11.2,1.9v-1.2c3.7-11.2,16-15.5,22-15.5,11.3,0,15.4,6,15.3,15.2l-.4,26.1c-.1,5.1,2.6,6.3,5.1,6.3,2,0,4-1.2,6.3-3.6v3.5c-2.7,3.2-7.6,7-11.9,7M67,18.3l-20.5,34.5v23.2c2.4,5.6,8.3,6.3,14,6.6v3.2H20.4v-3.2c5.7-.2,12.7-1.1,14.5-4.8v-24L14,18.5C10.4,12.5,6.9,10.5,0,10.1v-3.3h34.9v3.2c-6.6.4-8.7,1.6-10.6,3.1l19.4,33.5L62.7,13.2c-2-1.5-4.6-2.9-11.2-3.2v-3.2h29.8v3.2c-6.6.3-10.9,2.5-14.3,8.3" style="fill:#00356b;"/> <path d="m261.6,85.8v-2.3c3.7-.1,7-1.2,7.9-2.8v-19.2h-27.7v19.2c.6,1.6,4.1,2.7,7.8,2.8v2.3h-24.7v-2.3c3.6-.1,7.1-1.2,7.8-2.8v-41.6c-.6-1.6-4.2-2.7-7.8-2.9v-2.1h24.7v2.1c-3.6.2-7.1,1.3-7.8,2.9v18.1h27.7v-18.1c-.9-1.6-4.1-2.7-7.9-2.9v-2.1h24.9v2.1c-3.7.2-7,1.3-7.9,2.9v41.6c.8,1.6,4.2,2.7,7.9,2.8v2.3h-24.9Z" style="fill:#00356b;"/> <path d="m556.9,85.8v-2.3c3.7-.1,7-1.2,7.9-2.8v-19.2h-27.7v19.2c.6,1.6,4.1,2.7,7.8,2.8v2.3h-24.7v-2.3c3.6-.1,7.1-1.2,7.8-2.8v-41.6c-.6-1.6-4.2-2.7-7.8-2.9v-2.1h24.7v2.1c-3.6.2-7.1,1.3-7.8,2.9v18.1h27.7v-18.1c-.9-1.6-4.2-2.7-7.9-2.9v-2.1h24.9v2.1c-3.7.2-7,1.3-7.9,2.9v41.6c.9,1.6,4.2,2.7,7.9,2.8v2.3h-24.9Z" style="fill:#00356b;"/> <path d="m508.7,48.9c-.2-6.9-3.9-10.5-9.8-10.7l-8.7-.1v40.9c1.8,3.8,6.3,4.3,10,4.5v2.3h-29.4v-2.3c3.7-.2,9.1-1,10.2-3.3v-42.1l-8.7.1c-5.9.1-9.6,3.7-9.7,10.7h-2.2v-15.5h2c1.1.3,2.1.6,4.8.6h36.8c1.9,0,3.7-.3,4.8-.6h2v15.5h-2.1Z" style="fill:#00356b;"/> <path d="m412,85.8v-2.3c3.3-.2,8.3-1.1,9.4-3.7v-40.7c-.6-1.6-4.2-2.6-7.8-2.8v-2.2h25.5v2.2c-3.6.2-7.9,1.3-8.5,2.9v42.7l14.7-.4c5.5-.1,9.2-5.4,9.3-12.2h2.2v16.6c-.1-.1-44.8-.1-44.8-.1Z" style="fill:#00356b;"/> <path d="m376.7,44.7l-1.1-3.9h-.4l-1.2,3.9-5.9,16.7h13.8l-5.2-16.7Zm4.3,41.1v-2.3c3.7-.2,6.8-1.1,7.7-2.8l-5.3-15.2h-16.6l-5.2,14.3c.8,1.9,4,3.5,7.7,3.7v2.3h-21.2v-2.3c3.7-.2,6.4-.9,8-2.9,2.2-5.5,4.8-11.8,7.2-18.4,3.4-9.2,6.8-18.1,8.7-23.6.9-2.4.9-3.4,1.1-5h9.9c.2,2.6.4,4,1.1,6.2,2.8,8.6,5,15.3,7.3,22.3,1.9,5.8,3.9,11.1,6.6,18,.9,2.3,4.2,3.3,7.9,3.5v2.3c-.1-.1-24.9-.1-24.9-.1Z" style="fill:#00356b;"/> <path d="m313,85.8l-18.4.2v-2.2c3.7-.2,9.3-1.3,10.3-3.9v-40.8c-.6-1.6-4.2-2.6-7.9-2.8v-2.2h33.7c2.2,0,3.7-.2,4.8-.5h1.9v13.6h-2.1c-.3-7.1-3.2-9.1-9.4-9.1h-11.8v19.3h11.1c5.5,0,7.8-.1,8.5-6.1h2v16.8h-2.1c-.6-6.5-2.4-6.6-8.4-6.6h-11.1v17.6c.2,1.1.6,2.2,2.1,2.8l12.9-.2c5.4-.1,9.1-2.4,9.3-9.4h2v13.5s-27.4,0-27.4,0Z" style="fill:#00356b;"/> </svg=> </a> </div> </div> <div class="site-footer__social-menu"> <nav role="navigation" aria-labelledby="block-social-menu" id="block-social" class="block-social-menu" data-js="block-social-menu"> <h2 class="visually-hidden" id="block-social-menu">Social Menu</h2> <ul class="menu menu--social menu--level-0"> <li class="menu__item"> <a href="http://www.twitter.com/yalehealth" aria-label="Go to Yale Health's Twitter page" title="Twitter"><i class="fab fa-twitter"></i></a> </li> <li class="menu__item"> <a href="https://www.facebook.com/yalehealthcenter" aria-label="Go to Yale Health's Facebook page" title="Facebook"><i class="fab fa-facebook"></i></a> </li> <li class="menu__item"> <a href="https://www.instagram.com/yalehealthcenter" aria-label="Go to Yale Health's Instagram page" title="Instagram"><i class="fab fa-instagram"></i></a> </li> <li class="menu__item"> <a href="https://www.linkedin.com/company/yalehealth/" aria-label="Go to Yale Health's LinkedIn page" title="LinkedIn"><i class="fab fa-linkedin"></i></a> </li> </ul> </nav> </div> <div class="site-footer__text"> <div> <div