To ask for an amendment (a change), download the Request to Amend My Protected Health Information.
If you cannot download this form, please call 410-955-6043 and we will mail or fax a copy to you.
When you have completed, signed and dated the form, please fax it to 410-735-6521 or send it to the following address:
Johns Hopkins Privacy Officer
5801 Smith Avenue
McAuley Hall, Suite 310
Baltimore, MD 21209