Home
Forms Library
Addendum to medical records

Get the up-to-date medical record addendum template 2025 now

addendum to medical records Preview on Page 1

Show details

4 out of 5

26 votes

The document is an addendum form for medical records, intended for use when making corrections or additions to a patient's medical record more than five days after discharge. It includes fields for patient information, details of the original form being corrected, and space for the addendum content along with the signature and date of the person making the correction.

Here's how it works

01. Edit your addendum to medical records online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send medical addendum example via email, link, or fax. You can also download it, export it or print it out.

The best way to change Medical record addendum template online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your documentation requires only a few simple clicks. Make these quick steps to change the PDF Medical record addendum template online for free:

Sign up and log in to your account. Sign in to the editor with your credentials or click on Create free account to test the tool’s capabilities.
Add the Medical record addendum template for redacting. Click the New Document option above, then drag and drop the sample to the upload area, import it from the cloud, or using a link.
Alter your file. Make any changes needed: add text and pictures to your Medical record addendum template, underline information that matters, erase sections of content and substitute them with new ones, and insert symbols, checkmarks, and fields for filling out.
Complete redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is very intuitive and efficient. Try it out now!

See more medical record addendum template versions

We've got more versions of the medical record addendum template form. Select the right medical record addendum template version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2013	4 Satisfied (26 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is 5C in medical terms?

Guidance on optimising the clinical care setting in IBD management is provided through the 5C Concept, which encompasses: Comprehensive IBD care; Collaboration; Communication; Clinical nurse specialists; and Care pathways.

How do I write an addendum to a medical report?

The request must be directed to the provider who originated the portion of the record the patient wants to amend. The request must state which portion of the record the patient wants to amend and specify how it should be amended. The patients request is then filed in the record with the pertinent entry.

How do I write a request to amend my medical records?

5 Cs of Clinical Documentation Clarity. Clarity is one of the most essential components of clinical documentation. Conciseness. Medical records should be created in a manner that they are easily digestible to everyone who reads them. Completeness. Confidentiality. Chronological Order.

What are the Cs of charting?

The 6 Cs of Charting includes using the following: Clients Words, Clarity, Completeness, Conciseness, Chronological Order, and Confidentiality.

What are the 5 quality guidelines for documentation?

There are five primary guidelines that ensure efficient quality documentation. They include; keeping the documentation factual, accurate, current, organized, and complete. When using factual information, use descriptive, objective information, and support patient statements with objective data.

What are the five Cs in medical record documentation?

A Medical Record Amendment is: A change, edit or update of medical record information requested by the patient when they feel the information documented is incorrect.

Get the up-to-date medical record addendum template 2025 now

Here's how it works

The best way to change Medical record addendum template online