class="ck-content"> <p><strong>Yale Health</strong> <br>55 Lock Street <br>P.O. BOX 208237 <br>New Haven, CT 06520-8237</p><p><a href="/getting-better-together">Directions & Parking</a></p><p><strong>Acute Care</strong> <br><a href="tel:203-432-0123">203-432-0123</a></p><p><strong>Member Services</strong> <br><a href="tel:203-432-0246">203-432-0246</a></p></div> </div> </div> <div class="site-footer__departments"> <div class="view view--embed-in-footer view--display-default view--departments js-view-dom-id-7c11510f2b2ada75288323a6b9727894a7dbfb95389f57ebf707ee1b01ac90c3"> <div class="view__content"> <div class="view__rows"> <div class="view__row view__row--0"> <article class="node-teaser node-teaser--department node-teaser--teaser" data-js="node-department"> <header class="node-teaser__header"> <div class="node-teaser__heading"> Yale Health Center </div> </header> <div class="node-teaser__content"> <div class="node-teaser__hours"> <div class="office-hours office-hours--status-open"> <div class="office-hours__item "> <span class="office-hours__item-label">Mon-Fri: </span> <span class="office-hours__item-slots">8:30 am to 5:00 pm</span> <span><br /></span> </div> </div> </div> </div> </article> </div> <div class="view__row view__row--1"> <article class="node-teaser node-teaser--department node-teaser--teaser" data-js="node-department"> <header class="node-teaser__header"> <div class="node-teaser__heading"> <a href="/department/acute-care"><span>Acute Care</span></a> </div> </header> <div class="node-teaser__content"> <div class="node-teaser__hours"> <div class="office-hours office-hours--status-open"> <div class="office-hours__item "> <span class="office-hours__item-label">Sun-Sat: </span> <span class="office-hours__item-slots">8:00 am to 10:00 pm</span> <span><br /></span> </div> </div> </div> </div> </article> </div> <div class="view__row view__row--2"> <article class="node-teaser node-teaser--department node-teaser--teaser" data-js="node-department"> <header class="node-teaser__header"> <div class="node-teaser__heading"> <a href="/department/pharmacy-prescriptions"><span>Pharmacy / Prescriptions</span></a> </div> </header> <div class="node-teaser__content"> <div class="node-teaser__hours"> <div class="office-hours office-hours--status-open"> <div class="office-hours__item "> <span class="office-hours__item-label">Mon-Fri: </span> <span class="office-hours__item-slots">8:00 am to 6:00 pm</span> <span><br /></span> </div> <div class="office-hours__item "> <span class="office-hours__item-label">Sat: </span> <span class="office-hours__item-slots">8:00 am to 3:00 pm</span> <span><br /></span> </div> <div class="office-hours__item office-hours__item--exception"> <span class="office-hours__item-label">Special hours in effect</span> <span><br /></span> </div> </div> </div> </div> </article> </div> <div class="view__row view__row--3"> <article class="node-teaser node-teaser--department node-teaser--teaser" data-js="node-department"> <header class="node-teaser__header"> <div class="node-teaser__heading"> <a href="/department/blood-draw"><span>Blood Draw</span></a> </div> </header> <div class="node-teaser__content"> <div class="node-teaser__hours"> <div class="office-hours office-hours--status-open"> <div class="office-hours__item "> <span class="office-hours__item-label">Mon-Fri: </span> <span class="office-hours__item-slots">7:30 am to 5:00 pm</span> <span><br /></span> </div> <div class="office-hours__item "> <span class="office-hours__item-label">Sat: </span> <span class="office-hours__item-slots">8:00 am to 12:00 pm</span> <span><br /></span> </div> <div class="office-hours__item office-hours__item--exception"> <span class="office-hours__item-label">Special hours in effect</span> <span><br /></span> </div> </div> </div> </div> </article> </div> </div> <div class="view__more-link"> <div class="more-link"><a href="/directory/departments">See all Departments</a></div> </div> </div> </div> </div> <div class="site-footer__quick-links-menu"> <strong>Quick Links</strong> <nav role="navigation" aria-labelledby="block-quick-links-menu" id="block-quick-links" class="block-quick-links-menu" data-js="block-quick-links-menu"> <h2 class="visually-hidden" id="block-quick-links-menu">Quick Links Menu</h2> <ul class="menu menu--quick-links menu--level-0"> <li class="menu__item"> <a href="/getting-better-together" data-drupal-link-system-path="node/832">Contact Us</a> </li> <li class="menu__item"> <a href="/careers" data-drupal-link-system-path="node/842">Careers</a> </li> <li class="menu__item"> <a href="/topic/patient-safety" data-drupal-link-system-path="node/1114">Patient Safety</a> </li> <li class="menu__item"> <a href="/topic/outpatient-rights-responsibilities" data-drupal-link-system-path="node/1286">Patient Rights</a> </li> <li class="menu__item"> <a href="/privacy-statement" data-drupal-link-system-path="node/1113">Privacy</a> </li> <li class="menu__item"> <a href="/language-and-translation" data-drupal-link-system-path="node/910">Translation Services</a> </li> <li class="menu__item"> <a href="/nondiscrimination-notice" data-drupal-link-system-path="node/1193">Nondiscrimination Notice</a> </li> <li class="menu__item"> <a href="#launch-chat" title="Need more info from Yale Health? Our chatbot is here to help you 24/7 with quick, personalized responses.">Ask Yale Health chatbot</a> </li> </ul> </nav> </div> <div class="site-footer__joint-commission-logo"> <a href="/joint-commission-accreditation"> <img src="/themes/custom/yale_health/assets/dist/images/joint-commission-goldseal.png" alt="The Joint Commission logo that links to the Joint Commission homepage" /> </a> </div> <div class="site-footer__menu"> <nav role="navigation" aria-labelledby="block-footer-menu" id="block-footer" class="block-footer-menu" data-js="block-footer-menu"> <h2 class="visually-hidden" id="block-footer-menu">Footer Menu</h2> <ul class="menu menu--footer menu--level-0"> <li class="menu__item"> <a href="https://yale.edu">Yale University</a> </li> <li class="menu__item"> <a href="https://www.yale.edu/privacy-policy">Privacy Policy</a> </li> <li class="menu__item"> <a href="https://usability.yale.edu/web-accessibility/accessibility-yale">Accessibility</a> </li> </ul> </nav> </div> <div class="site-footer__copyright"> Copyright ©2024 Yale University • All rights reserved. </div> </div> </footer> <script>window.dataLayer = window.dataLayer || []; window.dataLayer.push({"drupalLanguage":"en","drupalCountry":"US","siteName":"Yale Health","entityCreated":"1688396766","entityLangcode":"en","entityStatus":"1","entityUid":"6","entityUuid":"c29dbb77-c9ea-44d1-950e-c2cfb48888da","entityVid":"1718","entityName":"morgan.sullivan","entityType":"node","entityBundle":"resource","entityId":"949","entityTitle":"Request for Amendment to Medical Record","entityTaxonomy":{"resource_types":{"1824":"Form"}},"userUid":0});</script> <script type="application/json" data-drupal-selector="drupal-settings-json">{"path":{"baseUrl":"\/","pathPrefix":"","currentPath":"node\/949","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"dataLayer":{"defaultLang":"en","languages":{"en":{"id":"en","name":"English","direction":"ltr","weight":0}}},"data":{"extlink":{"extTarget":true,"extTargetNoOverride":false,"extNofollow":false,"extNoreferrer":true,"extFollowNoOverride":false,"extClass":"0","extLabel":"(link is external)","extImgClass":false,"extSubdomains":true,"extExclude":"","extInclude":"","extCssExclude":"","extCssExplicit":"","extAlert":false,"extAlertText":"This link will take you to an external web site. We are not responsible for their content.","mailtoClass":"0","mailtoLabel":"(link sends email)","extUseFontAwesome":false,"extIconPlacement":"append","extFaLinkClasses":"fa fa-external-link","extFaMailtoClasses":"fa fa-envelope-o","whitelistedDomains":[]}},"ai_engine_chat":{"azure_base_url":"https:\/\/askyalehealth.azurewebsites.net","initial_questions":"[\u0022What are the Pharmacy hours?\u0022,\u0022How do I get the flu vaccine?\u0022,\u0022As a service and maintenance employee, do I have a pharmacy copay?\u0022,\u0022As a member, how can I appeal a denied claim?\u0022]","disclaimer":"Experience 24\/7 assistance with our new AI chatbot, your virtual guide to effortlessly navigating member and student coverage information. Click the broom to clear your past questions and start a new conversation.","footer":"The agent can make mistakes. Check important info. | \u003Ca href=\u0022https:\/\/yalesites.yale.edu\/ai-beacon-module-terms-of-use\u0022 target=\u0022_blank\u0022\u003ETerms of Use\u003C\/a\u003E | \u003Ca href=\u0022http:\/\/usability.yale.edu\/web-accessibility\/accessibility-yale\u0022 target=\u0022_blank\u0022\u003EAccessibility\u003C\/a\u003E | \u003Ca href=\u0022http:\/\/www.yale.edu\/privacy-policy\u0022 target=\u0022_blank\u0022\u003EPrivacy Policy\u003C\/a\u003E | Copyright \u00a9 2024 Yale University"},"radioactivity":{"type":"default","endpoint":"https:\/\/yalehealth.yale.edu\/radioactivity\/emit"},"user":{"uid":0,"permissionsHash":"214c218dcb0a7529b556728130b1126ab855eeb40fc1459158674b5da406f4bd"}}</script> <script src="/core/assets/vendor/jquery/jquery.min.js?v=3.7.1"></script> <script src="/core/misc/drupalSettingsLoader.js?v=10.3.6"></script> <script src="/core/misc/drupal.js?v=10.3.6"></script> <script src="/core/misc/drupal.init.js?v=10.3.6"></script> <script src="/modules/contrib/datalayer/js/datalayer.js?v=1.x"></script> <script src="/themes/custom/yale_health/assets/dist/base/base.js?smhmk8"></script> <script src="/themes/custom/yale_health/assets/dist/layout/layout.js?smhmk8"></script> <script src="/modules/contrib/extlink/extlink.js?v=10.3.6"></script> <script src="/modules/contrib/ai_engine/modules/ai_engine_chat/js/init.js?smhmk8"></script> <script src="/modules/contrib/ai_engine/modules/ai_engine_chat/react/static/assets/index.js?smhmk8" type="module"></script> <script src="/modules/contrib/ai_engine/modules/ai_engine_chat/js/events.js?smhmk8"></script> <script src="/themes/custom/yale_health/assets/dist/components/navigation/main/main.js?smhmk8"></script> </body> </html>